Patients' decision-making in a UK specialist centre with high mastectomy rates

Ballinger, Rachel S., Mayer, Karl Fortes, Lawrence, Gill and Fallowfield, Lesley J. (2008) Patients' decision-making in a UK specialist centre with high mastectomy rates. Breast, 17 (6). pp. 574-579. ISSN 0960-9776

Full text not available from this repository.


A national audit identified one breast cancer unit as having the highest mastectomy rate in the UK: 50% compared to a national average of 14% for cancers <15mm in diameter. This anomaly needed investigation. A questionnaire was sent within 2 years of their surgery to 189 breast cancer patients probing perceived surgical choice, factors in decision-making and usefulness of information. One hundred thirty-one (69%) replied, of these 97 (74%) felt they had choice of surgery. Of these, the most important factor was minimising worry about recurrence. However, only 16% knew that recurrence rates were different between types of surgery. Sixty-one percent felt their healthcare professionals had surgical preferences for them, believed that clinical issues determined these preferences, but still knew the choice was theirs. The extent to which surgical choice is offered and patients are made aware that it is their choice, may account for the high mastectomy rate in this unit.

Item Type: Article
Additional Information: Rachel Ballinger is the corresponding author.
Keywords: mastectomy rates, patient decision making, questionnaire, surgical choice
Schools and Departments: Brighton and Sussex Medical School > Sussex Health Outcomes Research & Education in Cancer (SHORE-C)
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine > RA0001 Medicine and the state. Including medical statistics, medical economics, provisions for medical care, medical sociology > RA0418 Medicine and society. Social medicine. Medical sociology
R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology Including cancer and carcinogens
R Medicine > RD Surgery > RD0651 Neoplasms. Tumors. Oncology
R Medicine > RG Gynecology and obstetrics > RG0491 Diseases of the breast
Related URLs:
Depositing User: Tracy Woodcock
Date Deposited: 26 Aug 2011 14:38
Last Modified: 30 Nov 2012 16:55
Google Scholar:2 Citations
📧 Request an update