Evidence map›Paper›PMID 28143474›Full record

ArticleBMC women's health2017

Motivations for contralateral prophylactic mastectomy as a function of socioeconomic status.

Dadrie F Baptiste, Erina L MacGeorge, Maria K Venetis, Ashton Mouton, L Brooke Friley, Rebekah Pastor, Kristen Hatten, Janaka Lagoo, Susan E Clare, Monet W Bowling

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC women's health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Trial
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  5. EBCC-13 manifesto: Balancing pros and cons for contralateral prophylactic mastectomy.European journal of cancer (Oxford, England : 1990) · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Dadrie F BaptisteDepartment of Surgery, Indiana University School of Medicine, 545 Barnhill Drive, Emerson Hall 202, Indianapolis, IN, 46202, USA.
Erina L MacGeorgeDepartment of Communication Arts and Sciences, Pennsylvania State University, 234 Sparks Building, University Park, PA, 16802, USA.
Maria K VenetisBrian Lamb School of Communication, Purdue University, BRNG 2264, 100 North University Street, West Lafayette, IN, 47907-2098, USA.
Ashton MoutonBrian Lamb School of Communication, Purdue University, BRNG 2264, 100 North University Street, West Lafayette, IN, 47907-2098, USA.
L Brooke FrileyBrian Lamb School of Communication, Purdue University, BRNG 2264, 100 North University Street, West Lafayette, IN, 47907-2098, USA.
Rebekah PastorBrian Lamb School of Communication, Purdue University, BRNG 2264, 100 North University Street, West Lafayette, IN, 47907-2098, USA.
Kristen HattenBrian Lamb School of Communication, Purdue University, BRNG 2264, 100 North University Street, West Lafayette, IN, 47907-2098, USA.
Janaka LagooDepartment of Surgery, Indiana University School of Medicine, 545 Barnhill Drive, Emerson Hall 202, Indianapolis, IN, 46202, USA.
Susan E ClareDepartment of Surgery, Feinberg School of Medicine, Northwestern University, 303 E. Superior Street, Lurie 4-113, Chicago, IL, 60611, USA. susan.clare@northwestern.edu.
Monet W BowlingDepartment of Surgery, Indiana University School of Medicine, 545 Barnhill Drive, Emerson Hall 202, Indianapolis, IN, 46202, USA. modb27@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite no demonstrated survival advantage for women at average risk of breast cancer, rates of contralateral prophylactic mastectomy (CPM) continue to increase. Research reveals women with higher socioeconomic status (SES) are more likely to select CPM. This study examines how indicators of SES, age, and disease severity affect CPM motivations.

methodsPatients (N = 113) who underwent CPM at four Indiana University affiliated hospitals completed telephone interviews in 2013. Participants answered questions about 11 CPM motivations and provided demographic information. Responses to motivation items were factor analyzed, resulting in 4 motivational factors: reducing long-term risk, symmetry, avoiding future medical visits, and avoiding treatments.

resultsAcross demographic differences, reducing long-term risk was the strongest CPM motivation. Lower income predicted stronger motivation to reduce long-term risk and avoid treatment. Older participants were more motivated to avoid treatment; younger and more-educated patients were more concerned about symmetry. Greater severity of diagnosis predicted avoiding treatments.

conclusionsReducing long-term risk is the primary motivation across groups, but there are also notable differences as a function of age, education, income, and disease severity. To stop the trend of increasing CPM, physicians must tailor patient counseling to address motivations that are consistent across patient populations and those that vary between populations.

Indexed as

Health Knowledge, Attitudes, PracticeMotivationSocial ClassAdultBreast NeoplasmsEducational StatusFemaleHumansIncomeIndianaMiddle AgedProphylactic MastectomyRacial GroupsRisk AdjustmentSurveys and QuestionnairesSurvivorsBreast cancerContralateral prophylactic mastectomyMotivationSocioeconomic

Identifiers

PMID28143474
PMCPMC5286852

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.