Impact of age, rurality and distance in predicting contralateral prophylactic mastectomy for breast cancer in a Midwestern state: a population-based study.

ABSTRACT:

Purpose

Iowa is among several rural Midwestern states with the highest proportions of contralateral prophylactic mastectomy (CPM) in women < 45 years of age. We evaluated the role of rurality and travel distance in these surgical patterns.

Methods

Women with unilateral breast cancer (2007-2017) were identified using Iowa Cancer Registry records. Patients and treating hospitals were classified as metro, nonmetro, and rural based on Rural-Urban Continuum Codes. Differences in patient, tumor, and treatment characteristics and median travel distance (MTD) were compared. Characteristics associated with CPM were evaluated with multivariate logistic regression.

Results

22,158 women were identified: 57% metro, 26% nonmetro and 18% rural. Young rural women had the highest prop

SUBMITTER: Lizarraga IM 

PROVIDER: S-EPMC8238858 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature