Regional Market Competition and the Use of Immediate Breast Reconstruction After Mastectomy.

ABSTRACT:

Background

Prior work has shown that the competitiveness of the market in which hospitals operate is associated with use of surgical procedures. This study examined the association between regional market competition and use of breast reconstruction for women with breast cancer and ductal carcinoma in situ undergoing mastectomy.

Methods

Women who underwent mastectomy from 2010 to 2011 recorded in the National Inpatient Sample were selected. The competitive market environment for each hospital in which patients were treated was estimated using the Herfindahl-Hirschman Index. Multivariable models were developed to examine the association between regional market competition and breast reconstruction, with adjustment for other clinical, demographic, and structural variables.

SUBMITTER: Wright JD 

PROVIDER: S-EPMC6386188 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature