Stalled at the Intersection: Insurance Status and Disparities in Post-Mastectomy Breast Reconstruction

Orli Friedman-Eldar,Jonathan Burke,Fernando Marcelo Valle Reyes,Dido Franceschi,Anne-Sophie Lessard,Eli Avisar,Neha Goel,Mecker Geraldine Moller

doi:10.1016/j.jamcollsurg.2020.07.025

Orli Friedman-Eldar, Jonathan Burke + Show 6 more

Open Access

https://doi.org/10.1016/j.jamcollsurg.2020.07.025

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Abstract

Friedman-Eldar, Orli MD; Burke, Jonathan MPH; Marcelo Valle Reyes, Fernando MD; Franceschi, Dido MD, FACS; Lessard, Anne-Sophie MD; Avisar, Eli MD, FACS; Goel, Neha MD; Geraldine Moller, Mecker MD, FACS Author Information

Highlights

Studies have identified socioeconomic disparities in breast reconstruction
Our research suggests that surgeons are cognizant of these challenges when discussing reconstruction with patients
Surgeons perceive that many factors that negatively influence reconstruction in low socioeconomic status (SES) patients are not modifiable at the clinic level

Summary

Introduction

Studies have identified socioeconomic disparities in breast reconstruction. The objective was to elicit general/breast surgeons’ perspectives on the delivery of reconstructive care and perceived differences based on socioeconomic status (SES). This study aims to further elucidate the relationship between insurance status and PMBR. Prognostic tools, such as risk calculators, provide individualized, evidence-based predictions of patient outcomes, and can improve patient-physician decision making. These tools are limited for breast cancer patients when assessing postoperative surgical complication risk. We developed 4 models that predict the risk of acute postoperative complications for patients who undergo 1 of 5 breast cancer surgical interventions

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Conclusion