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An analyses of outcomes and characteristics of patients undergoing elective procedures for managing risk or presence of breast cancer
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Fleischer, Judith. An analyses of outcomes and characteristics of patients undergoing elective procedures for managing risk or presence of breast cancer. Retrieved from https://doi.org/doi:10.7282/t3-fgdk-ae14

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TitleAn analyses of outcomes and characteristics of patients undergoing elective procedures for managing risk or presence of breast cancer
NameFleischer, Judith (author); Srinivasan, Shankar (chair); Rutgers University; School of Health Professions
Date Created2020
Other Date2020-08 (degree)
SubjectBiomedical Informatics
Extent1 online resource (viii, 91 pages)
DescriptionBreast cancer is the most commonly diagnosed female cancer in the United States. According to the American Cancer Society in 2020 there will be an estimated 276,480 new cases of invasive breast cancer diagnosed in the United States. Surgery continues to be the gold standard for treatment. While breast conserving surgery has been widely accepted, many patients elect mastectomy. The objective of this study was to examine hospital characteristics of mastectomy patients to determine what factors impact length of stay, total charges and in-patient mortality.

The objective of this study was to analyze the frequency of mastectomy, whether for risk reduction or the presence of disease. This study utilized the National Inpatient Sample (NIS) database for years 2008 to 2011 to examine patient demographic characteristics such as age, race, insurance type and income. SPSS statistical analysis version22 was utilized for analysis, with p values less than .05 considered significant. Linear regression, Logistic Regression, A NOVA and Chi-Square were used to determine significant predictors of study outcomes

Between 2008 and 2011, 55,781 female patients underwent mastectomy with 76.7% electing unilateral mastectomy. Immediate breast reconstruction occurred in 38.6% of patients. The highest incidence of mastectomy occurred in White and Asian women. The total number of discharges revealed privately insured White and Asian women had the highest discharge each year. A further analysis regarding income revealed Whites and Asians also had the highest income. Length of stay remained consistent from 2008 through 2011. Mortality was insignificant among the mastectomy population with Blacks seen to have the highest percentage of in-hospital mortality. Fluid and electrolyte disorders were found to be the highest predictors of mortality. Overall totals costs were on a rising trend and consistent with type of mastectomy.

Among hospital inpatients electing mastectomy, there were racial differences that occurred in treatment and outcomes. This study highlighted hospitalization characteristics related to female mastectomy admissions in the United States between 2008 and 2011. Racial disparities in treatment and outcomes highlight areas where efforts may be focused to improve survival among specific population groups. Future research should be targeted on identifying specific causes of racial differences in patients electing mastectomy and outcomes related thereto. This study validates the importance of health education to improve health awareness. Policies promoting early childhood health education may provide the necessary knowledge and life skills to aid in navigating access to resources to promote better health.
 
NotePh.D.
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-fgdk-ae14
LanguageEnglish
CollectionSchool of Health Professions ETD Collection
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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