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Related Concept Videos

Cancer Survival Analysis01:21

Cancer Survival Analysis

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Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
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Disaggregating the Asian-American Breast Cancer Population: Disparities in Reconstruction Rates.

Claire M Eden1, Leslie Kim1, Laura Jao1

  • 1Department of Surgery, New York Presbyterian Queens, Weill Cornell Medicine, Flushing, New York.

The Journal of Surgical Research
|April 16, 2024
PubMed
Summary
This summary is machine-generated.

Breast cancer reconstruction rates are lower for Asian-American women, with significant differences among Asian ethnic subgroups. Understanding these disparities is crucial for equitable care.

Keywords:
Asian-American breast cancerBreast cancer disparitiesPostmastectomy breast reconstruction

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Area of Science:

  • Oncology
  • Plastic Surgery
  • Health Disparities

Background:

  • Increasing breast cancer (BC) incidence in Asian-Americans (AsAms).
  • AsAms are less likely to undergo postmastectomy breast reconstruction (PMBR) than non-Asian women.
  • Aggregate reporting of AsAm BC patients masks important subgroup heterogeneity.

Purpose of the Study:

  • To identify patterns of PMBR among disaggregated Asian-American BC patients.
  • To examine reconstruction rates across different Asian ethnic subgroups.
  • To investigate factors associated with PMBR in this population.

Main Methods:

  • Retrospective chart review of BC patients undergoing mastectomy (2017-2021).
  • Disaggregation of self-identified Asian patients into East Asian, Southeast Asian, South Asian, and 'Asian Other' subgroups.
  • Univariable and multivariable analyses to identify factors associated with PMBR.

Main Results:

  • 47% of 605 patients identified as Asian; 36% of these were East Asian.
  • 44% of all patients underwent PMBR.
  • Southeast Asian and South Asian women had the lowest reconstruction rates, while Hispanic and Black women had the highest. Non-Asian women were more likely to undergo reconstruction than Asian women. Private insurance and noninvasive disease diagnosis were associated with higher reconstruction rates.

Conclusions:

  • PMBR rates are lower in Asian-Americans compared to non-Asian patients.
  • Significant variations in PMBR rates exist between distinct Asian ethnic subgroups.
  • Further research is necessary to understand and address reconstruction disparities within the disaggregated Asian-American population.