BRAVE (Breast Restoration Advocacy & Education) Coalition Foundation is a national 501(c)3

You’re BRAVE.
We value diversity, equality, and inclusion.

Sponsored by:

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We Believe

We believe that every woman should be empowered to take back her confidence following breast surgery. At BRAVE, we believe that being equipped with knowledge, support, and access to care should be a fundamental right, regardless of the color of skin, genetics, level of education, language spoken, socioeconomic status, access to insurance, or geography. At BRAVE, we believe that addressing these common barriers is the most valuable contribution we can make to help women who are beginning their healing journey from the devastating, life altering effects of a breast cancer. We achieve this through our network of advocates, medical partners, and industry sponsors.

Patient- Focus Research

Brave is pleased to share our ongoing patient-focused research collaboration with Northwestern Medicine, involving the current state of access to breast reconstruction services in the US across demographic and socioeconomic segments.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10194453/pdf/gox-11-111.pdf

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Individuals & Community-based Organizations:

Whether you are an individual who has fought this battle, know someone who is in the fight, or is just someone who cares, learn more about being BRAVE.
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Healthcare Companies with a Passion for Helping Women Win:

If you believe your company is poised to help more women take back their confidence, sense of self worth, and ability to live life to the fullest, learn how you can partner with BRAVE.

We are in this together and women don’t have to fight alone.

Did you know?

White women are more likely to have immediate reconstruction than women of other ethnicities.

0 %
MORE LIKELY THAN
Black women
0 %
MORE LIKELY THAN
Asian, Pacific Islander, and Native American women
0 %
MORE LIKELY THAN
Hispanic women

We Advocate

Among plastic surgeons in the U.S., the rate of breast reconstruction surgery post breast cancer is decreasing primarily due to unattractive reimbursement rates.

In fact, 44% of surveyed plastic surgeons reported a decrease in their volume of breast reconstructions from 2016 to 2019, compared to the three years prior. Additionally, of the 51% of plastic surgeons surveyed who do not “currently perform” breast reconstruction surgery, 57% cited reimbursement issues as the main driver of this decision.

0 %

of surveyed plastic surgeons

CITED REIMBURSEMENT ISSUES

as the main driver for no longer performing breast reconstruction surgery

The trend is not irreversible, however. The large majority of those who no longer perform breast reconstruction would return to the procedure if reimbursement rates were to increase to the point of covering costs and being revenue generating.

In the future, the ability to reduce this distressing downward trend in breast reconstruction surgeries in the US is contingent on an improved awareness of the societal benefits of reconstruction post-cancer surgery and addressing the current deficiencies in the US reimbursement system for this vital procedure.

BRAVE is doing just that.

References: 1. Alderman AK, Hawley ST, Waljee J, et al. Correlates of referral practices of general surgeons to plastic surgeons for mastectomy reconstruction. Cancer. 2007;109:1715–1720. 2. Retrouvey H, Solaja O, Gagliardi AR, et al. Barriers of access to breast reconstruction: a systematic review. Plast Recon Surg. 2018;143:465e–476e. 3. Xue, Erica Y. MD, MS; Chu, Carrie K. MD, MS, FACS; Winocour, Sebastian MD, MSc, FACS; Cen, Nicholas BS;Reece, Edward MD, MBA, FACS. Establishing a Telemedicine Program for Breast Reconstruction. Plastic and Reconstructive Surgery – Global Open: March 2020 – Volume 8 – Issue 3 – p e2594 4. Women’s Health and Cancer Rights Act www.cancer.org

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