当前位置： SCI文献检索 > CANCER期刊下所有文献 > Understanding the impact of breast reconstruction on the surgical decision-making process for breast cancer.

Understanding the impact of breast reconstruction on the surgical decision-making process for breast cancer.

Abstract：

BACKGROUND:Reconstruction is rarely incorporated into the decision-making process for surgical breast cancer treatment. We examined the importance of knowing about reconstruction to patients' surgical decision-making for breast cancer. METHODS:We surveyed women aged < or =79 years with breast cancer (N = 1844) who were reported to the Detroit and Los Angeles Surveillance, Epidemiology, and End Results (SEER) cancer registries (response rate, 77.4%). The dependent variables were 1) patients' report of having a discussion about breast reconstruction with their general surgeon (yes/no), 2) whether or not this discussion had an impact on their willingness to be treated with a mastectomy (yes/no), and 3) whether the patient received a mastectomy (yes/no). The independent variables included age, race, education, tumor size, tumor behavior, and presence of comorbidities. Chi-square, Student t test, and logistic regression were used for analyses. RESULTS:Only 33% of patients had a general surgeon discuss breast reconstruction with them during the surgical decision-making process for their cancer. Surgeons were significantly more likely to have this discussion with younger, more educated patients with larger tumors. Knowing about reconstructive options significantly increased patients' willingness to consider a mastectomy (OR, 2.06; P <.01). In addition, this discussion influenced surgical treatment. Patients who discussed reconstruction with their general surgeon were 4 times more likely to receive a mastectomy compared with those who did not (OR, 4.48; P < .01). CONCLUSIONS:Most general surgeons do not discuss reconstruction with their breast cancer patients before surgical treatment. When it occurs, this discussion significantly impacts women's treatment choice, making many more likely to choose mastectomy. This highlights the importance of multidisciplinary care models to facilitate an informed surgical treatment decision-making process.

journal_name

Cancer

journal_title

Cancer

authors

Alderman AK,Hawley ST,Waljee J,Mujahid M,Morrow M,Katz SJ

doi

10.1002/cncr.23214

subject

Has Abstract

pub_date

2008-02-01 00:00:00

pages

489-94

issue

eissn

0008-543X

issn

1097-0142

journal_volume

112

pub_type

杂志文章

在线工具

Understanding the impact of breast reconstruction on the surgical decision-making process for breast cancer.