Clinical breast cancer · 2026
Association of Limited English Proficiency With Completion of the Reconstructive Paradigm in Implant-Based Breast Reconstruction.
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Yu Ying, Kim Dylan K, Jones Nadeem E, Shaikh Neelam I, Rohde Christine H
Аннотация
BACKGROUND: Limited English proficiency (LEP) has been associated with worse postoperative outcomes and lower follow-up in plastic surgery, although its impact in two-stage implant-based breast reconstruction is not well characterized. This study evaluates the effects of LEP on postoperative outcomes in patients who received tissue expander placement for breast reconstruction.
METHODS: Patients who underwent tissue expander placement for implant-based breast reconstruction were identified within a single urban academic center. LEP was defined as preference for a non-English primary language. Primary outcomes included completion of reconstruction, emergency department (ED) visits, readmissions, and postoperative complications. Multivariable regression models were used to identify independent predictors of ED visits/readmissions, complications, and time to completion of reconstruction (P < .05).
RESULTS: The final cohort included 563 patients over a median (IQR) follow-up period of 18.4 (11.0-28.7) months. The rate of overall completion of breast reconstruction was 87.0%. LEP was identified in 171 (30.4%) patients. Rates of breast reconstruction completion (P = .20), ED visits (P = .82), readmissions (P = .38), and postoperative complications (P = .30) were not significantly different depending on LEP status. In a multivariable linear regression model, LEP status was independently associated with a delay in time from TE placement to completion of breast reconstruction (β: 30.9 days, 95% CI, 8.5-53.3, P = .0070). Mean time to completion was 282 days for patients with LEP and 245 days for non-LEP patients.
CONCLUSION: LEP was associated with a delay in time to completion of reconstruction, suggesting delays in surgical care coordination in patients with limited English proficiency.
METHODS: Patients who underwent tissue expander placement for implant-based breast reconstruction were identified within a single urban academic center. LEP was defined as preference for a non-English primary language. Primary outcomes included completion of reconstruction, emergency department (ED) visits, readmissions, and postoperative complications. Multivariable regression models were used to identify independent predictors of ED visits/readmissions, complications, and time to completion of reconstruction (P < .05).
RESULTS: The final cohort included 563 patients over a median (IQR) follow-up period of 18.4 (11.0-28.7) months. The rate of overall completion of breast reconstruction was 87.0%. LEP was identified in 171 (30.4%) patients. Rates of breast reconstruction completion (P = .20), ED visits (P = .82), readmissions (P = .38), and postoperative complications (P = .30) were not significantly different depending on LEP status. In a multivariable linear regression model, LEP status was independently associated with a delay in time from TE placement to completion of breast reconstruction (β: 30.9 days, 95% CI, 8.5-53.3, P = .0070). Mean time to completion was 282 days for patients with LEP and 245 days for non-LEP patients.
CONCLUSION: LEP was associated with a delay in time to completion of reconstruction, suggesting delays in surgical care coordination in patients with limited English proficiency.