Intentions for bilateral mastectomy among newly diagnosed breast cancer patients
Article first published online: 27 DEC 2012
Copyright © 2012 Wiley Periodicals, Inc.
Journal of Surgical Oncology
Volume 107, Issue 7, pages 772–776, 1 June 2013
How to Cite
King, L., O'Neill, S. C., Spellman, E., Peshkin, B. N., Valdimarsdottir, H., Willey, S., Leventhal, K. G., DeMarco, T., Nusbaum, R., Feldman, E., Jandorf, L. and Schwartz, M. D. (2013), Intentions for bilateral mastectomy among newly diagnosed breast cancer patients. J. Surg. Oncol., 107: 772–776. doi: 10.1002/jso.23307
- Issue published online: 25 MAY 2013
- Article first published online: 27 DEC 2012
- Manuscript Accepted: 26 NOV 2012
- Manuscript Received: 29 OCT 2012
- National Cancer Institute Grant. Grant Number: R01 CA74861
- Jess and Mildred Fisher Center for Familial Cancer. American Cancer Society Grant. Grant Number: MRSG-10-110-01
- National Cancer Institute. Grant Number: P30CA051008
- breast cancer;
- young women
Recent trends suggest that bilateral mastectomy (BM) is on the rise among women diagnosed with unilateral breast cancer. Few studies have investigated the factors associated with the decision to have more aggressive surgery among young, high risk patients.
As part of a larger study, 284 women aged 50 and under completed an initial survey within 6 weeks of a breast cancer diagnosis. We assessed sociodemographics, medical and family history variables, treatment recommendations, preferences and concerns, distress, perceived risk, knowledge, and neuroticism. We used multiple regression with backward entry to assess the relationship between these variables and our outcomes of decisional conflict and intentions for BM.
Higher decisional conflict was associated with being less educated, unmarried, more anxious and less likely to have received a surgical recommendation. Preference for BM was associated with higher neuroticism, perceived risk for contralateral breast cancer, pre-testing risk of carrying a BRCA1/2 mutation, having received either a surgical recommendation (vs. no recommendation), and lower preference for lumpectomy.
For younger women, a surgical recommendation is associated with lower decisional conflict and stronger intention for BM. Results highlight the importance of effective risk communication and decision support between a woman and her surgeon. J. Surg. Oncol. 2013;107:772–776. © 2012 Wiley Periodicals, Inc.