Data_Sheet_1_Plastic and Reconstructive Surgeons' Knowledge and Comfort of Contralateral Prophylactic Mastectomy: A Survey of the American Society of Plastic Surgeons.PDF

Background: Despite limited oncologic benefit, contralateral prophylactic mastectomy (CPM) rates have increased in the United States over the past 15 years. CPM is often accompanied by breast reconstruction, thereby requiring an interdisciplinary approach between breast and plastic surgeons. Despite this, little is known about plastic surgeons' (PS) perspectives of CPM. The purpose of this study was to assess PS practice patterns, knowledge of CPM oncologic benefits, and perceptions of the CPM decision-making process.Methods: An electronic survey was sent to 2,642 members of the American Society of Plastic Surgeons (ASPS). Questions assessed demographics, practice patterns, knowledge of CPM oncologic benefits, and perceptions of the CPM decision-making process.Results: ASPS response rate was 12.5% (n = 329). Most responders worked in private practice (69%), were male (81%) and had been in practice for ≥15 years (60%). The median number of CPM reconstructions performed per month was 2–4. Fifty-five percent of PS reported routine attendance at a breast multidisciplinary conference. Responders reported CPM discussion was most likely to be initiated by the patient (51%) followed by the breast surgeon (38%), and plastic surgeon (7.3%). According to PS, the most common reason patients choose CPM is a perceived increased contralateral cancer risk (86%). Most plastic surgeons (63%) assessed the benefits of CPM as worth the risk of additional surgery and the majority (53%) estimated the complication rate at 2X the risk of unilateral surgery. The majority (61%) of PS estimated risk of contralateral cancer in an average risk patient between

背景：尽管在肿瘤学上收益有限，但美国在过去15年中，对侧预防性乳房切除术（CPM）的比率有所上升。CPM常伴随乳房重建，因此需要乳腺外科医生与整形外科医生之间的跨学科合作。尽管如此，关于整形外科医生（PS）对CPM的看法知之甚少。本研究旨在评估PS的实践模式、对CPM肿瘤学益处的认识以及对于CPM决策过程的认知。方法：向美国整形外科医师协会（ASPS）的2,642名成员发送了电子问卷。问卷评估了人口统计学、实践模式、对CPM肿瘤学益处的认识以及对于CPM决策过程的认知。结果：ASPS的回复率为12.5%（n = 329）。大多数受访者从事私人执业（69%），为男性（81%），且执业年限在15年以上（60%）。每月平均进行的CPM重建手术次数为2-4次。55%的PS表示常规参加乳腺多学科会议。受访者报告称，CPM讨论最有可能由患者（51%）发起，其次是乳腺外科医生（38%），整形外科医生（7.3%）发起的可能性较小。据PS所述，患者选择CPM最常见的原因是感知到对侧癌症风险的增加（86%）。大多数整形外科医生（63%）认为CPM的益处值得额外手术的风险，多数（53%）估计并发症发生率为单侧手术风险的2倍。大多数（61%）的PS估计平均风险患者的对侧癌症风险。