Trial reportCancer nursing
Attitudes and Decisional Conflict Regarding Breast Reconstruction Among Breast Cancer Patients.
Trial report in Cancer nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.
- Assessing the Content and Effect of Web-Based Decision Aids for Postmastectomy Breast Reconstruction: Systematic Review and Meta-Analysis of Randomized Controlled Trials.Journal of medical Internet research · 2024Pooled it
- Making decisions about breast reconstruction: A systematic review of patient-reported factors influencing choice.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2017Pooled it
- Effectiveness of a patient decision aid for women considering post-mastectomy breast reconstruction: randomized controlled trial.The British journal of surgery · 2025Trial
- Long-Term Effectiveness of a Decision Support App (Pink Journey) for Women Considering Breast Reconstruction Surgery: Pilot Randomized Controlled Trial.JMIR mHealth and uHealth · 2021Trial
- Quality of Patient Decisions About Breast Reconstruction After Mastectomy.JAMA surgery · 2017Trial
- Acceptability and pilot efficacy trial of a web-based breast reconstruction decision support aid for women considering mastectomy.Psycho-oncology · 2016Trial
- The Architecture of Shared Decision-Making in Postmastectomy Breast Reconstruction: A Systematic Review of Concepts, Measures, and Clinical Realities.Annals of surgical oncology · 2026Review
- Baseline Differences in Patient-Reported Quality of Life Across Breast Cancer Surgical Pathways.Annals of surgical oncology · 2026Article
- Prevalence and predictors of decisional conflict among older African Americans with advanced chronic kidney disease.Innovation in aging · 2026Article
- The Dyadic Experience of a New Breast Cancer Diagnosis Into the Shared Decision-Making Process: A Qualitative Analysis.Psycho-oncology · 2025Article
- Pre-Mastectomy Breast Reconstruction Intentions in Women with Breast Cancer: Psychosocial and Personality Predictors Informing Mental Health Promotion.Healthcare (Basel, Switzerland) · 2025Article
- Exploring Decisional Conflict Experienced by Individuals Considering Metoidioplasty and Phalloplasty Gender-affirming Surgery.Plastic and reconstructive surgery. Global open · 2024Article
- Breast Cancer, Planarians, and Plastic Surgeons.Plastic and reconstructive surgery. Global open · 2022Article
- Development of a patient decision aid for patients with breast cancer who consider immediate breast reconstruction after mastectomy.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- [The Lived Experience of Body Alteration and Body Image with Regard to Immediate Breast Reconstruction among Women with Breast Cancer].Journal of Korean Academy of Nursing · 2021Article
- A Decision Tree Model for Breast Reconstruction of Women with Breast Cancer: A Mixed Method Approach.International journal of environmental research and public health · 2021Article
- Development and Usability Testing of a Decision Support App for Women Considering Breast Reconstruction Surgery.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021Article
- The impact of an online patient decision aid for women with breast cancer considering immediate breast reconstruction: study protocol of a multicenter randomized controlled trial.BMC medical informatics and decision making · 2019Article
- A Retrospective Cohort Study on Payor Type and the Effect on Revisions in Breast Reconstruction.Plastic and reconstructive surgery · 2017Article
- National study of the impact of patient information and involvement in decision-making on immediate breast reconstruction rates.The British journal of surgery · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundThe decision to undergo breast reconstruction (BR) surgery after mastectomy is made during stressful circumstances. Many women do not feel well prepared to make this decision.
objectiveUsing the Ottawa Decision Support Framework, this study aims to describe women's reasons to choose or not choose BR, BR knowledge, decisional preparedness, and decisional conflict about BR. Possible demographic, medical, BR knowledge, and attitudinal correlates of decisional conflict about BR were also evaluated.
methodsParticipants were 55 women with early-stage breast cancer drawn from the baseline data of a pilot randomized trial evaluating the efficacy of a BR decision support aid for breast cancer patients considering BR.
resultsThe most highly ranked reasons to choose BR were the desire for breasts to be equal in size, the desire to wake up from surgery with a breast in place, and perceived bother of a scar with no breast. The most highly ranked reasons not to choose BR were related to the surgical risks and complications. Regression analyses indicated that decisional conflict was associated with higher number of reasons not to choose BR and lower levels of decisional preparedness.
conclusionsThe results suggest that breast cancer patients considering BR may benefit from decisional support. IMPLICATIONS FOR CLINICAL PRACTICE: Healthcare professionals may facilitate decision making by focusing on reasons for each patient's uncertainty and unaddressed concerns. All patients, even those who have consulted with a plastic surgeon and remain uncertain about their decision, may benefit from decision support from a health professional.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.