Factors associated with decision to undergo contralateral prophylactic mastectomy versus unilateral mastectomy.

Breast Neoplasms / surgery Decision Making Female Humans Mastectomy / psychology Middle Aged Patient Satisfaction Prophylactic Mastectomy / psychology
Breast cancer Contralateral prophylactic mastectomy Decision Satisfaction Surgery Unilateral mastectomy

Journal

American journal of surgery
ISSN: 1879-1883
Titre abrégé: Am J Surg
Pays: United States
ID NLM: 0370473

Informations de publication

Date de publication:
07 2019
Historique:
received: 14 09 2018
revised: 13 11 2018
accepted: 29 11 2018
pubmed: 18 12 2018
medline: 17 1 2020
entrez: 18 12 2018
Statut: ppublish

Résumé

Factors associated with the decision to pursue unilateral mastectomy (UM) versus contralateral prophylactic mastectomy (CPM) in unilateral breast cancer (UBC) patients, and satisfaction with this decision, remain to be elucidated. UBC patients who underwent mastectomy were surveyed regarding factors affecting their surgical decision and satisfaction with the same. Both UM (n = 46) and CPM (n = 55) patients were satisfied with their surgical decision (mean 4.72 and 4.85 out of 5 on Satisfaction With Decision scale, respectively, p = 0.078). Most CPM patients cited the desire to lower their risk of contralateral breast cancer (96.4%) and the desire for peace of mind (94.5%) as "very important" drivers of their decision; whereas most UM patients felt not wanting to remove a normal breast (67.4%) was a "very important" driver for their decision. Both UM and CPM patients reported high satisfaction with their surgical decisions, despite differing reasons for their respective surgeries.

Sections du résumé

BACKGROUND
Factors associated with the decision to pursue unilateral mastectomy (UM) versus contralateral prophylactic mastectomy (CPM) in unilateral breast cancer (UBC) patients, and satisfaction with this decision, remain to be elucidated.
METHODS
UBC patients who underwent mastectomy were surveyed regarding factors affecting their surgical decision and satisfaction with the same.
RESULTS
Both UM (n = 46) and CPM (n = 55) patients were satisfied with their surgical decision (mean 4.72 and 4.85 out of 5 on Satisfaction With Decision scale, respectively, p = 0.078). Most CPM patients cited the desire to lower their risk of contralateral breast cancer (96.4%) and the desire for peace of mind (94.5%) as "very important" drivers of their decision; whereas most UM patients felt not wanting to remove a normal breast (67.4%) was a "very important" driver for their decision.
CONCLUSIONS
Both UM and CPM patients reported high satisfaction with their surgical decisions, despite differing reasons for their respective surgeries.

Identifiants

DOI: 10.1016/j.amjsurg.2018.11.040 PMID: 30554666
pubmed: 30554666
pii: S0002-9610(18)31243-1
doi: 10.1016/j.amjsurg.2018.11.040
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

170-174

Commentaires et corrections

Type : CommentIn

Informations de copyright

Copyright © 2018 Elsevier Inc. All rights reserved.

Auteurs

Julian Huang (J)

Department of Surgery, Yale University School of Medicine, 20 York Street, 1st Floor, Suite A, New Haven, CT, 06510, USA. Electronic address: julian.huang@yale.edu.

Anees Chagpar (A)

Department of Surgery, Yale University School of Medicine, 20 York Street, 1st Floor, Suite A, New Haven, CT, 06510, USA. Electronic address: anees.chagpar@yale.edu.

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Classifications MeSH

questionsmedicales.fr › Maladies de la peau et du tissu conjonctif › Maladies de la peau › Maladies du sein › Tumeurs du sein › Factors associated with decision to undergo...
questionsmedicales.fr › Phénomènes psychologiques › Processus mentaux › Pensée (activité mentale) › Prise de décision › Factors associated with decision to undergo...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Factors associated with decision to undergo...
questionsmedicales.fr › Procédures de chirurgie opératoire › Mastectomie › Factors associated with decision to undergo...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Adulte d'âge moyen › Factors associated with decision to undergo...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Satisfaction des patients › Factors associated with decision to undergo...
questionsmedicales.fr › Procédures de chirurgie opératoire › Interventions chirurgicales prophylactiques › Mastectomie prophylactique › Factors associated with decision to undergo...