Breast reconstruction practices in north america: current trends and future priorities.
作者： Edwin G Wilkins , Amy K Alderman
关键词: Patient age 、 Mastectomy 、 Medicine 、 Breast implant 、 Pathology 、 Legislation 、 Federal law 、 Health care 、 Breast reconstruction 、 Demography 、 Epidemiology
摘要: The Women's Health and Cancer Rights Act (WHCRA) became federal law on January 1, 1999, mandating health care payer coverage for postmastectomy breast reconstruction. Despite passage of this legislation, reconstruction rates in the United States remain low. Surveillance, Epidemiology End Results (SEER) database mastectomy patients 11 regions across show overall immediate early delayed (performed within 4 months mastectomy) 15.4% 1998 18.0% 2000. Reconstruction vary significantly by region as well patient age, race, income. paper examines potential etiologies low utilization outlines possible remedies.
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