Impact of anticipated financial burden on patient decision to undergo contralateral prophylactic mastectomy

被引:7
|
作者
Huang, Julian [1 ]
Chagpar, Anees [1 ]
机构
[1] Yale Univ, Sch Med, Dept Surg, New Haven, CT 06510 USA
关键词
QUALITY-OF-LIFE; UNILATERAL BREAST-CANCER; COST-EFFECTIVENESS; ROUTINE SURVEILLANCE; CARE DECISIONS; DATA-BASE; SATISFACTION; SURVIVORS;
D O I
10.1016/j.surg.2018.05.038
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: We sought to determine whether patients undergoing contralateral, prophylactic mastectomy have greater anticipated and actual costs and financial burden than patients undergoing unilateral mastectomy, whether these financial considerations influence surgical decision making, and whether this affects satisfaction with surgical decision and overall quality of life. Methods: Female patients with unilateral breast cancer who underwent mastectomy at a large academic institution were surveyed regarding their financial experience surrounding the decision whether to undergo contralateral, prophylactic mastectomy. Results: Of 109 patients approached, 101 completed the survey (response rate: 93%); 55 patients (55%) had contralateral, prophylactic mastectomy. Of the respondents, 16% reported that their decision was at least somewhat affected by anticipated costs. More patients opting for contralateral, prophylactic mastectomy had a "very large" anticipated financial burden than unilateral mastectomy patients (26% vs 9%, P = .037), but actual out-of-pocket costs and financial burden were similar between the two groups. Contralateral, prophylactic mastectomy patients, however, did not differ from unilateral mastectomy patients in their satisfaction with their decision nor quality of life, regardless of out-of-pocket costs or financial burden (P > .05). Conclusion: Although contralateral, prophylactic mastectomy patients are more likely to anticipate a "very large" financial burden compared with unilateral mastectomy patients, this does not seem to deter them from the contralateral procedure. (C) 2018 Elsevier Inc. All rights reserved.
引用
收藏
页码:856 / 865
页数:10
相关论文
共 50 条
  • [41] Contralateral Prophylactic Mastectomy: Anxiety, Knowledge and Shared Decision Making
    Isabelle Bedrosian
    Katherine Yao
    [J]. Annals of Surgical Oncology, 2015, 22 : 3767 - 3768
  • [42] The Partners' Perspective in Contralateral Prophylactic Mastectomy Decision-making
    Nash, Amanda
    Bloom, Diane
    Wheeler, Stephanie
    McGuire, Kandace
    Lee, Clara
    Weinfurt, Kevin
    Rosenstein, Donald
    Plichta, Jennifer
    Vann, Julie Jacobson
    Hwang, E. Shelley
    [J]. ANNALS OF SURGICAL ONCOLOGY, 2023, 30 (SUPPL 2) : S365 - S365
  • [43] Survival Outcomes After Contralateral Prophylactic Mastectomy: A Decision Analysis
    Portschy, Pamela R.
    Kuntz, Karen M.
    Tuttle, Todd M.
    [J]. JNCI-JOURNAL OF THE NATIONAL CANCER INSTITUTE, 2014, 106 (08)
  • [44] Contralateral Prophylactic Mastectomy Decision-Making: The Partners’ Perspective
    Amanda L. Nash
    Diane L. Bloom
    Brittany M. Chapman
    Stephanie B. Wheeler
    Kandace P. McGuire
    Clara N. Lee
    Kevin Weinfurt
    Donald L. Rosenstein
    Jennifer K. Plichta
    Julie C. Jacobson Vann
    E. Shelley Hwang
    [J]. Annals of Surgical Oncology, 2023, 30 : 6268 - 6274
  • [45] Contralateral Prophylactic Mastectomy in the Era of Financial Toxicity An Additional Point for Concern?
    Offodile, Anaeze C., II
    Hwang, E. Shelley
    Greenup, Rachel Adams
    [J]. ANNALS OF SURGERY, 2020, 271 (05) : 817 - 818
  • [46] Reply: Complications in unilateral breast cancer patients who undergo contralateral prophylactic mastectomy versus unilateral mastectomy
    Huang, Julian
    [J]. SURGERY, 2019, 165 (02) : 493 - 494
  • [47] Patient Factors Predictive of Unilateral Mastectomy Versus Bilateral Mastectomy Including a Contralateral Prophylactic Mastectomy
    Steward, L.
    Martin-Dunlap, T.
    Gao, F.
    Fisher, C.
    Margenthaler, J. A.
    [J]. ANNALS OF SURGICAL ONCOLOGY, 2013, 20 : S69 - S69
  • [48] Patient reported outcome and success of bilateral and contralateral prophylactic mastectomy
    Affortunati, M.
    Schrenk, P.
    Oppelt, P.
    [J]. GEBURTSHILFE UND FRAUENHEILKUNDE, 2022, 82 (10) : E38 - E38
  • [49] Patient factors and satisfaction in the choice of contralateral prophylactic mastectomy.
    Arrington, Amanda Kathleen
    London, Karin
    Chen, Steven L.
    Vito, Courtney
    Yim, John H.
    Nelson, Rebecca A.
    Kruper, Laura
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 2012, 30 (15)
  • [50] Contralateral Prophylactic Mastectomy Aligning Patient Preferences and Provider Recommendations
    Fayanju, Oluwadamilola M.
    Hwang, E. Shelley
    [J]. JAMA SURGERY, 2017, 152 (03) : 282 - 283