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Breast Reconstruction Decision Aids Decrease Decisional Conflict and Improve Decisional Satisfaction: A Randomized

Cynthia Mardinger^1,2, Anna K Steve³, Carmen Webb³

¹From McGill Universitythe.

Plastic and Reconstructive Surgery

|January 25, 2023

Summary

This summary is machine-generated.

Online decision aids for breast reconstruction significantly reduce decisional conflict and improve satisfaction. Both the BRECONDA and AHS aids were effective, empowering informed choices for women considering this procedure.

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Area of Science:

Medical decision making
Surgical oncology
Patient empowerment

Background:

Decision aids are valuable tools for women contemplating breast reconstruction.
This study evaluated two specific online decision aids: BRECONDA and AHS.

Purpose of the Study:

To compare the effectiveness of the BRECONDA and AHS online decision aids.
To assess their impact on decisional conflict, satisfaction, and regret in women considering breast reconstruction.

Main Methods:

A randomized controlled trial involving 60 women undergoing breast reconstruction consideration.
Comparison of BRECONDA and AHS decision aids via questionnaires at multiple time points.
Analysis focused on changes in decisional conflict, satisfaction, and regret.

Main Results:

Women spent significantly more time using the BRECONDA compared to the AHS aid.
Both decision aids led to decreased decisional conflict and improved decisional satisfaction.
No significant differences were found between the two aids regarding decisional conflict, satisfaction, or regret.

Conclusions:

Online decision aids are effective in reducing decisional conflict and enhancing satisfaction for women considering breast reconstruction.
Physicians should integrate these aids into consultations to facilitate informed patient decisions.
Both BRECONDA and AHS decision aids offer comparable benefits.