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Addressing Continued Disparities in Access to Breast Reconstruction on the 20th Anniversary of the Women’s Health and Cancer Rights Act
JAMA Surgery ( IF 16.9 ) Pub Date : 2018-07-01 , DOI: 10.1001/jamasurg.2018.0387
Nicholas L. Berlin 1 , Edwin G. Wilkins 1 , Amy K. Alderman 2
Affiliation  

Approximately 12% of women in the United States will develop invasive breast cancer during their lifetime. Despite the growing use of breast conservation as primary therapy for breast cancer, mastectomy remains a common treatment option. Furthermore, as our understanding of genetic risk for breast cancer has improved, prophylactic mastectomy is increasingly performed to prevent this malignancy in women who belong to certain high-risk groups.1 For patients undergoing mastectomy, the repercussions for body image, psychosocial well-being, and quality of life can be distressing.2 Years of research documenting the health-related quality of life and psychosocial benefits of breast reconstruction after mastectomy empowered health advocacy groups to lobby for the Women’s Health and Cancer Rights Act (WHCRA). Enacted in 1998, the WHCRA mandates all-payer health insurance coverage of all stages of breast reconstruction, including procedures on the contralateral breast for symmetry.



中文翻译:

在《妇女健康和癌症权利法》颁布20周年之际,解决在乳房重建方面仍然存在的差距

在美国,大约有12%的女性在其一生中会发展为浸润性乳腺癌。尽管越来越多地将保乳术作为乳腺癌的主要疗法,但乳房切除术仍是一种常见的治疗选择。此外,随着我​​们对乳腺癌遗传风险的了解得到提高,预防性乳房切除术正日益开展,以防止属于某些高风险人群的女性患上这种恶性肿瘤。1对于接受乳房切除术的患者,其身体形象,社会心理健康以及生活质量的影响可能令人痛苦。2个多年的研究记录了乳房切除术后与健康相关的生活质量和乳房重建的社会心理效益,这使健康倡导团体可以游说《妇女健康和癌症权利法》(WHCRA)。WHCRA于1998年颁布,规定了乳房重建各个阶段的全额健康保险,包括对侧乳房对称手术。

更新日期:2018-07-19
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