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Breast surgeons perceptions and attitudes towards contralateral prophylactic mastectomy
University of Western Australia, Australia .
Linköping University, Faculty of Health Sciences.
University of Western Australia, Australia .
2013 (English)In: ANZ journal of surgery, ISSN 1445-1433, E-ISSN 1445-2197, Vol. 83, no 7-8, 527-532 p.Article in journal (Refereed) Published
Abstract [en]

Background: The rates of contralateral prophylactic mastectomy (CPM) are increasing worldwide. This study investigated Australian and New Zealands breast surgeons perceptions, knowledge and attitudes towards CPM, and explored if demographic characteristics of surgeons were associated with an increased tendency to recommend or perform CPM. less thanbrgreater than less thanbrgreater thanMethods: A cross sectional research design was employed, with breast surgeons completing a self-report questionnaire. The questionnaire collected information including surgeons perceptions on CPM in their clinical practice, their attitudes and knowledge of CPM and surgeons demographic information. less thanbrgreater than less thanbrgreater thanResults: Eighty-one of 220 (37%) breast surgeons contacted via BreastSurgANZ participated in this study. Forty-four per cent of surgeons perceived that the rates of CPMs they performed had increased over the last year. CPM rates were found to be unrelated to surgeons age (P = 0.773) or gender (P = 0.941). The main reasons a surgeon recommended a CPM to patients included known BRCA+ mutation, family history of breast cancer and patient factors including fear and anxiety and a desire to avoid further breast cancer treatment. less thanbrgreater than less thanbrgreater thanConclusions: Breast surgeons perceived that rates of CPM were increasing in their own clinical practice. CPM rates were unrelated to surgeon demographics including age and gender. While surgeons are aware of the objective risk factors that make performing a CPM advisable, they also report taking into account subjective factors, including patient fear and anxiety and a desire for breast symmetry when recommending a CPM.

Place, publisher, year, edition, pages
Wiley-Blackwell , 2013. Vol. 83, no 7-8, 527-532 p.
Keyword [en]
attitudes, breast cancer, breast surgery, contralateral prophylactic mastectomy, surgeons
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-97457DOI: 10.1111/j.1445-2197.2012.06209.xISI: 000322318000016OAI: diva2:647772

Funding Agencies|Friends of Breast Cancer||

Available from: 2013-09-12 Created: 2013-09-12 Last updated: 2013-09-12

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