دورية أكاديمية
Racial disparities in postmastectomy breast reconstruction following implementation of the affordable care act: A systematic review using a minority health and disparities research framework.
| العنوان: | Racial disparities in postmastectomy breast reconstruction following implementation of the affordable care act: A systematic review using a minority health and disparities research framework. |
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| المؤلفون: | Doren EL; Department of Plastic Surgery, Medical College of Wisconsin, 1155 N Mayfair Rd, Wauwatosa, WI, 53226, USA. Electronic address: edoren@mcw.edu., Park K; Department of Plastic Surgery, Medical College of Wisconsin, 1155 N Mayfair Rd, Wauwatosa, WI, 53226, USA. Electronic address: kepark@mcw.edu., Olson J; Institute for Health and Equity, Medical College of Wisconsin, 8701 Watertown Plank Rd, Milwaukee, WI, 53226, USA. Electronic address: jeolson@mcw.edu. |
| المصدر: | American journal of surgery [Am J Surg] 2023 Jul; Vol. 226 (1), pp. 37-47. Date of Electronic Publication: 2023 Jan 13. |
| نوع المنشور: | Systematic Review; Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Excerpta Medica Country of Publication: United States NLM ID: 0370473 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1883 (Electronic) Linking ISSN: 00029610 NLM ISO Abbreviation: Am J Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Belle Mead, NJ : Excerpta Medica Original Publication: New York. |
| مواضيع طبية MeSH: | Breast Neoplasms*/surgery , Mammaplasty*, United States ; Female ; Humans ; Mastectomy ; Patient Protection and Affordable Care Act ; Minority Health ; Healthcare Disparities |
| مستخلص: | Background: This systematic review assesses racial disparities for African American (AA) women in breast reconstruction following the implementation of the Affordable Care Act. Methods: Four databases (Ovid Medline, PubMed, Scopus, Web of Science) were searched for peer-reviewed articles published between January 2011 and September 2021. Results: Out of 917 screened articles, 61 were included. The most common metrics were breast reconstruction rates (57.4%) and clinical outcomes (14.8%). Pooled reconstruction rates were 45.7% in white and 38.5% in AA women. 95.1% of studies found disparities in breast reconstruction rates. The greatest influencers on reconstruction rates were individual interactions in the healthcare system (54%), sociocultural environment (39%), behavioral factors (31%), and community interactions with the healthcare system (36%). Conclusion: Racial disparities in postmastectomy breast reconstruction persist. Focusing on implicit bias, communication barriers and infrastructure are the most promising strategies to create equitable access to breast reconstruction for AA women. Competing Interests: Declaration of competing interest None of the authors have conflicts of interest. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. (Copyright © 2023 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Breast reconstruction; Disparities; Inequality; Social determinants of health |
| تواريخ الأحداث: | Date Created: 20230127 Date Completed: 20230621 Latest Revision: 20230621 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1016/j.amjsurg.2023.01.013 |
| PMID: | 36707301 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1879-1883 |
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| DOI: | 10.1016/j.amjsurg.2023.01.013 |