Satisfaction High Among Breast Cancer Patients Despite Recommendations Against CPM, Study Finds

Satisfaction High Among Breast Cancer Patients Despite Recommendations Against CPM, Study Finds
A new study from the University of Michigan Comprehensive Cancer Center explored the complex relationship between newly diagnosed breast cancer and recommendations against potentially unnecessary surgery. The population-based survey, “Patient Reactions to Surgeon Recommendations About Contralateral Prophylactic Mastectomy for Treatment of Breast Cancer,“ appeared in JAMA Surgery. It found that patients are generally satisfied with their treatment, even when their surgeons dismissed contralateral prophylactic mastectomy (CPM) with little discussion. More and more women with cancer affecting a single breast are opting to have both breasts removed. Yet this procedure, known as CPM, is complicated and has not been shown to improve survival. Subsequently, surgeons are increasingly likely to counsel against CPM in women who don't have an elevated risk for a second primary breast cancer. "The increased attention to and preference for CPM among patients for whom it is not a clinical imperative is a relatively recent phenomenon," University of Michigan professor Steven J. Katz, MD, MPH, said in a press release. "It's one of many considerations on the minds of patients we know are understandably anxious and who may feel they need to make treatment decisions quickly after diagnosis." To determine the effect of an initial surgical consultation with a recommendation against CPM on patient satisfaction, researchers sent out surveys to 1,140 women with unilateral breast cancer
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