Sociodemographic Predictors of Breast Reconstruction Procedure Choice: Analysis of the Mastectomy Reconstruction Outcomes Consortium Study Cohort
Table 2
Factors associated with undergoing abdominal flap versus TE/DTI among women undergoing mastectomy for current or previous breast cancer†.
Variable
Unadjusted OR (95% CI)
Adjusted OR (95% CI)
††
Age
<40
1.0
1.0
40–49
2.06 (1.51–2.80)
1.88 (1.17–3.02)
0.009
50–59
3.26 (2.40–4.43)
1.98 (1.22–3.22)
0.006
≥60
2.89 (2.06–4.05)
1.63 (0.92–2.90)
0.10
Race
White
1.0
1.0
Black
0.77 (0.53–1.12)
0.74 (0.44–1.24)
0.25
Other
1.05 (0.70–1.58)
1.27 (0.65–2.50)
0.49
Ethnicity
Non-Hispanic
1.0
1.0
Hispanic
0.83 (0.56–1.22)
1.41 (0.81–2.48)
0.23
Marital status
Not married
1.0
1.0
Married
0.88 (0.72–1.07)
1.05 (0.75–1.47)
0.77
Employment status
Part-time/volunteer‡
1.0
1.0
Full-time/student
1.32 (1.08–1.62)
1.56 (1.14–2.15)
0.006
Unable to work/disabled
1.75 (1.05–2.91)
0.68 (0.31–1.46)
0.32
Retired
1.77 (1.27–2.48)
1.04 (0.58–1.87)
0.89
Smoking status
Never smoker
1.0
1.0
Previous smoker
1.35 (0.78–2.37)
0.54 (0.24–1.24)
0.15
Current smoker
Education
High school diploma or less
1.0
1.0
Some college or college degree
1.11 (0.70–1.77)
0.66
Some graduate or graduate degree
1.19 (0.71–2.01)
0.51
Income
<$50,000
1.0
1.0
$50,000–$99,999
0.81 (0.63–1.03)
0.94 (0.63–1.39)
0.75
≥$100,000
0.37 (0.29–0.47)
0.76 (0.50–1.18)
0.22
BMI
<25
1.0
1.0
25–29.9
2.94 (2.33–3.69)
3.02 (2.15–4.25)
<0.001
30–34.9
5.25 (4.04–6.82)
5.58 (3.74–8.32)
<0.001
≥35
4.99 (3.67–6.79)
4.99 (3.12–8.00)
<0.001
Medical comorbidities
None
1.0
1.0
One
1.13 (0.82–1.56)
1.50 (0.62–3.62)
0.37
≥Two
1.94 (1.29–2.91)
1.63 (0.61–4.33)
0.33
Procedure laterality
Unilateral
1.0
1.0
Bilateral¥
0.51 (0.43–0.61)
0.55 (0.42–0.73)
<0.001
Cancer status, timing of reconstruction
Active cancer, immediate
1.0
1.0
Cancer history, immediate
1.80 (0.96–3.36)
2.09 (0.88–4.99)
0.10
Cancer history, delayed
11.01 (7.58–16.00)
11.40 (7.22–18.02)
<0.001
Reference group is women undergoing tissue expander- (TE-) implant or direct-to-implant (DTI). †† value corresponds to the adjusted odds ratios. American Indians, Asians, Hawaiians, and Pacific Islanders. ‡Includes homemakers and women seeking employment. ¥Includes contralateral prophylactic mastectomy and reconstruction. TE/DTI, tissue expander/direct-to-implant; OR, odds ratios; BMI, body mass index.
