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Effect of decision-making resources on satisfaction with decision to undergo contralateral prophylactic mastectomy
1Department of Surgery, Yale University School of Medicine, 310 Cedar Street, Lauder Hall 118, New Haven, CT, 06510, USA.
Background:
Rates of contralateral prophylactic mastectomy (CPM) are increasing, and there are many resources available to help patients with decision-making. We sought to determine how often these were used, and whether their use influenced satisfaction with decision to pursue CPM.
Methods:
CPM patients at a large academic institution were surveyed regarding factors associated with their CPM decision, and their satisfaction with the same.
Results:
Of 58 CPM patients approached to participate, 55 completed the survey with a mean SWD score of 4.85 (range 3.00-5.00). Partner opinion (47.3%), family opinion (45.5%), other cancer patients' experiences (38.2%), and informational websites (38.2%) were the most frequently cited resources used by CPM patients. On multivariate analysis, controlling for other factors affecting SWD, use of other cancer patients' experiences predicted above average SWD (p = 0.049).
Conclusion:
Those who use other cancer patients' experiences to aid in their surgical decision-making enjoy a higher satisfaction with their decision.
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