ArticleAnnals of surgery2006
A multi-institutional analysis of the socioeconomic determinants of breast reconstruction: a study of the National Comprehensive Cancer Network.
Article in Annals of surgery, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02055937 (Immediate Implant Breast Reconstruction for Patients With Mastectomy Ans Post opérative Chest Wall Radiotherapy), which is not on this map. Cited by 91 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Immediate Implant Breast Reconstruction for Patients With Mastectomy Ans Post opérative Chest Wall Radiotherapy
Who cites it
91 citing papers in PubMed, 1 synthesis or guideline pooled it, 200 citations in OpenAlex.
- Patient-reported outcomes of breast reconstruction after mastectomy: a systematic review.Journal of the American College of Surgeons · 2009Pooled it
- Impact of a Web-Based Decision Aid on Socioeconomically Disadvantaged Patients' Engagement in Breast Surgery Decision-Making: Stepped-Wedge Clinical Trial (Alliance-A231701CD).Annals of surgical oncology · 2025Trial
- Quality of Patient Decisions About Breast Reconstruction After Mastectomy.JAMA surgery · 2017Trial
- Acceptability and pilot efficacy trial of a web-based breast reconstruction decision support aid for women considering mastectomy.Psycho-oncology · 2016Trial
- Attitudes and Decisional Conflict Regarding Breast Reconstruction Among Breast Cancer Patients.Cancer nursingTrial
- Correction of breast deformities after breast-conserving surgery in Chinese women with breast cancer: a narrative review.Frontiers in oncology · 2025Review
- Beyond Physical Well-being: Exploring Demographic Variances in Psychosocial Well-being before Breast Reconstruction.Plastic and reconstructive surgery. Global open · 2023Article
- Factors Associated With Socioeconomic Disparities in Breast Reconstruction: Perspectives of Wisconsin Surgeons.Clinical breast cancer · 2023Article
- Racial Disparities in Breast Reconstruction at a Comprehensive Cancer Center.Journal of racial and ethnic health disparities · 2022Article
- Perspectives of Wisconsin Providers on Factors Influencing Receipt of Post-Mastectomy Breast Reconstruction.Clinical breast cancer · 2022Article
- Impact of Patient Primary Language upon Immediate Breast Reconstruction After Mastectomy.Annals of surgical oncology · 2022Observational
- Article
- Racial Disparity in Immediate Breast Reconstruction; a Gap That is not Closing.Plastic surgery (Oakville, Ont.) · 2022Article
- Barriers to breast reconstruction for socioeconomically disadvantaged women.Breast cancer research and treatment · 2022Article
- Breast reconstruction and quality of life five years after cancer diagnosis: VICAN French National cohort.Breast cancer research and treatment · 2022Article
- Stalled at the intersection: insurance status and disparities in post-mastectomy breast reconstruction.Breast cancer research and treatment · 2022Article
- Autologous Breast Reconstruction is Associated with Lower 90-day Readmission Rates.Plastic and reconstructive surgery. Global open · 2022Article
- Article
- Patient Perceptions and Determinants of Choice for Breast Reconstruction after Mastectomy among Saudi Patients.Plastic and reconstructive surgery. Global open · 2021Article
- Postmastectomy breast reconstruction in women aged 70 and older: An analysis of the National Cancer Database (NCDB).Surgery · 2021Article
31 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 6 institutions in 1 country.
Funding
Abstract
objectiveTo determine the rate of postmastectomy reconstruction and investigate the impact of socioeconomic status on the receipt of reconstruction. SUMMARY BACKGROUND DATA: The National Comprehensive Cancer Network (NCCN) Outcomes Project is a prospective, multi-institutional database that contains data on all newly diagnosed breast cancer patients treated at one of the participating comprehensive cancer centers.
methodsThe study cohort consisted of 2174 patients with DCIS and stage I, II, and III invasive breast cancer who underwent mastectomy at one of 8 NCCN centers. Rates of reconstruction were determined. Logistic regression analyses were used to evaluate whether socioeconomic characteristics are associated with breast reconstruction.
resultsOverall, 42% of patients had breast reconstruction following mastectomy. Patients with Medicaid and Medicare were less likely to undergo reconstruction than those with managed care insurance; however, there was no difference for indemnity versus managed care insurance. Homemakers and retired patients had fewer reconstructions than those employed outside the home. Patients with a high school education or less were less likely to have reconstruction than those with more education. Race and ethnicity were not significant predictors of reconstruction.
conclusionsThe reconstruction rate in this study (42%) is markedly higher than those previously reported. The type of insurance, education level, and employment status of a patient, but not her race or ethnicity, appear to influence the use of breast reconstruction. Because all patients were treated at an NCCN institution, these socioeconomic differences cannot be explained by access to care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.