Article: Barriers to breast reconstruction after mastectomy in Nova Scotia

Background: Breast reconstruction after mastectomy is associated with social, psychological and physical benefits. Barriers to breast reconstruction in the United States include age, stage of disease, socioeconomic status and geographic location; however, little is known about the effects of these factors in the Canadian context of a universal health care system. We sought to determine the rate of breast reconstruction in Nova Scotia, identify characteristics influencing access to the procedure and describe the rates of different reconstructive options. Methods: We conducted a retrospective cohort study involving all women in Nova Scotia who received diagnoses of breast cancer and had ...

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