ArticleJournal of surgical oncology2013
Intentions for bilateral mastectomy among newly diagnosed breast cancer patients.
Article in Journal of surgical oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Barriers and facilitators to shared decision-making in oncology: a systematic review of the literature.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019Pooled it
- Breast cancer in patients under 40 years: an 11-year retrospective cohort analysis.Archives of gynecology and obstetrics · 2025Article
- Age and race/ethnicity differences in decisional conflict in women diagnosed with ductal carcinoma in situ.BMC women's health · 2024Article
- Psychosocial impact of proactive rapid genetic counseling following breast cancer diagnosis.Psycho-oncology · 2022Article
- Predictors of genetic testing uptake in newly diagnosed breast cancer patients.Journal of surgical oncology · 2020Article
- Predictors of risk-reducing surgery intentions following genetic counseling for hereditary breast and ovarian cancer.Translational behavioral medicine · 2020Article
- Predictors of contralateral prophylactic mastectomy in genetically high risk newly diagnosed breast cancer patients.Breast cancer research and treatment · 2020Article
- Decisional conflict among breast cancer patients considering contralateral prophylactic mastectomy.Patient education and counseling · 2019Article
- Article
- Contralateral Prophylactic Mastectomy Decisions in a Population-Based Sample of Patients With Early-Stage Breast Cancer.JAMA surgery · 2017Article
- Intentions for risk-reducing surgery among high-risk women referred for BRCA1/BRCA2 genetic counseling.Psycho-oncology · 2015Article
- Knowledge, attitudes, and self-efficacy as predictors of preparedness for oncology clinical trials: a mediational model.Medical decision making : an international journal of the Society for Medical Decision Making · 2014Article
- "Along for the Ride": A Qualitative Study Exploring Patient and Caregiver Perceptions of Decision Making in Cancer Care.MDM policy & practiceArticle
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundRecent trends suggest that bilateral mastectomy (BM) is on the rise among women diagnosed with unilateral breast cancer. Few studies have investigated the factors associated with the decision to have more aggressive surgery among young, high risk patients.
methodsAs part of a larger study, 284 women aged 50 and under completed an initial survey within 6 weeks of a breast cancer diagnosis. We assessed sociodemographics, medical and family history variables, treatment recommendations, preferences and concerns, distress, perceived risk, knowledge, and neuroticism. We used multiple regression with backward entry to assess the relationship between these variables and our outcomes of decisional conflict and intentions for BM.
resultsHigher decisional conflict was associated with being less educated, unmarried, more anxious and less likely to have received a surgical recommendation. Preference for BM was associated with higher neuroticism, perceived risk for contralateral breast cancer, pre-testing risk of carrying a BRCA1/2 mutation, having received either a surgical recommendation (vs. no recommendation), and lower preference for lumpectomy.
conclusionsFor younger women, a surgical recommendation is associated with lower decisional conflict and stronger intention for BM. Results highlight the importance of effective risk communication and decision support between a woman and her surgeon.
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