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Related Concept Videos

Decision Making01:20

Decision Making

Decision-making is a fundamental cognitive process that involves evaluating alternatives and selecting among them. This process can range from simple choices, such as deciding what to wear, to complex decisions, like choosing a major in college or a career path. The complexity of the decision often dictates the approach we use, which can be broadly categorized into two types: automatic and controlled decision-making.
Automatic decision-making is fast, intuitive, and relies on gut feelings...
Decision Making: P-value Method01:09

Decision Making: P-value Method

The process of hypothesis testing based on the P-value method includes calculating the P- value using the sample data and interpreting it.
First, a specific claim about the population parameter is proposed. The claim is based on the research question and is stated in a simple form. Further, an opposing statement to the claim  is also stated. These statements can act as null and alternative hypotheses:  a null hypothesis would be a neutral statement while the alternative hypothesis can have a...
Decision Making: Traditional Method01:14

Decision Making: Traditional Method

The process of hypothesis testing based on the traditional method includes calculating the critical value, testing the value of the test statistic using the sample data, and interpreting these values.
First, a specific claim about the population parameter is decided based on the research question and is stated in a simple form. Further, an opposing statement to this claim is also stated. These statements can act as null and alternative hypotheses, out of which a null hypothesis would be a...
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Ethical Dilemmas II01:30

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Related Experiment Video

Updated: May 13, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
13:35

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

The contralateral prophylactic mastectomy decision-making process.

Sandra K Baker1, Deborah K Mayer, Noreen Esposito

  • 1UNC Women's Specialty Center, University of North Carolina at Chapel Hill, NC, USA.

Plastic Surgical Nursing : Official Journal of the American Society of Plastic and Reconstructive Surgical Nurses
|March 1, 2013
PubMed
Summary
This summary is machine-generated.

Women increasingly choose contralateral prophylactic mastectomy (CPM) for early-stage breast cancer. However, the factors influencing this preference-sensitive decision remain unclear, necessitating further research into patient choices.

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Area of Science:

  • Oncology
  • Surgical Oncology
  • Health Services Research

Background:

  • Contralateral prophylactic mastectomy (CPM) is an option for women with early-stage breast cancer to reduce contralateral breast cancer risk.
  • CPM rates significantly increased in the U.S. from 1998 to 2003 for stages I-III unilateral breast cancer.
  • Breast-conserving surgery and total mastectomy offer similar survival benefits for early-stage breast cancer, making the choice preference-sensitive.

Purpose of the Study:

  • To review the literature on factors influencing the decision-making process for contralateral prophylactic mastectomy (CPM) in early-stage breast cancer patients.
  • To identify the most influential factors affecting women's surgical choices regarding CPM.
  • To highlight the need for prospective research to understand the drivers behind the increasing trend of CPM.

Main Methods:

  • Literature review of studies examining CPM decision-making in women with early-stage breast cancer.
  • Analysis of study outcome measures, focusing on demographic information and trends.
  • Identification of limitations in existing research regarding preference-sensitive decision-making factors.

Main Results:

  • Existing studies primarily rely on retrospective demographic data, revealing trends in CPM usage but not the underlying decision-making influences.
  • While demographic profiles of women choosing CPM are known, the specific reasons for their choice are not well understood.
  • Current research lacks insight into the 'why' behind the increasing rates of CPM.

Conclusions:

  • Understanding the factors influencing CPM decisions is crucial for effective patient counseling.
  • There is a significant gap in knowledge regarding the specific influences on women's choices for CPM.
  • Prospective research employing decision quality methods is needed to elucidate the factors driving CPM choices and inform patient care.