Physician Knowledge of Breast Cancer Recurrence and Contralateral Breast Cancer Risk is Associated with Increased Recommendations for Contralateral Prophylactic Mastectomy: a Survey of Physicians at NAPBC-Accredited Centers

Background Physician recommendation for contralateral prophylactic mastectomy (CPM) has been shown to influence whether a patient chooses CPM. Few studies have explored physician knowledge about contralateral breast cancer (CBC) and local recurrence (LR) risk and whether knowledge is associated with...

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Bibliographic Details
Published in:Annals of surgical oncology 2019-10, Vol.26 (10), p.3080-3088
Main Authors: Kantor, Olga, Chang, Cecilia, Bleicher, Richard J., Moran, Meena, Connolly, James L., Kurtzman, Scott H., Yao, Katharine
Format: Article
Language:English
Subjects:
Adult
Aged
Anxiety
Breast cancer
Breast Neoplasms - pathology
Breast Neoplasms - surgery
Cross-Sectional Studies
Estrogen receptors
Female
Health Knowledge, Attitudes, Practice
Humans
Knowledge
MAMMARY GLANDS
Mastectomy
Mastectomy - methods
MEDICAL PERSONNEL
Medicine
Medicine & Public Health
Middle Aged
Neoplasm Recurrence, Local - pathology
Neoplasm Recurrence, Local - surgery
NEOPLASMS
Oncology
Patient Selection
PATIENTS
Physicians
Physicians - statistics & numerical data
Practice Patterns, Physicians' - statistics & numerical data
Prognosis
RADIOLOGY AND NUCLEAR MEDICINE
RECOMMENDATIONS
Risk Factors
Scientific Presentation Award
Surgeons
SURGERY
Surgical Oncology
Surveys and Questionnaires
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Summary:Background Physician recommendation for contralateral prophylactic mastectomy (CPM) has been shown to influence whether a patient chooses CPM. Few studies have explored physician knowledge about contralateral breast cancer (CBC) and local recurrence (LR) risk and whether knowledge is associated with recommendation for CPM. Methods We conducted a cross-sectional survey of physicians at National Accreditation Program for Breast Centers-accredited breast centers across the USA. Physician knowledge levels of CBC and LR were assessed and correlated with recommendations for CPM. Results A total of 2412 physicians were surveyed with a 51% response rate ( n  = 1226). The results showed that 66% had correct knowledge about CBC risk and 57% had correct knowledge about LR. Moreover, 634 had high knowledge, viz. 176 (55.4%) breast surgeons, 171 (58.0%) medical oncologists, 196 (62.0%) radiation oncologists, and 72 (29.9%) plastic surgeons ( p  
ISSN:1068-9265
1534-4681
1534-4681
DOI:10.1245/s10434-019-07559-6