Hospital Financial Status as a Determinant of Postmastectomy Breast Reconstruction

Institutional financial distress was associated with lower likelihood of immediate reconstruction after mastectomy for DCIS.

Women who undergo mastectomy for ductal carcinoma in situ (DCIS) do not require chemotherapy or radiation and therefore are considered appropriate candidates for immediate breast reconstruction; however, racial and socioeconomic factors can lower the odds of having this surgery. Researchers used national inpatient and hospital financial data to evaluate the association between hospital-level financial distress (defined by profit margin) and likelihood of immediate postmastectomy breast reconstruction in 5760 women with DCIS (78% white; 61% privately insured) who underwent mastectomy between 2004 and 2008.

Overall, 41% of patients had immediate breast reconstruction. Women treated at hospitals with low financial distress were more likely than…

Reviewing Author

Laila Samiian, MD

Disclosures

Leadership Positions in Professional SocietiesAssociation of Women Surgeons (Member, Publications Committee)

Laila Samiian, MD

Disclosures

Leadership Positions in Professional SocietiesAssociation of Women Surgeons (Member, Publications Committee)

Hospital Financial Status as a Determinant of Postmastectomy Breast Reconstruction

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Reviewing Author