Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Breast reconstruction varies by race

06.10.2009
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

Resources:
U-M Cancer AnswerLine, 800-865-1125
U-M Comprehensive Cancer Center, www.mcancer.org

Nicole Fawcett | EurekAlert!
Further information:
http://www.umich.edu

More articles from Studies and Analyses:

nachricht Study relating to materials testing Detecting damages in non-magnetic steel through magnetism
23.07.2018 | Technische Universität Kaiserslautern

nachricht Innovative genetic tests for children with developmental disorders and epilepsy
11.07.2018 | Christian-Albrechts-Universität zu Kiel

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: Color effects from transparent 3D-printed nanostructures

New design tool automatically creates nanostructure 3D-print templates for user-given colors
Scientists present work at prestigious SIGGRAPH conference

Most of the objects we see are colored by pigments, but using pigments has disadvantages: such colors can fade, industrial pigments are often toxic, and...

Im Focus: Unraveling the nature of 'whistlers' from space in the lab

A new study sheds light on how ultralow frequency radio waves and plasmas interact

Scientists at the University of California, Los Angeles present new research on a curious cosmic phenomenon known as "whistlers" -- very low frequency packets...

Im Focus: New interactive machine learning tool makes car designs more aerodynamic

Scientists develop first tool to use machine learning methods to compute flow around interactively designable 3D objects. Tool will be presented at this year’s prestigious SIGGRAPH conference.

When engineers or designers want to test the aerodynamic properties of the newly designed shape of a car, airplane, or other object, they would normally model...

Im Focus: Robots as 'pump attendants': TU Graz develops robot-controlled rapid charging system for e-vehicles

Researchers from TU Graz and their industry partners have unveiled a world first: the prototype of a robot-controlled, high-speed combined charging system (CCS) for electric vehicles that enables series charging of cars in various parking positions.

Global demand for electric vehicles is forecast to rise sharply: by 2025, the number of new vehicle registrations is expected to reach 25 million per year....

Im Focus: The “TRiC” to folding actin

Proteins must be folded correctly to fulfill their molecular functions in cells. Molecular assistants called chaperones help proteins exploit their inbuilt folding potential and reach the correct three-dimensional structure. Researchers at the Max Planck Institute of Biochemistry (MPIB) have demonstrated that actin, the most abundant protein in higher developed cells, does not have the inbuilt potential to fold and instead requires special assistance to fold into its active state. The chaperone TRiC uses a previously undescribed mechanism to perform actin folding. The study was recently published in the journal Cell.

Actin is the most abundant protein in highly developed cells and has diverse functions in processes like cell stabilization, cell division and muscle...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

LaserForum 2018 deals with 3D production of components

17.08.2018 | Event News

Within reach of the Universe

08.08.2018 | Event News

A journey through the history of microscopy – new exhibition opens at the MDC

27.07.2018 | Event News

 
Latest News

Smallest transistor worldwide switches current with a single atom in solid electrolyte

17.08.2018 | Physics and Astronomy

Robots as Tools and Partners in Rehabilitation

17.08.2018 | Information Technology

Climate Impact Research in Hannover: Small Plants against Large Waves

17.08.2018 | Life Sciences

VideoLinks
Science & Research
Overview of more VideoLinks >>>