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- Title
Satisfaction with ovarian carcinoma risk-reduction strategies among women at high risk for breast and ovarian carcinoma.
- Authors
Westin, Shannon N.; Sun, Charlotte C.; Lu, Karen H.; Schmeler, Kathleen M.; Soliman, Pamela T.; Lacour, Robin A.; Johnson, Kristin G.; Daniels, Molly S.; Arun, Banu K.; Peterson, Susan K.; Bodurka, Diane C.
- Abstract
BACKGROUND: Women who are at high risk for breast and ovarian cancer have 2 major management options to reduce their risk of ovarian cancer: periodic screening (PS) or risk-reducing salpingo-oophorectomy (RRSO). Little is known regarding patient satisfaction levels with risk-reduction strategies. Thus, the authors sought to determine levels of patient satisfaction with PS versus RRSO and to identify factors that may influence satisfaction. METHODS: As part of a larger study, women who received testing for the breast cancer genes BRCA1 and BRCA2 were sent a follow-up questionnaire packet to explore issues related to cancer risk reduction. The authors report on the results from a variety of validated instruments, including the Satisfaction With Decision (SWD) scale, focused on the choice between PS and RRSO. RESULTS: In total, 544 surveys were mailed, and 313 responses were received (58%). The overall satisfaction rate among respondents was high. The median SWD score was significantly higher in the RRSO group compared with the PS group (P < .001). BRCA mutation carriers had higher median SWD scores regardless of management type (P = .01). Low satisfaction scores were associated with high levels of uncertainty and the perception that the decision between PS and RRSO was difficult to make (P = .001). Satisfaction was unrelated to demographics, clinical factors, or concerns of cancer risk. CONCLUSIONS: In the current study, the majority of women who were at high risk for breast and ovarian cancer were satisfied with their choice of risk-reduction strategy. Difficulty with decision making was associated with lower satisfaction levels. Improved education and support through the decision-making process may enhance overall levels of satisfaction.
- Subjects
CANCER in women; BREAST cancer; OVARIAN cancer; OVARIECTOMY; DECISION making; PATIENT satisfaction
- Publication
Cancer (0008543X), 2011, Vol 117, Issue 12, p2659
- ISSN
0008-543X
- Publication type
Article
- DOI
10.1002/cncr.25820