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Insurance Type Does Not Impact Adverse Outcomes Following Breast Reduction Surgery.

Jacquelyn Roth1, Keisha E Montalmant, Brooke Barrow

  • 1From the Icahn School of Medicine at Mount Sinai Hospital, New York, NY.

Annals of Plastic Surgery
|December 19, 2025
PubMed
Summary
This summary is machine-generated.

Insurance type did not significantly impact breast reduction surgery complications. However, patients with Medicaid insurance had shorter operative times, indicating potential intraoperative care differences influenced by insurance.

Keywords:
MedicaidMedicarebreast reductioninsurancemacromastiareduction mammoplasty

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Area of Science:

  • Plastic Surgery
  • Health Services Research
  • Health Disparities

Background:

  • Previous studies indicate insurance type affects patient outcomes due to delays and health status.
  • The impact of insurance on breast reduction surgery outcomes is not well understood.
  • This study investigates disparities in breast reduction outcomes based on insurance type.

Purpose of the Study:

  • To evaluate breast reduction surgery outcomes among patients with private insurance, Medicaid, and Medicare.
  • To identify potential disparities in postoperative complications and procedure length based on insurance status.

Main Methods:

  • Retrospective chart review of 1085 breast reduction surgery patients (2019-2023).
  • Insurance categorized as private, Medicare, or Medicaid.
  • Analysis of complications, procedure length, and demographic data using regression models (P < 0.05).

Main Results:

  • Medicaid patients had shorter operative times compared to privately insured patients (multivariate analysis: Beta = -11.30; P = 0.006).
  • No significant association was found between insurance type and postoperative complications in multivariate analysis.
  • Demographics and resected tissue weight varied significantly across insurance groups.

Conclusions:

  • Insurance type was not an independent predictor of postoperative complications in breast reduction.
  • Medicaid insurance was associated with shorter operative times, suggesting intraoperative care variations.
  • Social determinants of health likely play a more significant role in postoperative outcomes than insurance type alone.