Reconstruction mammaire en France, à propos de 143 524 cas sur 7 ans. Nègre, G. Ph.D. Thesis, Université d'Amiens, Amiens, France, June, 2017.
abstract   bibtex   
No data is available about breast reconstruction in France. Our aim was to achieve an overview of breast reconstruction (BR) surgery after mastectomy using the French nationwide hospital discharge database (called PMSI). This study was conducted using the PMSI database between 2008 et 2014. All women who have had a total mastectomy over that period were included. For each patient, we have searched for a BR procedure during the first admission or the next ones. We analyzed the immediate (IBR) or delayed (DBR) reconstruction rate, the delay between mastectomy and (BR), and the type of surgery. Among the 143 524 total mastectomies included, the IBR rate was 16,96% and increased over the period. Among women who have had delayed breast reconstruction, the delay between mastectomy and BR was lower or equal to 3 years. Concerning women included in 2008 and 2009, the DBR rate was 17,57% and the non-reconstruction rate was 65%. Implant was the most commonly used technique (59,28% of IBR and 43,69% of DBR) followed by the latissimus dorsi (32,95% of IBR and 38,2% of DBR). The share of theses ones decreased, for free flaps. The contributing factors for BR were: a young age, a cancer care facility (type of establishment where the mastectomy was performed), a skin-sparing mastectomy technique, and a diagnosis of prophylactic surgery. The high rate of women who did not undergo BR was is in favor of development of BR access for all women who wish it.
@phdthesis{negre_reconstruction_2017,
	address = {Amiens, France},
	type = {Thèse d'exercice {Médecine}},
	title = {Reconstruction mammaire en {France}, à propos de 143 524 cas sur 7 ans},
	abstract = {No data is available about breast reconstruction in France. Our aim was to achieve an overview of breast reconstruction (BR) surgery after mastectomy using the French nationwide hospital discharge database (called PMSI).
This study was conducted using the PMSI database between 2008 et 2014. All women who have had a total mastectomy over that period were included. For each patient, we have searched for a BR procedure during the first admission or the next ones. We analyzed the immediate (IBR) or delayed (DBR) reconstruction rate, the delay between mastectomy and (BR), and the type of surgery. 
Among the 143 524 total mastectomies included, the IBR rate was 16,96\% and increased over the period. Among women who have had delayed breast reconstruction, the delay between mastectomy and BR was lower or equal to 3 years. Concerning women included in 2008 and 2009, the DBR rate was 17,57\% and the non-reconstruction rate was 65\%. Implant was the most commonly used technique (59,28\% of IBR and 43,69\% of DBR) followed by the latissimus dorsi (32,95\% of IBR and 38,2\% of DBR). The share of theses ones decreased, for free flaps. The contributing factors for BR were: a young age, a cancer care facility (type of establishment where the mastectomy was performed), a skin-sparing mastectomy technique, and a diagnosis of prophylactic surgery.
The high rate of women who did not undergo BR was is in favor of development of BR access for all women who wish it.},
	language = {Fr},
	school = {Université d'Amiens},
	author = {Nègre, Géraldine},
	month = jun,
	year = {2017}
}
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