ArticleBJS open2020
Influence of socioeconomic status on immediate breast reconstruction rate, patient information and involvement in surgical decision-making.
Article in BJS open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Immediate breast reconstruction uptake in older women with primary breast cancer: systematic review.The British journal of surgery · 2022Pooled it
- Socioeconomic inequalities in adherence to clinical practice guidelines and breast cancer survival: a multicentre population-based study in Spain.BMJ quality & safety · 2025Article
- Survival comparison of breast conserving therapy and mastectomy with breast reconstruction for breast cancer using propensity score matched cohort.Scientific reports · 2025Article
- Pre-Mastectomy Breast Reconstruction Intentions in Women with Breast Cancer: Psychosocial and Personality Predictors Informing Mental Health Promotion.Healthcare (Basel, Switzerland) · 2025Article
- Objective and Subjective Factors Influencing Breast Reconstruction Decision-Making After Breast Cancer Surgery: A Systematic Review.Healthcare (Basel, Switzerland) · 2025Review
- Health Inequities in the Epidemiology, Diagnosis, Treatment, and Outcomes of Plastic Surgery: A Scoping Review.Plastic surgery (Oakville, Ont.) · 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
- Do non-mammary conditions influence patients' cosmetic perception after breast conserving surgery?Frontiers in oncology · 2024Article
- Medical and surgical postoperative complications after breast conservation versus mastectomy in older women with breast cancer: Swedish population-based register study of 34 139 women.The British journal of surgery · 2023Article
- Major surgical postoperative complications and survival in breast cancer: Swedish population-based register study in 57 152 women.The British journal of surgery · 2022Article
- Factors associated with the desire to undergo post-mastectomy breast reconstruction in a Mexican breast cancer center.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- 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
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundImmediate breast reconstruction (IBR) rates in breast cancer differ between healthcare regions in Sweden. This is not explained by regional differences in patient age distribution or tumour characteristics, but by differences in patient-reported information and patient involvement in the decision-making process. As socioeconomic status may play a significant role in surgical decision-making, its potential associations with IBR rates were analysed.
methodsWomen who had undergone therapeutic mastectomy for primary breast cancer in Sweden in 2013 were included in the analysis. Tumour and treatment data were retrieved from the Swedish National Breast Cancer Register, and socioeconomic background data from the Central Bureau of Statistics Sweden. Postal questionnaires regarding information about reconstruction and perceived involvement in the preoperative decision-making process had been sent out in a previous survey.
resultsIn addition to regional differences, lower tumour and nodal category, independent factors increasing the likelihood of having IBR for the 3131 women in the study were living without a registered partner, having current employment and high income per household. Patient-reported perceived preoperative information (odds ratio (OR) 12·73, 95 per cent c.i. 6·03 to 26·89) and the feeling of being involved in the decision-making process (OR 2·56, 1·14 to 5·76) remained strong independent predictors of IBR despite adjustment for socioeconomic factors. Importantly, responders to the survey represented a relatively young and wealthy population with a lower tumour burden.
conclusionSeveral socioeconomic factors independently influence IBR rates; however, patient-reported information and involvement in the surgical decision-making process remain independent predictors for the likelihood of having IBR.
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