Geographical disparity in breast reconstruction following mastectomy has reduced over time
Paramita Dasgupta
Cancer Council Queensland, Brisbane, Queensland, Australia
Search for more papers by this authorPhilippa H. Youl
Cancer Council Queensland, Brisbane, Queensland, Australia
School of Public Health and Social Work, Queensland University of Technology, Brisbane, Queensland, Australia
Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia
Search for more papers by this authorChristopher Pyke
Mater Medical Centre, Brisbane, Queensland, Australia
Search for more papers by this authorJoanne F. Aitken
Cancer Council Queensland, Brisbane, Queensland, Australia
School of Public Health and Social Work, Queensland University of Technology, Brisbane, Queensland, Australia
School of Population Health, The University of Queensland, Brisbane, Queensland, Australia
Search for more papers by this authorCorresponding Author
Peter D. Baade
Cancer Council Queensland, Brisbane, Queensland, Australia
School of Public Health and Social Work, Queensland University of Technology, Brisbane, Queensland, Australia
Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia
Correspondence
Professor Peter D. Baade, Cancer Council Queensland, PO Box 201, 553 Gregory Terrace, Spring Hill, Brisbane, QLD 4004, Australia. Email: [email protected]
Search for more papers by this authorParamita Dasgupta
Cancer Council Queensland, Brisbane, Queensland, Australia
Search for more papers by this authorPhilippa H. Youl
Cancer Council Queensland, Brisbane, Queensland, Australia
School of Public Health and Social Work, Queensland University of Technology, Brisbane, Queensland, Australia
Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia
Search for more papers by this authorChristopher Pyke
Mater Medical Centre, Brisbane, Queensland, Australia
Search for more papers by this authorJoanne F. Aitken
Cancer Council Queensland, Brisbane, Queensland, Australia
School of Public Health and Social Work, Queensland University of Technology, Brisbane, Queensland, Australia
School of Population Health, The University of Queensland, Brisbane, Queensland, Australia
Search for more papers by this authorCorresponding Author
Peter D. Baade
Cancer Council Queensland, Brisbane, Queensland, Australia
School of Public Health and Social Work, Queensland University of Technology, Brisbane, Queensland, Australia
Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia
Correspondence
Professor Peter D. Baade, Cancer Council Queensland, PO Box 201, 553 Gregory Terrace, Spring Hill, Brisbane, QLD 4004, Australia. Email: [email protected]
Search for more papers by this authorAbstract
Background
Breast reconstruction (BR) following mastectomy for breast cancer has been shown to improve quality of life and body image; however, there is significant geographic variation in BR rates. We explored factors associated with BR following mastectomy.
Methods
This is a population-based data linkage study consisting of cancer registry records linked to hospital inpatient episodes for 4104 women aged 20 years and over-diagnosed with a first primary invasive localized stage breast cancer between 1997 and 2012 in Queensland, Australia, who underwent a mastectomy. Multivariate logistic regression was used to model predictors of BR.
Results
Overall, 481 women (11.7%) underwent reconstruction. Proportions increased over time and were higher for younger women. Younger age, more recent diagnosis, living in high or very high accessibility areas or less disadvantaged areas, smaller tumours and attending a private or high-volume hospital independently increased the odds of reconstruction. The geographical disparity reduced significantly over time.
Conclusion
Geographical barriers to accessing BR have reduced; however, continued monitoring and further research to inform strategies to further reduce subgroup disparities remain a priority.
Supporting Information
| Filename | Description |
|---|---|
| ans13710-sup-0001-SuppInfo.pdfPDF document, 320 KB | Figure S1. Regions of Queensland by accessibility, 1997. The map shows the regions based on 2006 Statistical Local Area boundaries by accessibility in 1997. Figure S2. Regions of Queensland by accessibility, 2012. The map shows the regions based on 2006 Statistical Local Area boundaries by accessibility in 2012 (to account for any changes in hospital coverage from 1997 to 2012). Figure S3. Regions of Queensland by socioeconomic status. The map shows the regions based on 2006 Statistical Local Area boundaries by socioeconomic status (Index of Relative Socioeconomic Advantage and Disadvantage). |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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