Affordable Access

deepdyve-link
Publisher Website

Decision aid for women with newly diagnosed breast cancer seeking breast reconstruction surgery: A prospective, randomized, controlled, single-blinded, pilot study.

Authors
  • Klifto, Kevin M1
  • Khan, Hetty2
  • Manahan, Michele A2
  • Sacks, Justin M3
  • Broderick, Kristen P2
  • Aliu, Oluseyi2
  • Cooney, Damon S2
  • Cooney, Carisa M2
  • Rosson, Gedge D4
  • 1 Division of Plastic and Reconstructive Surgery, University of Missouri School of Medicine, Columbia, MO, United States. , (United States)
  • 2 Department of Plastic and Reconstructive Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, United States. , (United States)
  • 3 Division of Plastic and Reconstructive Surgery, Washington University School of Medicine in St. Louis, St. Louis, MO, United States. , (United States)
  • 4 Department of Plastic and Reconstructive Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, United States. Electronic address: [email protected] , (United States)
Type
Published Article
Journal
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
Publication Date
Oct 01, 2021
Volume
74
Issue
10
Pages
2519–2526
Identifiers
DOI: 10.1016/j.bjps.2021.03.029
PMID: 33906813
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Women undergoing immediate breast reconstruction for breast cancer often experience anxiety when faced with reconstruction and the type of reconstruction to choose. The purpose of this study is to analyze the impact of a decision aid on decisional conflict in women with newly diagnosed breast cancer seeking breast reconstruction. Newly diagnosed breast cancer patients seeking breast reconstruction at a single center were prospectively randomized into two groups. Comparisons were made between two groups using the decisional conflict scale (DCS): women who reviewed the standard educational materials prior to initial consultation (control) and women who reviewed standard materials prior to initial consultation and then reviewed a decision aid brochure at initial consultation and two-week post-consultation (intervention). Pre-to-post-consultation DCS scores were compared within and between the control groups and intervention groups to assess which group had lower DCS scores. A total of 20 patients, mean age 53±9 years were included. Median differences between pre-to-post-consultation DCS total scores in the control and intervention groups lowered from 32 to 22 and 28 to 16, respectively. Significant differences in subscores were control group: uncertainty: 54-21 (p = 0.030), and intervention group: uncertainty: 46-29 (p = 0.036) and values clarity: 29-25(p = 0.042). Pre-to-post-consultation differences between DCS scores and subscores did not demonstrate any statistical significance. Decision aids did not significantly reduce pre-operative DCS total scores compared to current educational materials. More educational materials may not always be helpful for patients. Copyright © 2021 Elsevier Ltd. All rights reserved.

Report this publication

Statistics

Seen <100 times