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Related Experiment Video

Updated: Jul 14, 2026

Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial

Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial

Published on: August 19, 2025

Conflicts in decision-making for breast cancer surgery.

Diane Opatt¹, Monica Morrow, Sarah Hawley

¹Department of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, PA, USA. Monica.Morrow@fccc.edu

Annals of Surgical Oncology

|May 19, 2007

Summary

Surgeons in high-volume practices and cancer centers favor breast-conserving surgery (BCS), leading to more conflict with patients who prefer mastectomy. Patient choice significantly influences surgical decisions in breast cancer care.

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Published on: May 17, 2024

Area of Science:

Oncology
Surgical Oncology
Health Services Research

Background:

Understanding surgeon, patient, and physician interactions in breast cancer surgery selection is limited.
Existing research does not fully capture the dynamics of decision-making for breast cancer surgical procedures.

Purpose of the Study:

To investigate surgeon perspectives on decision-making and conflict in breast cancer surgery.
To identify factors associated with conflict between surgeons and patients or other providers regarding surgical approach.

Main Methods:

A survey was administered to 456 attending surgeons managing a population-based sample of 2645 breast cancer patients.
Surgeons responded to clinical scenarios assessing conflict related to mastectomy versus breast-conserving surgery (BCS).

Main Results:

58% of surgeons reported conflict with patients, and 32% with other providers.
Conflict arose when patients preferred mastectomy over surgeon-favored BCS (49.9%).
High-volume surgeons were more likely to report conflict in patient-preferred mastectomy scenarios (62% vs 44%).

Conclusions:

High-volume surgeons and those in cancer centers more often recommend BCS, increasing conflict with patients preferring mastectomy.
Surgeon volume and practice setting significantly influence conflict during surgical decision-making.
Patient preference is a critical factor in the continued use of mastectomy for breast cancer treatment.