Impact of Socioeconomic Status on Breast Reconstruction Outcomes

Impact of Socioeconomic Status on Breast Reconstruction Outcomes

Minority patients and those from low socioeconomic backgrounds are faced with barriers to care regarding breast reconstruction. With this study, we seek to elucidate variances in demographics to determine predictors of complications in implant-based breast reconstruction. Patients who underwent brea...

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Veröffentlicht in:Annals of plastic surgery 2022-06, Vol.88 (5 Suppl 5), p.S481-S484
Hauptverfasser: Martin, Morgan S., Kebede, Sara, Saad, Omar A., Baker, Nusaiba F., Losken, Albert
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container_end_page S484
container_issue 5 Suppl 5
container_start_page S481
container_title Annals of plastic surgery
container_volume 88
creator Martin, Morgan S.
Kebede, Sara
Saad, Omar A.
Baker, Nusaiba F.
Losken, Albert
description Minority patients and those from low socioeconomic backgrounds are faced with barriers to care regarding breast reconstruction. With this study, we seek to elucidate variances in demographics to determine predictors of complications in implant-based breast reconstruction. Patients who underwent breast reconstruction with either direct to implant or immediate expander reconstruction by 1 surgeon were identified using the preoperative Breast-Q.Current income statistics available from the US Census Bureau by self-reported zip code were used to determine the median household income (MHI) to stratify differing socioeconomic backgrounds. Demographics were compared with body mass index, comorbidities, overall rate of postoperative complications, rate of implant infection, and type of reconstruction. Two hundred ninety-five patients met inclusion criteria. Overall rate of complications and rate of breast implant infection was higher for MHI of less than $50,000 compared with greater than $50,000 (P = 0.043 overall complications 40.20% vs 28.8%) (P = 0.04 implant infection 14.4% vs 7.1%). African American patients had higher body mass index (P =
doi_str_mv 10.1097/SAP.0000000000003124
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With this study, we seek to elucidate variances in demographics to determine predictors of complications in implant-based breast reconstruction. Patients who underwent breast reconstruction with either direct to implant or immediate expander reconstruction by 1 surgeon were identified using the preoperative Breast-Q.Current income statistics available from the US Census Bureau by self-reported zip code were used to determine the median household income (MHI) to stratify differing socioeconomic backgrounds. Demographics were compared with body mass index, comorbidities, overall rate of postoperative complications, rate of implant infection, and type of reconstruction. Two hundred ninety-five patients met inclusion criteria. Overall rate of complications and rate of breast implant infection was higher for MHI of less than $50,000 compared with greater than $50,000 (P = 0.043 overall complications 40.20% vs 28.8%) (P = 0.04 implant infection 14.4% vs 7.1%). African American patients had higher body mass index (P = &lt;0.001), rates of HTN (P = &lt;0.001), and diabetes (P = 0.001), and were more likely to have a lower income (P = &lt;0.001). There was, however, no difference in overall complications (P = 0.26), implant infection rate (P = 0.994), or capsular contracture (0.367) based on race. There was no difference in rate of comorbidities between low and high socioeconomic areas. This cohort demonstrates a higher rate of overall complications and infection in patients with a lower MHI and no difference based on race despite having higher risk factors for complications.Socioeconomic status is a multifaceted barrier to care that must be addressed in the perioperative period to decrease breast implant associated complications.</description><identifier>ISSN: 0148-7043</identifier><identifier>EISSN: 1536-3708</identifier><identifier>DOI: 10.1097/SAP.0000000000003124</identifier><identifier>PMID: 35276707</identifier><language>eng</language><publisher>United States: Lippincott Williams &amp; Wilkins</publisher><ispartof>Annals of plastic surgery, 2022-06, Vol.88 (5 Suppl 5), p.S481-S484</ispartof><rights>Lippincott Williams &amp; Wilkins</rights><rights>Copyright © 2022 Wolters Kluwer Health, Inc. 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With this study, we seek to elucidate variances in demographics to determine predictors of complications in implant-based breast reconstruction. Patients who underwent breast reconstruction with either direct to implant or immediate expander reconstruction by 1 surgeon were identified using the preoperative Breast-Q.Current income statistics available from the US Census Bureau by self-reported zip code were used to determine the median household income (MHI) to stratify differing socioeconomic backgrounds. Demographics were compared with body mass index, comorbidities, overall rate of postoperative complications, rate of implant infection, and type of reconstruction. Two hundred ninety-five patients met inclusion criteria. Overall rate of complications and rate of breast implant infection was higher for MHI of less than $50,000 compared with greater than $50,000 (P = 0.043 overall complications 40.20% vs 28.8%) (P = 0.04 implant infection 14.4% vs 7.1%). African American patients had higher body mass index (P = &lt;0.001), rates of HTN (P = &lt;0.001), and diabetes (P = 0.001), and were more likely to have a lower income (P = &lt;0.001). There was, however, no difference in overall complications (P = 0.26), implant infection rate (P = 0.994), or capsular contracture (0.367) based on race. There was no difference in rate of comorbidities between low and high socioeconomic areas. 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With this study, we seek to elucidate variances in demographics to determine predictors of complications in implant-based breast reconstruction. Patients who underwent breast reconstruction with either direct to implant or immediate expander reconstruction by 1 surgeon were identified using the preoperative Breast-Q.Current income statistics available from the US Census Bureau by self-reported zip code were used to determine the median household income (MHI) to stratify differing socioeconomic backgrounds. Demographics were compared with body mass index, comorbidities, overall rate of postoperative complications, rate of implant infection, and type of reconstruction. Two hundred ninety-five patients met inclusion criteria. Overall rate of complications and rate of breast implant infection was higher for MHI of less than $50,000 compared with greater than $50,000 (P = 0.043 overall complications 40.20% vs 28.8%) (P = 0.04 implant infection 14.4% vs 7.1%). African American patients had higher body mass index (P = &lt;0.001), rates of HTN (P = &lt;0.001), and diabetes (P = 0.001), and were more likely to have a lower income (P = &lt;0.001). There was, however, no difference in overall complications (P = 0.26), implant infection rate (P = 0.994), or capsular contracture (0.367) based on race. There was no difference in rate of comorbidities between low and high socioeconomic areas. This cohort demonstrates a higher rate of overall complications and infection in patients with a lower MHI and no difference based on race despite having higher risk factors for complications.Socioeconomic status is a multifaceted barrier to care that must be addressed in the perioperative period to decrease breast implant associated complications.</abstract><cop>United States</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>35276707</pmid><doi>10.1097/SAP.0000000000003124</doi></addata></record>
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