Decision-Making About Breast Reconstruction After Mastectomy Among Ethnic Minority Women: An Exploratory Study of Qualitative Themes
- Interview black and Latina women about their reasons for choosing to have, or not to
have, breast reconstruction after mastectomy for breast cancer.
- Describe the context in which black and Latina women make decisions about breast
- Explore similarities and differences in factors affecting decision-making among black
and Latina women.
- Identify factors that contribute to the low utilization of breast reconstruction among
ethnic minority women.
OUTLINE: This is a multicenter study.
Patients undergo a 1-hour interview to evaluate their rationale for choosing to have, or not
to have, breast reconstruction after mastectomy. Interviews are conducted by a woman of the
same ethnic background as the patient. Key factors influencing a patient's decision to
consider having breast reconstruction are explored during the interview, including
availability of educational materials on breast reconstruction and the adequacy of this
information. Patients are asked to examine personal factors influencing their decision, such
as feelings about living with or without a reconstructed breast; concerns about
reconstructive surgery and its risks; potential complications; and impact of reconstructive
surgery on sexuality and body image. Social and cultural factors are also evaluated,
including influence of family and friends; degree of support for the patient's decision to
have surgery; racial or ethnic differences in patient's preferences; and cultural values.
Access-related factors, such as financial cost, insurance availability, or physician
referral practices, are also explored.
At the end of the interview, patients may be referred to Memorial Sloan-Kettering Cancer
Center or Ralph Lauren Center for Cancer Care and Prevention for oncologic surveillance or
for additional information on breast reconstruction. Patients may also be contacted after
the interview to answer follow-up questions, to clarify topics previously discussed, or to
provide further input or feedback on preliminary study findings.
Observational Model: Cohort, Time Perspective: Prospective
Self-reported reasons among black and Latina women for choosing to have, or not to have, breast reconstruction after mastectomy
Andrea L. Pusic, MD, MHS
Memorial Sloan-Kettering Cancer Center
United States: Institutional Review Board
|Memorial Sloan-Kettering Cancer Center||New York, New York 10021|
|University of Michigan Comprehensive Cancer Center||Ann Arbor, Michigan 48109-0752|
|Ralph Lauren Center for Cancer Care and Prevention||New York, New York 10035|
|New School for Social Research||New York, New York 10003|
|Spirit of Hope||New York, New York 10030|
|SHARE, Incorporated||New York, New York 10036|