ArticleThe British journal of surgery2016
National study of the impact of patient information and involvement in decision-making on immediate breast reconstruction rates.
Article in The British journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- 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
- Language Barriers and Breast Reconstruction Decision-Making-A Literature Review and Exploratory Analysis.Journal of racial and ethnic health disparities · 2026Article
- Understanding Disparities in Breast Reconstruction Rates in Regional Populations Following Oncologic Resection of Breast Cancer: A 10-Year Retrospective Observational Cohort Study.The breast journal · 2026Observational
- Women's satisfaction with breast reconstruction after mastectomy and a survey on the decision process for type of reconstructive surgery.Wiener klinische Wochenschrift · 2025Article
- Objective and Subjective Factors Influencing Breast Reconstruction Decision-Making After Breast Cancer Surgery: A Systematic Review.Healthcare (Basel, Switzerland) · 2025Review
- Increasing Rates but Persistent Variability of Immediate Breast Reconstruction: Real-Time Data from a Population-Based Study (2012-2022).Annals of surgical oncology · 2025Article
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- Patient participation in treatment decision-making of prostate cancer: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Shared Decision-Making in Breast Reconstruction for Breast Cancer Patients: A Scoping Review.Patient preference and adherence · 2021Article
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- Socioeconomic status differs between breast cancer patients treated with mastectomy and breast conservation, and affects patient-reported preoperative information.Breast cancer research and treatment · 2020Article
- Patterns of immediate breast reconstruction in New South Wales, Australia: a population-based study.ANZ journal of surgery · 2019Article
- Association of sociodemographic and oncological features with decision on implant-based versus autologous immediate postmastectomy breast reconstruction in Chinese patients.Cancer medicine · 2019Article
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Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundReconstructive alternatives should be discussed with women facing mastectomy for breast cancer. These include immediate and delayed reconstruction, which both have inherent advantages and disadvantages. Immediate reconstruction rates vary considerably in Swedish healthcare regions, and the aim of the study was to analyse reasons for this disparity.
methodsAll women who underwent mastectomy for primary breast cancer in Sweden in 2013 were included. Tumour data were retrieved from the Swedish National Breast Cancer Registry and from questionnaires regarding patient information and involvement in preoperative decision-making sent to women who were still alive in 2015.
resultsOf 2929 women who had undergone 2996 mastectomies, 2906 were still alive. The questionnaire response rate was 76·3 per cent. Immediate reconstruction rates varied regionally, between 3·0 and 26·4 per cent. Tumour characteristics impacted on reconstruction rates but did not explain regional differences. Patient participation in decision-making, availability of plastic surgery services and patient information, however, were independent predictors of immediate breast reconstruction, and varied significantly between regions. Even in younger patients with low-risk tumours, rates of patient information ranged between 34·3 and 83·3 per cent.
conclusionSignificant regional differences in immediate reconstruction rates were not explained by differences in tumour characteristics, but by disparities in patient information, availability of plastic surgery services and involvement in decision-making.
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