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Related Experiment Videos

Bilateral prophylactic mastectomy decision making: A vignette study.

M Stefanek1, C Enger, J Benkendorf

  • 1Behavioral Research Program, Division of Cancer Control and Population Services, National Cancer Institute, 6130 Executive Boulevard/EPN 211, Bethesda, Maryland, 20892, USA. ms496r@nih.gov

Preventive Medicine
|September 10, 1999
PubMed
Summary
This summary is machine-generated.

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About 25% of women chose bilateral prophylactic mastectomy (BPM) as a follow-up care option. Worry and perceived risk significantly predicted this choice, highlighting the need for psychosocial support.

Area of Science:

  • Oncology
  • Surgical Oncology
  • Preventive Medicine

Background:

  • Perception of bilateral prophylactic mastectomy (BPM) and its influencing factors, particularly family history of breast cancer, remain understudied.
  • Identifying key factors in selecting BPM for follow-up care is crucial for informed decision-making.

Purpose of the Study:

  • To investigate women's perceptions of bilateral prophylactic mastectomy (BPM).
  • To determine if family history of breast cancer influences the selection of BPM.
  • To identify factors predicting the choice of BPM for follow-up care.

Main Methods:

  • A vignette-based study involving predominantly Caucasian, well-educated women with (n=129) and without (n=104) family histories of breast cancer.
  • Participants selected between standard screening (clinical breast exam, breast self-exam, mammography) and BPM.

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Main Results:

  • No significant difference in BPM selection rates between women with and without family history (29.5% vs 22.1%).
  • Women with a family history reported higher levels of worry about breast cancer (34.4% vs 15.7%).
  • Multivariate analysis identified worry and estimated 10-year risk as significant predictors for choosing BPM.

Conclusions:

  • Approximately 25% of participants opted for BPM, with most supporting its discussion for high-risk women.
  • Worry and risk perception are key factors influencing BPM selection and can be addressed through psychosocial or educational interventions.
  • Pre-surgical decision-making necessitates assessment of patient's worry and risk perception.