Department of Surgery, Yale University School of Medicine, 310 Cedar Street, Lauder Hall 118, New Haven, CT, 06510, USA.
Department of Surgery, Yale University School of Medicine, 310 Cedar Street, Lauder Hall 118, New Haven, CT, 06510, USA.
Am J Surg. 2020 Jun;219(6):1036-1038. doi: 10.1016/j.amjsurg.2019.09.021. Epub 2019 Sep 21.
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.
CPM patients at a large academic institution were surveyed regarding factors associated with their CPM decision, and their satisfaction with the same.
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).
Those who use other cancer patients' experiences to aid in their surgical decision-making enjoy a higher satisfaction with their decision.
对侧预防性乳房切除术（CPM）的比率正在上升，并且有许多资源可帮助患者做出决策。我们旨在确定这些资源的使用频率，以及它们的使用是否会影响对 CPM 手术决策的满意度。
对一家大型学术机构的 CPM 患者进行了调查，以了解与他们的 CPM 决策相关的因素及其对该决策的满意度。
在 58 名接受调查的 CPM 患者中，有 55 名完成了调查，平均 SWD 评分为 4.85（范围为 3.00-5.00）。CPM 患者最常引用的资源包括伴侣意见（47.3%）、家庭意见（45.5%）、其他癌症患者的经历（38.2%）和信息网站（38.2%）。在控制影响 SWD 的其他因素的多变量分析中，使用其他癌症患者的经历预测了高于平均水平的 SWD（p=0.049）。
那些利用其他癌症患者的经历来辅助手术决策的人对自己的决策满意度更高。
