Trends and variations in post‐mastectomy breast reconstruction rates in Australia over 10years

BackgroundOffering breast reconstruction (BR) at the time of mastectomy is standard of care in Australia with proven quality‐of‐life benefits. Previously BR rates in Australia have been low compared to similar countries. Accurate up‐to‐date information is needed to promote equity in access to BR and...

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Bibliographic Details
Published in:ANZ journal of surgery 2023-01, Vol.93 (1-2), p.242-250
Main Authors: Dayaratna, Nirmal, Nguyen, Chu Luan, Spillane, Andrew, Mak, Cindy, Warrier, Sanjay Kumar, Dusseldorp, Joseph R
Format: Article
Language:English
Subjects:
Breast cancer
Breast carcinoma
Jurisdiction
Mastectomy
Patients
Population-based studies
Reconstructive surgery
Remote regions
Statistical analysis
Trends
Variation
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Summary:BackgroundOffering breast reconstruction (BR) at the time of mastectomy is standard of care in Australia with proven quality‐of‐life benefits. Previously BR rates in Australia have been low compared to similar countries. Accurate up‐to‐date information is needed to promote equity in access to BR and inform future planning of services. This study analysed recent trends and variations of BR uptake in Australia.MethodData from the BreastSurgANZ Quality Audit (BQA) were used to identify patients who underwent mastectomy with or without reconstruction for invasive or in situ breast carcinoma from 2010 to 2019. The association between BR uptake and the variables of jurisdiction (state or territory), age, hospital type and remoteness, and remoteness of patients' home addresses were analysed.ResultsA total 41 880 women underwent mastectomy between 2010 to 2019. The national BR rate steadily increased from 12.8% in 2010 to 29% in 2019, with a 10‐year national average of 21.3%. Statistically significant differences in BR uptake (P
ISSN:1445-1433
1445-2197
DOI:10.1111/ans.18243