Trends in the use of bilateral mastectomy in England from 2002 to 2011: retrospective analysis of hospital episode statistics

Neuburger, Jenny; MacNeill, Fiona; Jeevan, Ranjeet; Meulen, Jan van der; Cromwell, David

doi:10.1136/bmjopen-2013-003179

Cited by 63 publications

(40 citation statements)

References 19 publications

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“…6,7 We used the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database to examine the national trends and predictors of patients undergoing BM and immediate breast reconstruction (IBR), as well as their associated complication rates.…”

mentioning

confidence: 99%

National trends and complication rates after bilateral mastectomy and immediate breast reconstruction from 2005 to 2012

Kwok

Goodwin

Jin

et al. 2015

The American Journal of Surgery

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mentioning

confidence: 99%

National trends and complication rates after bilateral mastectomy and immediate breast reconstruction from 2005 to 2012

Kwok

Goodwin

Jin

et al. 2015

The American Journal of Surgery

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“…CPM trends of similar magnitude and scope have not been quantitatively documented in literature from countries outside of the United States. Switzerland and England have reported much lower CPM rates during a similar time period as the United States data [8,9] -with no significant increase over time noted in Switzerland. It is possible that in these countries, as well as in Canada, where the health care system is based on a socialized medicine model, and surgeons routinely practice under budgetary restraints; a nonlife-saving surgical service such as CPM may not be as readily available as in the United States.…”

Section: Introductionmentioning

confidence: 57%

Contralateral prophylactic mastectomy rate stable at major Canadian breast cancer center

Roberts

Sandhu

Cil

et al. 2016

WJCO

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AIM:To examine trends of contralateral prophylactic mastectomy (CPM) rates at a Canadian academic breast cancer center. METHODS:A single-institution retrospective cohort study was completed. Women of any age who underwent at least a unilateral mastectomy (UM) for primary unilateral breast carcinoma between January 1, 2004 and December 31, 2010 were included. Patients who underwent CPM on the same day as UM were isolated to create two distinct cohorts. Patient and procedure characteristics were compared across groups using R software (version 3.1.0). The percentage of CPMs per year was determined. The Cochrane-Armitage test was used to assess the trend of CPMs over time. A P value of < 0.05 was considered significant. RESULTS:A total of 811 women met the inclusions/ exclusion criteria; 759 (93.6%) underwent UM alone and 52 (6.4%) underwent UM with immediate CPM. The absolute number of procedures (UM and UM + CPM) increased over time, from 83 in 2004 to 147 in 2010 reflecting an increase in mastectomy volume. Annual CPM rates did not increase over time (P = 0.7) and varied between 2.6% to 10.7%.

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“…[9][10][11][12][13][14][15] In general, bilateral mastectomy is associated with a higher rate of breast reconstruction. A recent Cochrane review showed that bilateral prophylactic (risk reduction) mastectomy reduced the incidence of, and death from, breast cancer, but it highlighted that more rigorous prospective studies are needed to assess absolute risk reduction.…”

Section: When and To Whom Should Breast Reconstruction Be Offered?mentioning

confidence: 99%

Post-mastectomy breast reconstruction

Thiruchelvam

McNeill

Jallali

et al. 2013

BMJ

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tion options with patients, irrespective of whether they are available locally. 6 Fifty three per cent of women having surgery for breast cancer will undergo mastectomy (box 1). 7 8 In the UK and United States, bilateral mastectomy is increasingly being used for risk reduction in BRCA carriers, for those with a high risk of developing breast cancer (lifetime risk of 30%), or as a planned management strategy for unilateral cancer (fig 1, bmj.com). 9-15 In general, bilateral mastectomy is associated with a higher rate of breast reconstruction. A recent Cochrane review showed that bilateral prophylactic (risk reduction) mastectomy reduced the incidence of, and death from, breast cancer, but it highlighted that more rigorous prospective studies are needed to assess absolute risk reduction. 16 The review also found that although contralateral prophylactic (risk reduction) mastectomy decreases the incidence of cancer in the contralateral breast, it is unclear whether, and for whom, this practice improves survival. 16 How is a mastectomy performed?When performing a mastectomy, the anatomical (oncological) plane between breast tissue and subcutaneous fat needs to be identified. It is, however, impossible to remove all breast tissue because the oncological plane is not uniform throughout the breast. A standard (simple) mastectomy removes the breast skin envelope, but a skin sparing mastectomy preserves the breast skin envelope Breast cancer is the most common cancer in women, with almost 1.38 million new cases a year worldwide; it accounts for 23% of all cancers and 14% of deaths from cancer. 1 However, mortality from breast cancer is d eclining-increasing numbers of women are long term survivors (>5 years) (currently 549 000 in the United K ingdom). 2 3 Surgery remains a mainstay of treatment, either breast conservation or mastectomy, but any breast surgery can greatly alter breast aesthetics and body image.Breast reconstruction restores breast symmetry after a mastectomy by creating a breast mound, similar in size, shape, contour, and "out of bra position" to the contralateral breast. In England and Wales in 2002, about 10% of women had immediate breast reconstruction; by 2009 this had risen to 21%. 4 Post-mastectomy breast reconstruction is associated with improved body image, quality of life, self confidence, and wellbeing. 5 In this review, we outline the indications for breast reconstruction along with the timing and techniques available to patients after mastectomy. What is post-mastectomy breast reconstruction?Breast reconstruction is a surgical procedure that restores shape to the breast after mastectomy. Although it will not re-create the exact look and feel of a natural breast, it aims to create a breast mound contour similar to that before mastectomy. When, and to whom, should breast reconstruction be offered?In 2009 the National Institute for Health and Clinical Excellence (NICE) revised guidance on improving breast cancer outcomes. It recommended discussing immediate reconstruction with all patients ha...

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Trends in the use of bilateral mastectomy in England from 2002 to 2011: retrospective analysis of hospital episode statistics

Cited by 63 publications

References 19 publications

National trends and complication rates after bilateral mastectomy and immediate breast reconstruction from 2005 to 2012

National trends and complication rates after bilateral mastectomy and immediate breast reconstruction from 2005 to 2012

Contralateral prophylactic mastectomy rate stable at major Canadian breast cancer center

Post-mastectomy breast reconstruction

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