Evidence map›Paper›PMID 40745118›Full record

ArticleAnnals of surgical oncology2025

Closing the Gap: Disparities in Breast Reconstruction After Mastectomy.

Glen Martin, Kevin H Kensler, Anjile An, Edward Gemson, Lauren Mount, Rulla M Tamimi, Vivian J Bea

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In one paragraph

Article in Annals of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Glen MartinDepartment of Surgery, NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, USA. martgf12@gmail.com.
Kevin H KenslerDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.
Anjile AnDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.
Edward GemsonDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.
Lauren MountDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.
Rulla M TamimiDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.
Vivian J BeaDepartment of Breast Surgical Oncology, Department of Surgery, NewYork-Presbyterian Brooklyn Methodist Hospital, NewYork-Presbyterian Weill Cornell Medicine, Brooklyn, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDisparities in post-mastectomy breast reconstruction exist. In 2010, New York passed the Breast Cancer Provider Discussion Law (BCDL) mandating physicians to counsel patients on reconstructive options. This study aimed to assess disparities in breast reconstruction in New York City (NYC) and the impact of the BCDL.

methodsThe INSIGHT Clinical Research Network was used to identify female breast cancer patients (age ≥ 18 years) who underwent mastectomy between 2012 and 2021 in the NYC region. Clinical variables, demographics, and neighborhood socioeconomic factors were compared between patients who received reconstruction and those who did not using chi-square, one-way ANOVA, and Welch's two-sample t test. Differences in reconstruction rates over time by race and ethnicity were assessed using multivariate logistic regression.

resultsAmong 4959 patients identified, 68% underwent reconstruction. The patients who received reconstruction were younger (mean age, 51 vs 63 years; p < 0.001), had a lower BMI (mean 25.5 vs 27.1 kg/m

conclusionRace, age, and socioeconomic status significantly influence the likelihood of patients receiving post-mastectomy breast reconstruction. The BCDL has shown promise in reducing racial disparities in reconstruction throughout NYC, serving as a potential model for other communities to use in addressing similar health care inequities.

Indexed as

Breast NeoplasmsHealthcare DisparitiesMammaplastyMastectomyAdultAgedFemaleFollow-Up StudiesHumansMiddle AgedNew York CityPrognosisSocioeconomic FactorsBreast cancerBreast reconstructionDisparitiesHealthcare policyMastectomySocial determinants of health

Identifiers

PMID40745118

What OpenQuestion holds

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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.