Surgeon Influence on Variation in Receipt of Contralateral Prophylactic Mastectomy for Women With Breast Cancer.

ABSTRACT:

Importance

Rates of contralateral prophylactic mastectomy (CPM) have markedly increased but we know little about the influence of surgeons on variability of the procedure in the community.

Objective

To quantify the influence of the attending surgeon on rates of CPM and clinician attitudes that explained it.

Design, setting, and participants

In this population-based survey study, we identified 7810 women with stages 0 to II breast cancer treated in 2013 to 2015 through the Surveillance, Epidemiology, and End Results registries of Georgia and Los Angeles County. Surveys were sent approximately 2 months after surgery. Surveys were also sent to 488 attending surgeons identified by the patients.

Main outcomes and measures

We conducted multilevel analyses to examine

SUBMITTER: Katz SJ 

PROVIDER: S-EPMC5833615 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature