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Related Experiment Video

Updated: Oct 8, 2025

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Post-Mastectomy Patients in an Urban Safety-Net Hospital: How Do Safety-Net Hospital Breast Reconstruction Rates

Jason Llaneras1, Jamie M Klapp1, J Brian Boyd1

  • 1Division of Plastic and Reconstructive Surgery, Harbor-UCLA Medical Center, Torrance, CA, USA.

The American Surgeon
|December 28, 2021
PubMed
Summary

Racial and ethnic minority patients utilize breast reconstruction (BR) at rates comparable to national averages when available. This study found that Black and Hispanic ethnicity did not independently predict lower rates of BR.

Keywords:
breast reconstructionhealth disparities

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Area of Science:

  • Oncology
  • Plastic Surgery
  • Health Disparities

Background:

  • Breast reconstruction (BR) offers psychological benefits post-mastectomy.
  • Racial and ethnic minority groups report lower BR rates.
  • Safety-net hospitals serve diverse populations, highlighting a need to study BR in these settings.

Purpose of the Study:

  • To evaluate the rate, type, and outcomes of breast reconstruction.
  • To assess BR in a racially and ethnically diverse patient population at a safety-net hospital.
  • To identify factors influencing BR utilization and success.

Main Methods:

  • Retrospective examination of mastectomy patients (Oct 2015-July 2019) at Harbor-UCLA Medical Center.
  • Analysis of BR rates and types based on patient demographics, smoking status, cancer stage, and diabetes.
  • Assessment of breast reconstruction outcomes and failure rates.

Main Results:

  • 33.6% of 259 mastectomy patients received BR (30.5% immediate, 3.1% delayed).
  • Implant-based BR was more common (73.4%) than autologous tissue reconstruction (26.5%).
  • BR failure rate was 10% (all implant-based); increasing age and smoking negatively impacted rates, but Black and Hispanic ethnicity were not independent predictors of decreased BR.

Conclusions:

  • Breast reconstruction rates, types, and quality in this diverse safety-net population align with national averages.
  • Historically underrepresented minority patients, including Black and Hispanic individuals, utilize BR when it is accessible.
  • Ensuring access to BR is crucial for equitable care in diverse patient populations.