Larissa Nekhlyudov
Women's Decision-Making Roles Regarding Contralateral Prophylactic Mastectomy
Group Health Cooperative|University of Washington|Kaiser Permanente|Kaiser Permanente Center for Health Research|Harvard Pilgrim Health Care|Dana-Farber Cancer Institute|HealthPartners
contralateral prophylactic mastectomy cpm removal nonaffected breast woman unilateral breast cancer effective reducing risk recurrences little known womens decisionmaking roles regarding cpmwomen aged 1880 years cpm performed one six health maintenance organizations 1979 1999 surveyed determined womens reported decisionmaking roles time cpm analyzed trends time explored association decisionmaking roles psychosocial outcomes following cpmwe received 562 responses response rate 73 431 completed items needed analysis respondents white younger 55 years cpm married cpm within 10 years completing survey fortyfive percent made decision undergo cpm alone 37 considered doctors opinion 15 shared decision doctor 3 reported doctor primarily made decision women reporting active roles likely younger p0008 college educated p0001 cpm recently p 002 compared sharing decision doctors women active roles twice likely satisfied 6 months following cpm odds ratio 22 95 confidence interval ci 11 42 report current concern breast cancer 19 95 ci 10 34most women reported active shared roles decision making regarding cpm particularly younger women college education recent cpm women active roles often satisfied short term also likely report current concern breast cancer whether higher concern related insufficient input clinicians explored prospective data needed