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    An Ethical Recovery from Breast Cancer: an examination of disparities in breast reconstruction and a discussion about rectifying these disparities

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    Gerald_temple_0225M_14798.pdf
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    Genre
    Thesis/Dissertation
    Date
    2022
    Author
    Gerald, Mykal cc
    Advisor
    Rocco, Providenza Loera
    Averill, Catherine
    Committee member
    Jones, Nora L.
    Strand, Nicolle K.
    Cabey, Vielka Whitney
    Department
    Urban Bioethics
    Subject
    Medical ethics
    Surgery
    African American studies
    Breast reconstruction
    Breast surgery
    Disparities
    Plastic surgery
    Social determinants of health
    Urban bioethics
    Permanent link to this record
    http://hdl.handle.net/20.500.12613/7723
    
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    DOI
    http://dx.doi.org/10.34944/dspace/7695
    Abstract
    Black women are most likely to receive mastectomies, yet the least likely to have receipt of breast reconstruction. This disparity in breast and plastic surgery care is unethical and has been documented in the literature and has been witnessed clinically, but far most importantly, it is continued to be lived by Black women all over the nation. The bioethical principles of agency and social justice are called into question as Black women are not given an adequate understanding of their reconstructive options and are not being treated equally or equitably by the healthcare system. As noted by literature, race and ethnicity, socioeconomic and insurance status as well as comorbidities are contributing to this gap in care. As far as solutions go, there must be a multifaceted approach to mitigating this disparity. I have adopted Dr. Butler’s categorization of solutions to understand the exact approach we need to have, which includes patient education, legislation and academic medical institution, to make the recovery from breast cancer ethical for all women. In this thesis, I will go through the literature and garner perspectives from surgeons as well as patients who received breast reconstruction to aid in the understanding of this disparity and what needs to be done to fix it.
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