%0 Journal Article %T Factors influencing the decision to pursue immediate breast reconstruction after mastectomy for breast cancer %A Weenk, Mariska %A Wunschel, Philipp %A Heine, Erwin %A Strobbe, Luc J. %J Gland Surgery %D 2016 %B 2016 %9 %! Factors influencing the decision to pursue immediate breast reconstruction after mastectomy for breast cancer %K %X Background: Immediate breast reconstruction (IBR) after mastectomy has shown to be oncologically safe and to improve quality of life in breast cancer patients. However, most women undergoing mastectomy do not undergo IBR. In this study, we aim to identify breast surgeon-related factors in considering IBR and factors affecting patients’ decision to choose for IBR. Methods: Retrospective analysis of the records of breast cancer patients who underwent mastectomy with or without IBR between 2010 and 2013. We documented all information whether or not a patient underwent IBR after mastectomy. Results: Of 437 patients, 97 (22.2%) underwent IBR, 89.8% of which received tissue expanders. Patient who did not undergo IBR had a higher age (62.2 versus 51.9 years, P Conclusions: Anticipated radiation therapy, higher age and higher BMI were important breast surgeon-related factors in refraining from IBR. Almost one third of all patients declined IBR. In almost 10% of all patients, IBR was not discussed. %U https://gs.amegroups.org/article/view/12586 %V 6 %N 1 %P 43-48 %@ 2227-8575