Contemporary Trends in Breast Reconstruction Use and Impact on Survival Among Women with Inflammatory Breast Cancer

Nair, Ananya Gopika; Giannakeas, Vasily; Semple, John L.; Narod, Steven A.; Lim, David W.

doi:10.1245/s10434-022-12408-0

Cited by 2 publications

(13 citation statements)

References 54 publications

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“…Of the 19 full texts retrieved and evaluated, ten were excluded (Figure 1). A total of nine studies were eligible for final inclusion [13,14,[17][18][19][20][21][22][23]. Characteristics of the included studies are summarized in Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…Four studies [13,14,19,23] evaluating breast reconstruction trends between 1998 and 2016 found that reconstruction rates increased from 6.2% to 15.3% (Table 4). In parallel, over the last two decades, contralateral prophylactic mastectomy (CPM) rates have increased from 6.1% to 29.6% (Table 4) [13,14,23]. [20] did not report on predictive factors for breast reconstruction.…”

Section: Contemporary Trends In Breast Reconstruction Use and Contral...mentioning

confidence: 99%

“…The five population-based studies evaluated preoperative factors predicting having breast reconstruction use [13,14,19,21,23]. Younger patients and those with higher median income (USD 25,000-75,000), access to private insurance, not being on Medicare, and completion of higher education were more likely to undergo breast reconstruction.…”

Section: Factors Associated With Breast Reconstruction Usementioning

confidence: 99%

“…Younger patients and those with higher median income (USD 25,000-75,000), access to private insurance, not being on Medicare, and completion of higher education were more likely to undergo breast reconstruction. Some studies identified bilateral mastectomy (single mastectomy with a contralateral prophylactic mastectomy) to be strongly associated with breast reconstruction [13,14,19,23]. Three studies found living in a metropolitan setting was associated with breast reconstruction compared with living in a rural setting [13,19,23].…”

Section: Factors Associated With Breast Reconstruction Usementioning

confidence: 99%

“…Some studies identified bilateral mastectomy (single mastectomy with a contralateral prophylactic mastectomy) to be strongly associated with breast reconstruction [13,14,19,23]. Three studies found living in a metropolitan setting was associated with breast reconstruction compared with living in a rural setting [13,19,23]. Other demographic and socioeconomic factors of race, ethnicity and marital status were not associated with breast reconstruction (Table 4).…”

Section: Factors Associated With Breast Reconstruction Usementioning

confidence: 99%

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Breast Reconstruction Use and Impact on Surgical and Oncologic Outcomes Amongst Inflammatory Breast Cancer Patients—A Systematic Review

Nair

Semple

et al. 2023

Current Oncology

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Breast reconstruction is generally discouraged in women with inflammatory breast cancer (IBC) due to concerns with recurrence and poor long-term survival. We aim to determine contemporary trends and predictors of breast reconstruction and its impact on oncologic outcomes among women with IBC. A systematic literature review for all studies published up to 15 September 2022 was conducted via MEDLINE, Embase, and the Cochrane Library. Studies comparing women diagnosed with IBC undergoing a mastectomy with or without breast reconstruction were evaluated. The initial search yielded 225 studies, of which nine retrospective cohort studies, reporting 2781 cases of breast reconstruction in 29,058 women with IBC, were included. In the past two decades, immediate reconstruction rates have doubled. Younger age, higher income (>USD 25,000), private insurance, metropolitan residence, and bilateral mastectomy were associated with immediate reconstruction. No significant difference was found in overall survival, breast cancer-specific survival or recurrence rates between women undergoing versus not undergoing (immediate or delayed) reconstruction. There is a paucity of data on delayed breast reconstruction following IBC. Immediate breast reconstruction may be a consideration for select patients with IBC, although prospective data is needed to clarify its safety.

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