Social network, surgeon, and media influence on the decision to undergo contralateral prophylactic mastectomy

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dc.contributor.authorVenetis, Maria
dc.contributor.authorMacGeorge, Erina
dc.contributor.authorBaptiste, Dadrie F.
dc.contributor.authorMouton, Ashton
dc.contributor.authorFriley, Lorin B.
dc.contributor.authorPastor, Rebekah
dc.contributor.authorHatten, Kristen
dc.contributor.authorLagoo, Janaka
dc.contributor.authorBowling, Monet W.
dc.contributor.authorClare, Susan E.
dc.contributor.authorVenetis, Maria
dc.contributor.authorMacGeorge, Erina
dc.contributor.authorBaptiste, Dadrie F.
dc.contributor.authorMouton, Ashton
dc.contributor.authorFriley, Lorin B.
dc.contributor.authorPastor, Rebekah
dc.contributor.authorHatten, Kristen
dc.contributor.authorLagoo, Janaka
dc.contributor.authorBowling, Monet W.
dc.contributor.authorClare, Susan E.
dc.creator.orcidhttps://orcid.org/0000-0002-6710-1776en_US
dc.creator.orcidhttps://orcid.org/0000-0003-0534-6038en_US
dc.creator.orcidhttps://orcid.org/0000-0003-1035-5473en_US
dc.creator.orcidhttps://orcid.org/0000-0001-8538-0716en_US
dc.creator.orcidhttps://orcid.org/0000-0002-6710-1776
dc.creator.orcidhttps://orcid.org/0000-0003-0534-6038
dc.creator.orcidhttps://orcid.org/0000-0003-1035-5473
dc.creator.orcidhttps://orcid.org/0000-0001-8538-0716
dc.date.accessioned2022-03-28T20:52:57Z
dc.date.available2022-03-28T20:52:57Z
dc.date.issued2018-06
dc.date.issued2018-06
dc.description.abstractObjectives: The rate of contralateral prophylactic mastectomy (CPM) has risen sharply in the past decade. The current study was designed to examine social network, surgeon, and media influence on patients’ CPM decision-making, examining not only who influenced the decision, and to what extent, but also the type of influence exerted. Methods: Patients (N=113) who underwent CPM at 4 Indiana University–affiliated hospitals between 2008 and 2012 completed structured telephone interviews in 2013. Questions addressed the involvement and influence of the social network (family, friends, and nonsurgeon health professionals), surgeon, and media on the CPM decision. Results: Spouses, children, family, friends, and health professionals were reported as exerting a meaningful degree of influence on patients’ decisions, largely in ways that were positive or neutral toward CPM. Most surgeons were regarded as providing options rather than encouraging or discouraging CPM. Media influence was present, but limited. Conclusions: Patients who choose CPM do so with influence and support from members of their social networks. Reversing the increasing choice of CPM will require educating these influential others, which can be accomplished by encouraging patients to include them in clinical consultations, and by providing patients with educational materials that can be shared with their social networks. Surgeons need to be perceived as having an opinion, specifically that CPM should be reserved for those patients for whom it is medically indicated.en_US
dc.identifier.citationVenetis, M.K., MacGeorge, E.L., Baptiste, D.F., Mouton, A., Friley, L.B., Pastor, R., Hatten, K., Lagoo, J., Bowling, M.W. and Clare, S.E., 2018. Social network, surgeon, and media influence on the decision to undergo contralateral prophylactic mastectomy. American journal of clinical oncology, 41(6), p.519.en_US
dc.identifier.doihttps://dx.doi.org/10.1097%2FCOC.0000000000000321
dc.identifier.doihttps://dx.doi.org/10.1097%2FCOC.0000000000000321
dc.identifier.urihttps://hdl.handle.net/1969.6/90333
dc.identifier.urihttps://hdl.handle.net/1969.6/90333
dc.language.isoen_USen_US
dc.publisherLippincott, Williams & Wilkinsen_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectbreasten_US
dc.subjectcanceren_US
dc.subjectdecision-makingen_US
dc.subjectprophylacticen_US
dc.subjectsocial networksen_US
dc.titleSocial network, surgeon, and media influence on the decision to undergo contralateral prophylactic mastectomyen_US
dc.typeArticleen_US

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