Featured Research

from universities, journals, and other organizations

Breast Reconstruction Varies By Race, Study Finds

Date:
October 5, 2009
Source:
University of Michigan Health System
Summary:
Latinas who spoke little English were less likely to undergo reconstruction surgery after a mastectomy for breast cancer, according to a new study.

Latinas who spoke little English were less likely to undergo reconstruction surgery after a mastectomy for breast cancer, according to a study from researchers at the University of Michigan Comprehensive Cancer Center.

Related Articles


The study compared breast reconstruction among white women, African-American women, Latina women who were highly acculturated and Latina women who were less acculturated. Acculturation is a measure of how much a person is integrated into American society. For Latinas, a significant factor is whether they speak primarily English or Spanish.

The researchers looked at 806 women treated for breast cancer in Detroit and Los Angeles. They found 41 percent of white women and 41 percent of highly acculturated Latinas underwent reconstruction, while only 34 percent of African-Americans and 14 percent of less acculturated Latinas did.

Results of the study appear online Oct. 5 in the Journal of Clinical Oncology.

"We have good data that shows reconstruction after mastectomy improves quality of life. This is a body part that affects women's self esteem, body image, sexuality and social roles. Not all women should necessarily choose reconstruction – it's not right for everyone. But all women should be presented the option," says lead study author Amy Alderman, M.D., M.P.H., assistant professor of plastic surgery at the U-M Medical School.

The study authors found that the lagging reconstruction rates did not correlate to a lack of interest. In fact, more than half of the less-acculturated Latinas said they would have liked more information about breast reconstruction. This group was also less likely to report that their surgeon explained breast reconstruction, and they were less likely to be referred to a plastic surgeon than the other racial groups.

"Reconstruction is important to these women, but significantly more of the less-acculturated Latinas did not know how to get it. It suggests significant unmet needs for this vulnerable group. They have a desire for reconstruction, but no one's telling them about it," Alderman says.

The study showed similar trends for African-American women, although the most striking data was among the less-acculturated Latinas.

Breast reconstruction was tied to patients' satisfaction with their surgery. The highest satisfaction rates were from white women who had received reconstruction, among whom 94 percent were satisfied with their treatment. The lowest satisfaction, 56 percent, was among less-acculturated Latinas who did not receive reconstruction.

The study authors suggest more efforts must be made to present breast reconstruction options to all patients, including those who speak only Spanish. Further research is planned to understand how language and other cultural issues affect whether women receive breast reconstruction.

Breast cancer statistics: 194,280 Americans will be diagnosed with breast cancer this year and 40,610 will die from the disease, according to the American Cancer Society

Additional authors: Sarah Hawley, Ph.D., U-M Medical School and VA Ann Arbor Healthcare System; Nancy Janz, Ph.D., U-M School of Public Health; Mahasin S. Mujahid, Ph.D., Harvard School of Public Health; Monica Morrow, M.D., Memorial Sloan-Kettering Cancer Center; Ann S. Hamilton, Ph.D., University of Southern California; John Graff, Ph.D., Karmanos Cancer Institute; and Steven Katz, M.D., M.P.H., U-M Medical School and VA Ann Arbor Healthcare System

Funding: Robert Wood Johnson Foundation, National Cancer Institute


Story Source:

The above story is based on materials provided by University of Michigan Health System. Note: Materials may be edited for content and length.


Journal Reference:

  1. Amy K. Alderman, Sarah T. Hawley, Nancy K. Janz, Mahasin S. Mujahid, Monica Morrow, Ann S. Hamilton, John J. Graff, and Steven J. Katz. Racial and Ethnic Disparities in the Use of Postmastectomy Breast Reconstruction: Results From a Population-Based Study. Journal of Clinical Oncology, 2009; DOI: 10.1200/JCO.2009.22.2455

Cite This Page:

University of Michigan Health System. "Breast Reconstruction Varies By Race, Study Finds." ScienceDaily. ScienceDaily, 5 October 2009. <www.sciencedaily.com/releases/2009/10/091005181220.htm>.
University of Michigan Health System. (2009, October 5). Breast Reconstruction Varies By Race, Study Finds. ScienceDaily. Retrieved December 20, 2014 from www.sciencedaily.com/releases/2009/10/091005181220.htm
University of Michigan Health System. "Breast Reconstruction Varies By Race, Study Finds." ScienceDaily. www.sciencedaily.com/releases/2009/10/091005181220.htm (accessed December 20, 2014).

Share This


More From ScienceDaily



More Health & Medicine News

Saturday, December 20, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

The Best Tips to Curb Holiday Carbs

The Best Tips to Curb Holiday Carbs

Buzz60 (Dec. 19, 2014) It's hard to resist those delicious but fattening carbs we all crave during the winter months, but there are some ways to stay satisfied without consuming the extra calories. Vanessa Freeman (@VanessaFreeTV) has the details. Video provided by Buzz60
Powered by NewsLook.com
Sierra Leone Bikers Spread the Message to Fight Ebola

Sierra Leone Bikers Spread the Message to Fight Ebola

AFP (Dec. 19, 2014) More than 100 motorcyclists hit the road to spread awareness messages about Ebola. Nearly 7,000 people have now died from the virus, almost all of them in west Africa, according to the World Health Organization. Video provided by AFP
Powered by NewsLook.com
Researchers Test Colombian Village With High Alzheimer's Rates

Researchers Test Colombian Village With High Alzheimer's Rates

AFP (Dec. 19, 2014) In Yarumal, a village in N. Colombia, Alzheimer's has ravaged a disproportionately large number of families. A genetic "curse" that may pave the way for research on how to treat the disease that claims a new victim every four seconds. Duration: 02:42 Video provided by AFP
Powered by NewsLook.com
The Best Protein-Filled Foods to Energize You for the New Year

The Best Protein-Filled Foods to Energize You for the New Year

Buzz60 (Dec. 19, 2014) The new year is coming and nothing will energize you more for 2015 than protein-filled foods. Fitness and nutrition expert John Basedow (@JohnBasedow) gives his favorite high protein foods that will help you build muscle, lose fat and have endless energy. Video provided by Buzz60
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins