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  11. Cultural Influences On The Receipt Of Breast Reconstruction: A Scoping Review

Cultural Influences on the Receipt of Breast Reconstruction: A Scoping Review

Joey Liang1, Ann Marie Flusche1, Samantha Kaplan2

  • 1From the Duke University School of Medicine.

Plastic and Reconstructive Surgery
|August 30, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

Cultural factors significantly influence breast cancer patients' decisions regarding postmastectomy breast reconstruction. This review highlights themes like race, language, education, and family dynamics impacting reconstruction choices.

Area of Science:

  • Oncology
  • Plastic Surgery
  • Health Disparities

Background:

  • Postmastectomy breast reconstruction offers significant psychosocial and functional benefits.
  • Sociodemographic factors influencing reconstruction are well-studied, but cultural influences remain unclear.
  • No prior reviews have synthesized cultural factors in breast reconstruction decision-making.

Purpose of the Study:

  • To conduct a scoping review of the literature on cultural factors influencing breast reconstruction decisions.
  • To identify and evaluate cultural elements impacting breast reconstruction in postmastectomy patients.

Main Methods:

  • Searched multiple databases using keywords and subject headings related to breast reconstruction and decision-making.
  • Included quantitative studies examining breast reconstruction receipt in postmastectomy patients up to November 20, 2023.

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  • Followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews (PRISMA-ScR) guidelines.

    • Main Results:

    • 61 studies were included from 4520 screened.
    • Most studies were retrospective and conducted in the United States.
    • Six key themes emerged: race/ethnicity, language barriers, education/literacy, cultural competency, patient perceptions, and family/relationships.

    Conclusions:

    • Beyond race and ethnicity, this review identified additional cultural factors influencing breast reconstruction decisions.
    • Understanding these cultural nuances is crucial for improving patient care and outcomes.
    • Further research should explore these themes to inform culturally sensitive breast reconstruction practices.