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TheAmericanJournalofSurgery(2015)209,589-596

SocietyofBlackAcademicSurgeons

African-Americanwomenhaveequivalent

outcomesfollowingautologousfreeflapbreast

reconstructiondespitegreaterpreoperativerisk

factors

ParisD.Butler,M.D.,M.P.H.*,JonasA.Nelson,M.D.,

JohnP.,M.D.,BenjaminChang,M.D.,F.A.C.S.,

SuhailKanchwala,M.D.,LizaC.Wu,M.D.,F.A.C.S.,

JosephM.Serletti,M.D.,F.A.C.S.

DivisionofPlasticSurgery,DepartmentofSurgery,UniversityofPennsylvaniaHealthSystem,10Penn

Tower,3400SpruceStreet,Philadelphia,PA19104,USA

KEYWORDS:

Healthcaredisparity;BACKGROUND:Disparitiesalongracialandethniclineistinbreastcancertreatmentandrecon-

Freeflapbreaststruction.Thisstudycomparespreoperativecharacteristicsamongfemalebreastcancerpatientswho

reconstruction;receivedautologousbreastreconstructiontodetermineifraceaffectsclinicaloutcomes.

MinoritybreastcancerMETHODS:Womenreceivingautologousbreastreconstructionatasingleinstitutionfrom2005to

patients;2011wereidentifiedwithinaprospectivelymaintaineddatabase.Preoperativeriskfactorsandrates

Breastreconstructionofpostoperativemorbidityandmortalitywereassessedwithrespecttorace.

racialdemographicsRESULTS:African-Americanpatientshadsignificantlyhigherratesofpreoperativecomorbidities

thanCaucasianpatients.Despitetheheightenedpreoperativeriskfactors,postoperativecomplications

didnotsignificantlydifferbetweenracialcategories.

CONCLUSION:Asthealleviationofhealthcaredisparitiesremainsafocusofhealthcarereform,

thesefindingsar

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