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Kummerow, JAMA Surg 2015

USA-Low risk/BCS eligible

Younger

women were more likely to undergo mastectomy irrespective of tumor size

Steeper

increases

in mastectomy rates for women with

N0

,

smaller tumors, DCIS

Breast

reconstruction increased

from 11.6% to

36.4%

Bilateral mastectomy for unilateral disease increased

from 1.9% to

11.2%

Reconstruction for bilateral

mastectomy

increased

from 36.9% to

57.2%

Temporal trends: 1,216,820 patients, NCDB 1998-2011

35% had mastectomy