The relationship between contralateral prophylactic mastectomy and breast reconstruction, complications, breast-related procedures, and costs: A population-based study of health insurance data.

摘要: Abstract Background Increasingly, women are undergoing contralateral prophylactic mastectomy for the treatment of unilateral breast cancer. The relationship between and reconstruction, postsurgical complications, additional breast-related procedures, cost has not received attention it deserves. Methods Data from New York comprehensive, all-age, all-payer, Statewide Planning Research Cooperative System were queried to identify patients or 2008 2010. We identified complications procedures within a 2-y follow-up period. Costs index operation subsequent estimated. Univariate multivariate analyses conducted. Results Of 12,959 identified, 10.7% underwent mastectomy. On univariate analysis, was positively associated with procedures. Rates greater who had (29.5% vs 20.8% group; P Conclusion Women elected in this population-based study more likely have both reconstruction than rates costs explained by Surgeons should counsel regarding increased likelihood additional, non-complication–related after reconstruction.