Charting Outcomes: The Correlation Between Area of Deprivation Index and Disparities in Breast Reconstruction

作者：Hao Huang, Yunchan Chen, Grant Black, Chase Alston, Paul A. Asadourian, Christine H. Rohde, David M. Otterburn · 发表于：Plastic & Reconstructive Surgery Global Open · 年份：2023 · DOI：10.1097/01.gox.0000992032.11028.df · 被引用次数：2 · 研究领域：Global Cancer Incidence and Screening、Breast Implant and Reconstruction、Cancer survivorship and care

INTRODUCTION: Breast reconstruction is an important component of breast cancer treatment and recovery. However, disparities exist in the availability and accessibility of healthcare providers and institutions that offer reconstructive services. Past studies have characterized how race, ethnicity, socioeconomic status, insurance policy, and other demographic factors may individually influence access to reconstruction. The Area of Deprivation Index (ADI) is a composite measure that includes data on income, employment, health, education, and crime rates.(1) This value enables policymakers to assess the extent of socioeconomic deprivation within small geographic regions and identify areas that require targeted resource allocation.1 Our objective is to examine the correlation between ADI and the proportion of patients who undergo post-mastectomy reconstruction, as well as the length of time it takes for them to receive treatment. In addition, we aim to assess the utility of ADI as a surrogate for predicting access to reconstructive services. METHODS: Retrospective review identified post-mastectomy patients at NYP-Cornell and Columbia between 1979 and 2019. The list of ADIs for New York City zones are obtained from the Center for Health Disparities Research website. Composite reconstruction rates and average time delay to reconstruction are calculated for each zip code within the NYP breast cancer database and matched with the corresponding district ADI. In general, higher ADI corr...