Division of Plastic and Reconstructive Surgery, University of Cincinnati Medical Center, Cincinnati, OH, USA.
Breast J. 2021 May;27(5):461-465. doi: 10.1111/tbj.14213. Epub 2021 Mar 5.
Purpose of this study was to assess likelihood of undergoing breast reconstruction based on race, socioeconomic status, insurance, and distance from the hospital. Patients with public insurance were less likely to undergo reconstruction than patients with private insurance (OR = 2.99, p < 0.001). White patients were more likely to undergo reconstruction (OR = 0.62, p = 0.02). Patients who lived 10-20 miles and 20-40 miles from UCMC were more likely to undergo reconstruction (OR = 1.93, p = 0.01; OR = 3.06, p < 0.001). White patients and patients with private insurance are disproportionately undergoing breast reconstruction after mastectomy.
本研究旨在评估种族、社会经济地位、保险和距医院距离对接受乳房重建的可能性的影响。有公共保险的患者接受重建的可能性低于有私人保险的患者（OR=2.99，p<0.001）。白人患者更有可能接受重建（OR=0.62，p=0.02）。距离 UCMC 10-20 英里和 20-40 英里的患者更有可能接受重建（OR=1.93，p=0.01；OR=3.06，p<0.001）。白人患者和有私人保险的患者在接受乳房切除术后不成比例地接受乳房重建。
