Evidence map›Paper›PMID 34647274›Full record

ArticleJournal of racial and ethnic health disparities2022

Racial Disparities in Breast Reconstruction at a Comprehensive Cancer Center.

Shahnjayla K Connors, Melody S Goodman, Terence Myckatyn, Julie Margenthaler, Sarah Gehlert

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In one paragraph

Article in Journal of racial and ethnic health disparities, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Shahnjayla K ConnorsDepartment of Social Sciences, College of Humanities and Social Sciences, University of Houston-Downtown, One Main Building N1027, Houston, TX, USA. connorss@uhd.edu.ORCID 0000-0003-1340-1527
Melody S GoodmanDepartment of Biostatistics, College of Global Public Health, New York University, New York, NY, USA.
Terence MyckatynDivision of Plastic and Reconstructive Surgery, Department of Surgery, School of Medicine, Washington University in St. Louis, St. Louis, MO, USA.
Julie MargenthalerSection of Surgical Oncology, Department of Surgery, School of Medicine, Washington University in St. Louis, St. Louis, MO, USA.
Sarah GehlertSuzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, CA, USA.
Washington University in St. Louis · USNew York University · USUniversity of Houston - Downtown · USUniversity of Southern California · US

Funding

Training ProgramU54CA153460 · NCI · WASHINGTON UNIVERSITY · PI COLDITZ, GRAHAM A. · 2010 to 2015
$5.3M
NCI NIH HHS U54 CA153460
6 · The paper itself

Abstract

introductionBreast reconstruction after a mastectomy is an important component of breast cancer care that improves the quality of life in breast cancer survivors. African American women are less likely to receive breast reconstruction than Caucasian women. The purpose of this study was to further investigate the reconstruction disparities we previously reported at a comprehensive cancer center by assessing breast reconstruction rates, patterns, and predictors by race.

methodsData were obtained from women treated with definitive mastectomy between 2000 and 2012. Sociodemographic, tumor, and treatment characteristics were compared between African American and Caucasian women, and logistic regression was used to identify significant predictors of reconstruction by race.

resultsAfrican American women had significantly larger proportions of public insurance, aggressive tumors, unilateral mastectomies, and modified radical mastectomies. African American women had a significantly lower reconstruction rate (35% vs. 49%, p < 0.01) and received a larger proportion of autologous reconstruction (13% vs. 7%, p < 0.01) compared to Caucasian women. The receipt of adjuvant radiation therapy was a significant predictor of breast reconstruction in Caucasian but not African American women.

conclusionsWe identified breast reconstruction disparities in rate and type of reconstruction. These disparities may be due to racial differences in sociodemographic, tumor, and treatment characteristics. The predictors of breast reconstruction varied by race, suggesting that the mechanisms underlying breast reconstruction may vary in African American women. Future research should take a target approach to examine the relative contributions of sociodemographic, tumor, and treatment determinants of the breast reconstruction disparities in African American women.

Indexed as

Breast NeoplasmsMammaplastyFemaleHealthcare DisparitiesHumansMastectomyQuality of LifeWhite PeopleAfrican American womenBreast cancerBreast reconstructionComprehensive cancer centerDisparities

Identifiers

PMID34647274
OpenAlexW3207561690

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.