Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:


Breast reconstruction varies by race

Less-acculturated Latinas least likely to have reconstruction after breast cancer surgery

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.

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

Reference: Journal of Clinical Oncology, DOI: 10.1200/JCO.2009.22.2455

U-M Cancer AnswerLine, 800-865-1125
U-M Comprehensive Cancer Center,

Nicole Fawcett | EurekAlert!
Further information:

More articles from Studies and Analyses:

nachricht Rutgers-led innovation could spur faster, cheaper, nano-based manufacturing
14.02.2018 | Rutgers University

nachricht New study from the University of Halle: How climate change alters plant growth
12.01.2018 | Martin-Luther-Universität Halle-Wittenberg

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Space observation with radar to secure Germany's space infrastructure

Satellites in near-Earth orbit are at risk due to the steady increase in space debris. But their mission in the areas of telecommunications, navigation or weather forecasts is essential for society. Fraunhofer FHR therefore develops radar-based systems which allow the detection, tracking and cataloging of even the smallest particles of debris. Satellite operators who have access to our data are in a better position to plan evasive maneuvers and prevent destructive collisions. From April, 25-29 2018, Fraunhofer FHR and its partners will exhibit the complementary radar systems TIRA and GESTRA as well as the latest radar techniques for space observation across three stands at the ILA Berlin.

The "traffic situation" in space is very tense: the Earth is currently being orbited not only by countless satellites but also by a large volume of space...

Im Focus: Researchers Discover New Anti-Cancer Protein

An international team of researchers has discovered a new anti-cancer protein. The protein, called LHPP, prevents the uncontrolled proliferation of cancer cells in the liver. The researchers led by Prof. Michael N. Hall from the Biozentrum, University of Basel, report in “Nature” that LHPP can also serve as a biomarker for the diagnosis and prognosis of liver cancer.

The incidence of liver cancer, also known as hepatocellular carcinoma, is steadily increasing. In the last twenty years, the number of cases has almost doubled...

Im Focus: Researchers at Fraunhofer monitor re-entry of Chinese space station Tiangong-1

In just a few weeks from now, the Chinese space station Tiangong-1 will re-enter the Earth's atmosphere where it will to a large extent burn up. It is possible that some debris will reach the Earth's surface. Tiangong-1 is orbiting the Earth uncontrolled at a speed of approx. 29,000 km/h.Currently the prognosis relating to the time of impact currently lies within a window of several days. The scientists at Fraunhofer FHR have already been monitoring Tiangong-1 for a number of weeks with their TIRA system, one of the most powerful space observation radars in the world, with a view to supporting the German Space Situational Awareness Center and the ESA with their re-entry forecasts.

Following the loss of radio contact with Tiangong-1 in 2016 and due to the low orbital height, it is now inevitable that the Chinese space station will...

Im Focus: Alliance „OLED Licht Forum“ – Key partner for OLED lighting solutions

Fraunhofer Institute for Organic Electronics, Electron Beam and Plasma Technology FEP, provider of research and development services for OLED lighting solutions, announces the founding of the “OLED Licht Forum” and presents latest OLED design and lighting solutions during light+building, from March 18th – 23rd, 2018 in Frankfurt a.M./Germany, at booth no. F91 in Hall 4.0.

They are united in their passion for OLED (organic light emitting diodes) lighting with all of its unique facets and application possibilities. Thus experts in...

Im Focus: Mars' oceans formed early, possibly aided by massive volcanic eruptions

Oceans formed before Tharsis and evolved together, shaping climate history of Mars

A new scenario seeking to explain how Mars' putative oceans came and went over the last 4 billion years implies that the oceans formed several hundred million...

All Focus news of the innovation-report >>>



Industry & Economy
Event News

New solar solutions for sustainable buildings and cities

23.03.2018 | Event News

Virtual reality conference comes to Reutlingen

19.03.2018 | Event News

Ultrafast Wireless and Chip Design at the DATE Conference in Dresden

16.03.2018 | Event News

Latest News

For graphite pellets, just add elbow grease

23.03.2018 | Materials Sciences

Unique communication strategy discovered in stem cell pathway controlling plant growth

23.03.2018 | Agricultural and Forestry Science

Sharpening the X-ray view of the nanocosm

23.03.2018 | Physics and Astronomy

Science & Research
Overview of more VideoLinks >>>