Factors predictive of immediate breast reconstruction following mastectomy for invasive breast cancer in Australia.

摘要: Abstract Purpose To investigate person, cancer and treatment determinants of immediate breast reconstruction (IBR) in Australia. Methods Bi-variable multi-variable analyses the Quality Audit database. Results Of 12,707 invasive cancers treated by mastectomy circa 1998–2010, 8% had IBR. This proportion increased over time reduced from 29% women below 30 years to approximately 1% those aged 70 or more. Multiple regression indicated that other IBR predictors included: high socio-economic status; private health insurance; being asymptomatic; a metropolitan rather than inner regional centre; higher surgeon case load; small tumour size; negative nodal status, positive progesterone receptor more foci; multiple affected quadrants; synchronous bilateral cancer; not having neo-adjuvant chemotherapy, adjuvant radiotherapy hormone therapy; receiving ovarian ablation. Conclusions Variations access specialty services possible causes variations rates need further investigation.