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Breast reconstruction in France, observational study of 140,904 cases of mastectomy for breast cancer.

Authors
  • Nègre, G1
  • Balcaen, T2
  • Dast, S3
  • Sinna, R4
  • Chazard, E5
  • 1 Department of plastic reconstructive and aesthetic surgery, Amiens University Hospital, 80080 Amiens, France; Department of plastic reconstructive and aesthetic surgery, Saint-Quentin Hospital, 02321 Saint-Quentin, France. , (France)
  • 2 CERIM EA2694, Lille University, 59000 Lille, France; Public Health Department, Lille University Hospital, 59000 Lille, France; Medical Information Department, Saint-Quentin Hospital, 02321 Saint-Quentin, France. , (France)
  • 3 Department of plastic reconstructive and aesthetic surgery, Amiens University Hospital, 80080 Amiens, France. , (France)
  • 4 Department of plastic reconstructive and aesthetic surgery, Amiens University Hospital, 80080 Amiens, France. Electronic address: [email protected] , (France)
  • 5 CERIM EA2694, Lille University, 59000 Lille, France; Public Health Department, Lille University Hospital, 59000 Lille, France. , (France)
Type
Published Article
Journal
Annales de chirurgie plastique et esthetique
Publication Date
Feb 01, 2020
Volume
65
Issue
1
Pages
36–43
Identifiers
DOI: 10.1016/j.anplas.2019.07.014
PMID: 31383624
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

In France, there are few up-to-date epidemiological data on breast reconstruction after mastectomy for breast cancer. The objective of the present study was to measure immediate and delayed breast reconstruction (IBR and DBR, respectively) rates and thus the proportion of patients not benefiting from any reconstruction. We performed an observational study by assessing data from the French nationwide discharge summary database (Programme de Médicalisation des Systèmes d'Information) for the period 2008-2014. All women having undergone a total mastectomy for breast cancer during this period were included. We then searched for reconstructive surgery during the initial or subsequent hospital stays, and recorded the time interval between mastectomy and reconstruction. Among the 140,904 mastectomies included, the IBR rate was 16.1% on average, and increased over the study period. The time interval between mastectomy and DBR was≤3 years in 92% of cases. For patients included in 2008 and 2009, the DBR rate was 17.8%, and the non-reconstruction rate was 66.4%. The high proportion of women not undergoing breast reconstruction after mastectomy suggests that access to this procedure should be improved. Copyright © 2019. Published by Elsevier Masson SAS.

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