2019
DOI: 10.1245/s10434-019-07561-y
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Exploring Surgeon Variability in Recommendations for Contralateral Prophylactic Mastectomy: What Matters Most?

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Cited by 3 publications
(5 citation statements)
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“…Also, there is a wide variation in surgeon recommendations regarding CPM and surgeons' approaches to the discussion with the patient. Just 25.7% of all sampled surgeons always used the ASBrS guidelines, whereas 42.5% used them not very often and 12.3% never [88]. In a large study based on surveys [89], only 55% of breast surgeons had high knowledge regarding contralateral breast cancer, and low knowledge was significantly associated with favoring CPM.…”
Section: Patient Rationales For Choosing Contralateral Prophylactic Mmentioning
confidence: 99%
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“…Also, there is a wide variation in surgeon recommendations regarding CPM and surgeons' approaches to the discussion with the patient. Just 25.7% of all sampled surgeons always used the ASBrS guidelines, whereas 42.5% used them not very often and 12.3% never [88]. In a large study based on surveys [89], only 55% of breast surgeons had high knowledge regarding contralateral breast cancer, and low knowledge was significantly associated with favoring CPM.…”
Section: Patient Rationales For Choosing Contralateral Prophylactic Mmentioning
confidence: 99%
“…In a large study based on surveys [89], only 55% of breast surgeons had high knowledge regarding contralateral breast cancer, and low knowledge was significantly associated with favoring CPM. Despite the higher risk of distant metastasis, surgeons were more likely to recommend CPM to patients with stage III disease compared to stage I [88]. Katz et al [87] found that in almost one third of the cases (32.3%), surgeons had no substantial discussion about CPM with their patients before a decision was made.…”
Section: Patient Rationales For Choosing Contralateral Prophylactic Mmentioning
confidence: 99%
“…In a study conducted by Taylor et al (2019), a survey was sent out to the American Society of Breast Surgeons membership, to investigate what factors affect the recommendation for CPM, confidence in this recommendation, as well as awareness of the American Society of Breast Surgeons guidelines regarding CPM. This survey included vignettes that varied patient age, disease stage, receptor status, family history, and patient preference for CPM, and then asked responders if they would recommend CPM and their confidence in this recommendation.…”
Section: The Influence Of Surgeons On Treatment Of Women With Cancermentioning
confidence: 99%
“…Taylor et al (2019) investigated what factors affect breast surgeon recommendation for contralateral prophylactic mastectomy (CPM), confidence in this recommendation, as well as awareness of the American Society of Breast Surgeons guidelines regarding CPM. It was noted that recommendation of CPM and confidence in this recommendation was higher in younger patients, higher-stage disease, triple-negative, and human epidermal growth factor receptor 2 (HER2) positive relative to estrogen receptor (ER) positive, and in women with a family history of breast cancer (Taylor et al, 2019). This study demonstrates that many factors can influence the course of treatment a breast surgeon recommends.…”
Section: What This Paper Adds To the Topicmentioning
confidence: 99%
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