P54. ANALYSIS OF RACE IN IMMEDIATE POST MASTECTOMY BREAST RECONSTRUCTIONFROM 2017 TO 2021

Abstract

PURPOSE: The purpose of our study was to analyze national and regional trends of post mastectomy breast reconstruction and determine if any disparities exist. METHODS: The Vizient Clinical Database was reviewed for ICD10 diagnoses specific for mastectomy and breast reconstruction from 2017 to 2021. Patients were organized into 2 groups. Group 1: Mastectomy alone; Group 2: Mastectomy with immediate breast reconstruction. Reconstructive procedures were further divided into autologous (AR) and non-autologous groups (NAR). Patients were divided by region (Northeast=NE, South=S, Midwest=MW, West=W). Demographics were analyzed between groups. One tailed t-test analysis was performed (p<0.05 was considered significant). RESULTS: A total of 24,586 mastectomies were performed. 16420 were White, 3473 Black, 1485 Asian, 2595 Other, and 613 were unable to be identified. 15,334 immediate breast reconstruction procedures were identified during the same time period. 11,018 were White, 1859 Black, 303 Asian, 1583 Other, and 157 were unable to be identified. Significantly more white patients received breast reconstruction following mastectomy (67%) compared with Black (54%), Asian (48%), Other (61%), or Unknown race (26%) (p<0.05). No significant differences were noted regionally between autologous and non-autologous procedures when comparing race (p>0.05). More NAR surgeries were performed regionally and nationally compared with AR CONCLUSION: There appears to be a racial disparity among patients who have mastectomies and those that receive immediate breast reconstruction. However, there does not appear to be racial differences when choosing a particular reconstructive technique. There are more NAR surgeries being performed regionally and nationally when compared to AR.