Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, NY.
Center for Big Data Research in Health, University of New South Wales, Sydney, NSW, Australia.
Health Serv Res. 2018 Aug;53 Suppl 1(Suppl Suppl 1):2682-2695. doi: 10.1111/1475-6773.12774. Epub 2017 Sep 25.
To examine trends in risk-reducing mastectomy (RRM) and immediate breast reconstruction in New York State and New South Wales, especially before and after Angelina Jolie's announcement of her surgery in 2013.
Hospital discharge data, 2004-2014.
Trends in procedures were assessed using Poisson regression and the Cochrane-Armitage test.
Extracted using procedure codes.
There was an increase in RRM procedures after May 2013 in both regions, with a peak during late 2013-early 2014. The average bimonthly RRM procedures were significantly higher after Jolie's announcement than before.
In both countries, we found a substantial increase of RRM after Jolie's announcement, highlighting the impact of celebrity health care coverage on preventive surgical choice and the need for decision aids to assist patients.
研究纽约州和新南威尔士州降低风险乳房切除术(RRM)和即刻乳房重建的趋势,特别是在安吉丽娜·朱莉 2013 年宣布手术前后。
2004-2014 年医院出院数据。
使用泊松回归和 Cochrane-Armitage 检验评估手术趋势。
使用手术代码提取。
在安吉丽娜·朱莉宣布手术之后,两个地区的 RRM 手术数量都有所增加,2013 年末至 2014 年初达到高峰。朱莉宣布后,平均每两个月的 RRM 手术数量明显高于宣布前。
在这两个国家,我们发现朱莉宣布手术后 RRM 手术大量增加,这突显了名人医疗保健报道对预防性手术选择的影响,以及需要决策辅助工具来帮助患者。