Exploring information provision in reconstructive breast surgery: A qualitative study

Breast. 2015 Dec;24(6):732-8. doi: 10.1016/j.breast.2015.09.003. Epub 2015 Sep 28.

Abstract

Objective: Women considering reconstructive breast surgery (RBS) require adequate information to make informed treatment decisions. This study explored patients' and health professionals' (HPs) perceptions of the adequacy of information provided for decision-making in RBS.

Methods: Semi-structured interviews with a purposive sample of patients who had undergone RBS and HPs providing specialist care explored participants' experiences of information provision prior to RBS.

Results: Professionals reported providing standardised verbal, written and photographic information about the process and outcomes of surgery. Women, by contrast, reported varying levels of information provision. Some felt fully-informed but others perceived they had received insufficient information about available treatment options or possible outcomes of surgery to make an informed decision.

Conclusions: Women need adequate information to make informed decisions about RBS and current practice may not meet women's needs. Minimum agreed standards of information provision, especially about alternative types of reconstruction, are recommended to improve decision-making in RBS.

Keywords: Breast cancer; Breast reconstruction; Decision-making; Information; Oncology; Qualitative study.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Attitude of Health Personnel*
  • Breast Neoplasms / psychology*
  • Breast Neoplasms / surgery
  • Consumer Health Information / methods
  • Decision Making
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Male
  • Mammaplasty / psychology*
  • Middle Aged
  • Patient Education as Topic / standards
  • Qualitative Research