Discussions about contralateral prophylactic mastectomy among surgical oncology providers and women with sporadic breast cancer: a content analysis

摘要: Rates of contralateral prophylactic mastectomy (CPM) have risen substantially, yet little is known about how and to what extent CPM discussed within surgical oncology visits at the time treatment decision-making. We examined discussions in naturally occurring interactions between sporadic breast cancer patients their providers. Women with early-stage unilateral disease were recruited before first visit completed brief questionnaires determine study eligibility interest options. After visits, enrolled providers assessing discussion CPM. Audio-recorded from 36 unique randomly selected, transcribed, analyzed. A was present 28 transcripts. Approximately half initiated by patient or provider. The topic most frequently introduced while reviewing available Patients interested pursuing reduce risk future cancer. Providers responded offering information (e.g., disease). high level agreement found among patient, provider, observer ratings whether not discussed. consistently our sample. Results can be used build providers' skills bring provider-patient communication more line best practices recommendations leading professional medical societies.