Optimizing Decision Making about Breast Reconstruction after Mastectomy: A Patient-Centered Approach, United States, 2017

Breast reconstruction after mastectomy is an important part of breast cancer treatment for many patients. Breast reconstruction can restore quality of life after mastectomy, but its complication risk is quite high. Many patients and surgeons lack knowledge of that risk, and reconstruction decisions often misalign with patient preferences about risk, appearance, and recovery. Although clinical decision tools exist for a variety of treatments, tools designed to support breast reconstruction decisions, particularly about type and timing of reconstruction, are lacking. The objective of this project was to develop and test a clinical decision tool that is risk stratified and reflective of patients' preferences and clinical needs. The study team conducted qualitative interviews with patients and clinicians exploring their decision-making process about breast reconstruction. The study team used this information about stakeholder needs and preferences to inform the development of a decision tool.