The impact of race on perioperative and patient-reported outcomes following autologous breast reconstruction Journal Article


Authors: Oskar, S.; Nelson, J. A.; Hicks, M. E. V.; Seier, K. P.; Tan, K. S.; Chu, J. J.; West, S.; Allen, R. J. Jr; Barrio, A. V.; Matros, E.; Afonso, A. M.
Article Title: The impact of race on perioperative and patient-reported outcomes following autologous breast reconstruction
Abstract: Background: Racial disparities are evident in multiple aspects of the perioperative care of breast cancer patients, but data examining whether such differences translate to clinical and patient-reported outcomes are limited. This study examined the impact of race on perioperative outcomes in autologous breast reconstruction. Methods: A retrospective cohort study including all breast cancer patients who underwent immediate autologous breast reconstruction at a single institution from 2010 to 2017 was conducted. Self-reported race was used to classify patients into three groups: white, African American, and other. The primary and secondary endpoints were occurrence of any major complications within 30 days of surgery and patient-reported outcomes (measured with the BREAST-Q), respectively. Regression models were constructed to identify factors associated with the outcomes. Results: Overall, 404 patients, including 259 white (64 percent), 63 African American (16 percent), and 82 patients from other minority groups (20 percent), were included. African American patients had a significantly higher proportion of preoperative comorbidities. Postoperatively, African American patients had a higher incidence of 30-day major complications (p = 0.004) and were more likely to return to the operating room (p = 0.006). Univariable analyses examining complications demonstrated that race was the only factor associated with 30-day major complications (p = 0.001). Patient-reported outcomes were not statistically different at each time point through 3 years postoperatively. Conclusions: African American patients continue to present with increased comorbidities and may be more likely to experience major complications following immediate autologous breast reconstruction. However, patient-reported satisfaction or physical well-being outcomes may not differ between groups. CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, II. Copyright © 2021 by the American Society of Plastic Surgeons.
Journal Title: Plastic and Reconstructive Surgery
Volume: 149
Issue: 1
ISSN: 0032-1052
Publisher: Lippincott Williams & Wilkins  
Date Published: 2022-01-01
Start Page: 15
End Page: 27
Language: English
DOI: 10.1097/prs.0000000000008633
PUBMED: 34936598
PROVIDER: scopus
PMCID: PMC9099419
DOI/URL:
Notes: Article -- Export Date: 1 February 2022 -- Source: Scopus
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MSK Authors
  1. Andrea Veronica Barrio
    134 Barrio
  2. Evan Matros
    207 Matros
  3. Anoushka Maria Afonso
    47 Afonso
  4. Sabine   Oskar
    9 Oskar
  5. Kay See   Tan
    244 Tan
  6. Robert J Allen Jr
    101 Allen Jr
  7. Jonas Allan Nelson
    217 Nelson
  8. Kenneth Seier
    108 Seier
  9. Madeleine Elisabeth Vige Hicks
    3 Hicks
  10. Jacqueline J. Chu
    27 Chu
  11. Scott West
    1 West