Racial Disparities in Immediate Breast Reconstruction after Mastectomy: A Systematic Review and Meta-Analysis

IF 0.7 4区医学 Q4 SURGERY

Plastic surgery Pub Date : 2024-05-29 DOI:10.1177/22925503241255142

Shurjeel Uddin Qazi, Sarah Aman, Muhammad Hassaan Wajid, Zainab Qayyum, Muhammad Bilal Shahid, Alina Tanvir, Sania Javed, Mahnoor Saeed, Eesha Razia, Alina Nayyar, Osama Abdur Rehman, Faisal Khosa

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引用次数: 0

Abstract

Background: In the past few decades, there has been a gradual increase in breast reconstruction post mastectomy; however, there exists a conflict about whether race has an influence on reconstruction rates. Methods: We conducted an electronic search from MEDLINE and Cochrane CENTRAL from their inception to September 2022. Primary outcome was disparity in rates of Immediate Breast Reconstruction (IBR) in racial minorities. Odds ratios were pooled using a random-effects model. All statistical analyses were performed on the Review Manager. Quality of included studies was assessed using the Joanna Briggs Institute critical appraisal checklist. Results: Twenty studies ( n = 1 840 671) were identified. The pooled analysis of all the studies showed that subjects in racial minorities were significantly less likely to receive IBR as compared to White subjects (OR = 0.62, [95% confidence interval: 0.57-0.68; P < .01, I2 = 97%]. Subgroup analyses revealed that Asian subjects were the least likely to undergo IBR among different minorities (OR = 0.43). Conclusion: There exists a significant disparity in rates of IBR in different racial minorities as compared to White subjects. Future studies are warranted to assess factors contributing to such disparities in provision of healthcare.

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乳房切除术后即刻乳房重建中的种族差异：系统回顾与元分析

背景：在过去的几十年中，乳房切除术后乳房再造的人数逐渐增多；然而，关于种族是否会影响乳房再造率的问题却存在着冲突。研究方法我们对 MEDLINE 和 Cochrane CENTRAL 从开始到 2022 年 9 月的数据进行了电子检索。主要结果是少数种族乳房即刻重建（IBR）率的差异。采用随机效应模型对症比进行汇总。所有统计分析均在审查管理器上进行。采用乔安娜-布里格斯研究所（Joanna Briggs Institute）的关键评估清单对纳入研究的质量进行评估。结果确定了 20 项研究（n = 1 840 671）。对所有研究的汇总分析表明，与白人受试者相比，少数种族受试者接受 IBR 治疗的可能性明显较低（OR = 0.62，[95% 置信区间：0.57-0.68；P < .01，I2 = 97%]。亚组分析显示，在不同的少数族裔中，亚裔受试者接受 IBR 的可能性最小（OR = 0.43）。结论：与白人受试者相比，不同少数种族的 IBR 率存在明显差异。今后有必要开展研究，以评估造成这种医疗服务差异的因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Plastic surgery Medicine-Surgery

CiteScore

1.70

自引率

0.00%

发文量

期刊介绍： Plastic Surgery (Chirurgie Plastique) is the official journal of the Canadian Society of Plastic Surgeons, the Canadian Society for Aesthetic Plastic Surgery, Group for the Advancement of Microsurgery, and the Canadian Society for Surgery of the Hand. It serves as a major venue for Canadian research, society guidelines, and continuing medical education.