ArticlePlastic and reconstructive surgery2010
Sacramento area breast cancer epidemiology study: use of postmastectomy breast reconstruction along the rural-to-urban continuum.
Article in Plastic and reconstructive surgery, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Post-Mastectomy Breast Reconstruction Disparities: A Systematic Review of Sociodemographic and Economic Barriers.Medicina (Kaunas, Lithuania) · 2024Pooled it
- Disparities in Surgical Access: A Systematic Literature Review, Conceptual Model, and Evidence Map.Journal of the American College of Surgeons · 2019Pooled it
- The impact of social drivers of health on delayed time to breast cancer surgery.British journal of cancer · 2026Article
- Closing the Gap: Disparities in Breast Reconstruction After Mastectomy.Annals of surgical oncology · 2025Article
- Health Inequities in the Epidemiology, Diagnosis, Treatment, and Outcomes of Plastic Surgery: A Scoping Review.Plastic surgery (Oakville, Ont.) · 2025Review
- Racial Disparities in Breast Reconstruction at a Comprehensive Cancer Center.Journal of racial and ethnic health disparities · 2022Article
- Patient Perceptions and Determinants of Choice for Breast Reconstruction after Mastectomy among Saudi Patients.Plastic and reconstructive surgery. Global open · 2021Article
- Blossom smart expander technology for tissue expander-based breast reconstruction facilitates shorter duration to full expansion: A pilot study.Archives of plastic surgery · 2020Article
- Rural-Urban Differences in Breast Reconstruction Utilization Following Oncologic Resection.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2020Article
- Closing the Breast Cancer Loop: Barriers and Perceptions of Breast Reconstruction among Rural Women.Plastic and reconstructive surgery. Global open · 2020Article
- Appalachian Status Is a Negative Predictor of Breast Reconstruction Following Breast Cancer Resection.Annals of plastic surgery · 2019Article
- Article
- Breast reconstruction after mastectomy at a comprehensive cancer center.SpringerPlus · 2016Article
- Breast cancer treatment among African American women in north St. Louis, Missouri.Journal of urban health : bulletin of the New York Academy of Medicine · 2015Article
- Psychosocial Predictors and Outcomes of Delayed Breast Reconstruction in Mastectomized Women in Mainland China: An Observational Study.PloS one · 2015Observational
- International rates of breast reconstruction after prophylactic mastectomy in BRCA1 and BRCA2 mutation carriers.Annals of surgical oncology · 2013Article
- Geographic variation in utilization of sentinel lymph node biopsy for intermediate thickness cutaneous melanoma.Journal of surgical oncology · 2012Article
- Urban and non-urban disparities in the use of post-mastectomy radiation for breast cancer.Medical oncology (Northwood, London, England) · 2012Article
- Breast reconstruction after mastectomy for breast cancer.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2011Review
- Rurality predisposes departure from gold-standard care, leading to delayed or accelerated access to surgery: insights from a scoping review.Canadian journal of surgery. Journal canadien de chirurgieArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundHealth care disparities have been documented in rural populations. The authors hypothesized that breast cancer patients in urban counties would have higher rates of postmastectomy breast reconstruction relative to patients in surrounding near-metro and rural counties.
methodsThe authors used the Surveillance, Epidemiology, and End Results database to identify patients diagnosed with breast cancer and treated with mastectomy in the greater Sacramento area between 2000 and 2006. Counties were categorized as urban, near-metro, or rural. Univariate models evaluated the relationship of rural, near-metro, or urban location with use of breast reconstruction by means of the chi-square test. Multivariate logistic regression models controlling for patient, tumor, and treatment-related factors predicted use of breast reconstruction. The likelihood of undergoing breast reconstruction was reported as odds ratios with 95 percent confidence intervals; significance was set at p≤0.05.
resultsComplete information was available for 3552 breast cancer patients treated with mastectomy. Of these, 718 (20.2 percent) underwent breast reconstruction. On univariate analysis, differences in the rates of breast reconstruction were noted among urban, near-metro, and rural areas (p<0.001). On multivariate analysis, patients from rural (odds ratio, 0.51; 95 percent confidence interval, 0.28 to 0.93; p<0.03) and near-metro (odds ratio, 0.73; 95 percent confidence interval, 0.59 to 0.89; p=0.002) areas had a decreased likelihood of undergoing breast reconstruction relative to patients from urban areas.
conclusionsPatients from near-metro and rural areas are less likely to undergo breast reconstruction following mastectomy for breast cancer than their urban counterparts. Differences in use of breast reconstruction detected at a population level should guide future interventions to increase rates of breast reconstruction at the local level.
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