Table 2.

Factors Associated with Receipt of Post-Mastectomy Reconstruction between 2010-2013

	Proportion with Reconstruction (N=145, 577)	Odds Ratio+ (95% Confidence Interval)
Patient clinical and treatment factors
Age
<=45	63%	Ref
>45 and <=55	57%	0.81 (0.78-0.85)
>55 and <=65	41%	0.48 (0.46-0.50)
>65 and <=75	22%	0.26 (0.25-0.27)
Charlson Comorbidity Index
0	47%	Ref
1	37%	0.86 (0.83-0.89)
2	24%	0.58 (0.53-0.63)
Stage
0	49%	Ref
1	44%	0.82 (0.78-0.87)
Bilateral mastectomy
No	36%	Ref
Yes	63%	2.3 (2.3-2.4)
Post-mastectomy radiation
No	46%	Ref
Yes	35%	0.54 (0.51-0.57)
Chemotherapy
No	45%	Ref
Yes	45%	0.83 (0.81-0.86)
Patient Non-Clinical Factors
Race
White	47%	Ref
Black	38%	0.88 (0.84-0.91)
Other	38%	0.60 (0.57-0.63)
Insurance
Private	56%	Ref
Medicare	25%	0.65 (0.63-0.68)
Medicaid	35%	0.54 (0.51-0.57)
Uninsured	30%	0.43 (0.40-0.48)
Income*
$63,000+	55%	Ref
$48,000-62,999	44%	0.75 (0.72-0.77)
$38,000-$47,999	37%	0.64 (0.61-0.67)
<$38,000	32%	0.58 (0.55-0.62)
% with high school education*
<7%	55%	Ref
7-13%	47%	0.94 (0.91-0.97)
13-20%	39%	0.91 (0.87-0.95)
>=21%	33%	0.87 (0.83-0.92)
Rural-Urban
Metropolitan	47%	Ref
Urban	34%	0.73 (0.70-0.76)
Rural	30%	0.65 (0.58-0.72)
Other
Facility type
Academic	49%	Ref
Comp community	43%	0.88 (0.85-0.90)
Community	28%	0.53 (0.50-0.55)
Integrated	53%	1.3 (1.2-1.3)
Year of Diagnosis
2010	43%	Ref
2011	45%	1.1 (1.0-1.1)
2012	46%	1.1 (1.1-1.18)
2013	48%	1.2 (1.16-1.24)

Controlled for geographic region

⁺All variables strongly associated with receipt of reconstruction at a p<0.0001

^*Median household Income and percentage of patients with high school education in zipcode area