Sociodemographic Predictors of Breast Reconstruction Procedure Choice: Analysis of the Mastectomy Reconstruction Outcomes Consortium Study Cohort
Table 3
Factors associated with undergoing TE/DTI versus abdominal flap among women undergoing prophylactic mastectomy and immediate reconstruction†.
Variable
Unadjusted OR (95% CI)
Adjusted OR (95% CI)
††
Age
<40
1.0
1.0
40–49
2.06 (1.51–2.80)
2.03 (0.62–6.64)
0.24
50–59
3.12 (2.33–4.19)
4.44 (1.30–15.22)
0.02
Race
White
1.0
1.0
Black
0.77 (0.53–1.12)
0.34 (0.02–5.76)
0.46
Other
1.05 (0.70–1.58)
10.03 (0.51–195.93)
0.13
Marital status
Not married
1.0
1.0
Married
0.88 (0.72–1.07)
0.70 (0.19–2.54)
0.58
Education
High school diploma or less
1.0
1.0
Some college or college degree
0.48 (0.36–0.64)
6.60 (0.49–89.04)
0.16
Some graduate or graduate degree
0.26 (0.19–0.35)
4.16 (0.27–62.97)
0.30
Income
<$50,000
1.0
1.0
$50,000–$99,999
0.81 (0.63–1.03)
1.83 (0.34–9.93)
0.49
≥$100,000
0.37 (0.29–0.47)
1.41 (0.23–8.45)
0.71
BMI
<25
1.0
1.0
25–29.9
2.94 (2.33–3.69)
10.35 (2.70–39.72)
0.001
30–34.9
5.25 (4.04–6.82)
27.29 (6.45–115.49)
<0.001
≥35
4.99 (3.67–6.79)
26.48 (4.92–142.49)
<0.001
Medical comorbidities
None
1.0
1.0
One
1.13 (0.82–1.56)
0.84 (0.24–2.90)
0.78
≥Two
1.94 (1.29–2.91)
0.61 (0.02–15.34)
0.77
Procedure laterality, timing
Unilateral, immediate
1.0
1.0
Bilateral, immediate
2.68 (0.33–21.70)
6.37 (0.39–104.01)
0.19
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. TE/DTI, tissue expander/direct-to-implant; OR, odds ratios; BMI, body mass index.
