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Prevalence of Psychiatric Comorbidities among Patients Undergoing Autologous Breast Reconstruction. Results from Nationwide vs. Institutional Data.
B.E. Becherer BSc, P. Kamali MD, M.A. Paul MD, W. Wu BSc, H.A. Rakhorst MD PhD, K.J. Kansal MD, Dr. S.J. Lin MD, MBA
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
2016-02-01
Presenter: B.E. Becherer
Affidavit:
I certify that the material proposed for presentation in this abstract, has not been published in any scientific journal or previously presented at a major meeting. All the work on this project is original work of the student.
Director Name: S.J. Lin
Author Category: Medical Student
Presentation Category: Clinical
Abstract Category: Breast (Aesthetic and Recon.)
Introduction
Autologous post-mastectomy breast reconstruction (BR) is a complex surgical procedure, requiring patients to have sufficient coping mechanisms. Despite the fact that mental health problems are common in the United States (18.5% in 2013), information about the prevalence of psychiatric diagnosis among women undergoing autologous BR is not readily available. In order to assess the prevalence of psychiatric comorbidities within this group, we compared nationwide data to our institutional data.
Methods
A retrospective analysis was performed using the Nationwide Inpatient Sample database (NIS) (2008-2012) and the institutional database of our institution (2004-2015). Patients undergoing autologous BR were included and divided into six groups: no psychiatric diagnosis, depressive disorders, anxiety disorders, substance-related and addictive disorders, trauma- and stressor related disorders, remaining diagnoses, and combined diagnoses. Prevalence of each subgroup, trend analysis and general patient characteristics were determined.
Results
In total, 49,969 patients were included; 49,079 from the NIS and 890 patients from our database. Nationwide, 17.0% of the patients were diagnosed with a psychiatric disorder, compared to 32.4% in our institution.
Conclusion
Our analysis presents a difference in prevalence of psychiatric diagnoses. A significant amount of patients suffer from psychiatric comorbidity in the institutional cohort. This percentage is not represented in the nationwide database, and possibly under-realized. These results emphasize the importance of attention for mental health problems in order to attain sufficient treatment of BR patients.
