Evidence map›Paper›PMID 31033815›Full record

ArticlePlastic and reconstructive surgery2019

Breast Cancer Knowledge and Decisions Made for Contralateral Prophylactic Mastectomy: A Survey of Surgeons and Women in the General Population.

Rachel C Hooper, Jessica Hsu, Anthony Duncan, Jessica M Bensenhaver, Lisa A Newman, Kelly M Kidwell, Kevin C Chung, Adeyiza O Momoh

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Plastic and reconstructive surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
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

6 citing papers in PubMed, 16 citations in OpenAlex.

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

8 authors at 2 institutions in 1 country.

Rachel C HooperFrom the Section of Plastic Surgery, Department of Surgery, University of Michigan Health System; the Department of Surgery, Henry Ford Health System; and the Department of Biostatistics, University of Michigan School of Public Health.
Jessica HsuFrom the Section of Plastic Surgery, Department of Surgery, University of Michigan Health System; the Department of Surgery, Henry Ford Health System; and the Department of Biostatistics, University of Michigan School of Public Health.
Anthony DuncanFrom the Section of Plastic Surgery, Department of Surgery, University of Michigan Health System; the Department of Surgery, Henry Ford Health System; and the Department of Biostatistics, University of Michigan School of Public Health.
Jessica M BensenhaverFrom the Section of Plastic Surgery, Department of Surgery, University of Michigan Health System; the Department of Surgery, Henry Ford Health System; and the Department of Biostatistics, University of Michigan School of Public Health.
Lisa A NewmanFrom the Section of Plastic Surgery, Department of Surgery, University of Michigan Health System; the Department of Surgery, Henry Ford Health System; and the Department of Biostatistics, University of Michigan School of Public Health.
Kelly M KidwellFrom the Section of Plastic Surgery, Department of Surgery, University of Michigan Health System; the Department of Surgery, Henry Ford Health System; and the Department of Biostatistics, University of Michigan School of Public Health.
Kevin C ChungFrom the Section of Plastic Surgery, Department of Surgery, University of Michigan Health System; the Department of Surgery, Henry Ford Health System; and the Department of Biostatistics, University of Michigan School of Public Health.
Adeyiza O MomohFrom the Section of Plastic Surgery, Department of Surgery, University of Michigan Health System; the Department of Surgery, Henry Ford Health System; and the Department of Biostatistics, University of Michigan School of Public Health.
Ann Arbor Center for Independent Living · USHenry Ford Health System · US

Funding

Evidence-Based Research in Hand SurgeryK24AR053120 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHUNG, KEVIN C · 2008 to 2018
$1.6M
NIAMS NIH HHS K24 AR053120
6 · The paper itself

Abstract

backgroundDecisions made to undergo contralateral prophylactic mastectomy, in women at low risk for bilateral disease, are often attributed to a lack of knowledge. This study examines the role knowledge plays in determining surgical treatment for unilateral breast cancer made by laywomen and surgeons for themselves or loved ones.

methodsThe study cohort had three groups: (1) laywomen in the general population, (2) breast surgeons, and (3) plastic surgeons. Laywomen were recruited using Amazon Mechanical Turk Crowd Sourcing. Breast and plastic surgeons from nine states were sent electronic surveys. Demographic and contralateral prophylactic mastectomy-specific data on decisions and knowledge were collected and analyzed.

resultsSurveys from 1333 laywomen, 198 plastic surgeons, and 142 breast surgeons were analyzed. A significantly greater proportion of laywomen in the general population favored contralateral prophylactic mastectomy (67 percent) relative to plastic (50 percent) and breast surgeons (26 percent) (p < 0.0001). Breast surgeons who chose contralateral prophylactic mastectomy were younger (p = 0.044) and female (0.012). On assessment of knowledge, 78 percent of laywomen had a low level of breast cancer knowledge. Laywomen with higher levels of breast cancer knowledge had lower odds of choosing contralateral prophylactic mastectomy (OR, 0.37; 95 percent CI, 0.28 to 0.49).

conclusionsFewer women are likely to make decisions in favor of contralateral prophylactic mastectomy with better breast cancer-specific education. A knowledge gap likely explains the lower rates with which surgeons choose contralateral prophylactic mastectomy for themselves or loved ones; however, some surgeons who were predominantly young and female favor contralateral prophylactic mastectomy. Improving patient education on surgical options for breast cancer treatment is critical, with well-informed decisions as the goal.

Indexed as

Decision MakingHealth Knowledge, Attitudes, PracticePatient Education as TopicAdultAge FactorsBreastCohort StudiesFemaleHumansMaleMiddle AgedProphylactic MastectomyRisk AssessmentSex FactorsSurgeonsSurveys and Questionnaires

Identifiers

PMID31033815
PMCPMC6724742
OpenAlexW2943249686

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.