Patient values in breast cancer surgical decision-making - The WhySurg study

Marie Fefferman; Kristine Kuchta; Kyra Nicholson; Deanna Attai; David Victorson; Catherine Pesce; Katherine Kopkash; Elizabeth Poli; Thomas W. Smith; Katharine Yao

doi:10.1016/j.amjsurg.2023.10.010

Patient values in breast cancer surgical decision-making - The WhySurg study

Marie Fefferman, Kristine Kuchta, Kyra Nicholson, Deanna Attai, David Victorson, Catherine Pesce, Katherine Kopkash, Elizabeth Poli, Thomas W. Smith, Katharine Yao^*

^*Corresponding author for this work

Medical Social Sciences

Research output: Contribution to journal › Article › peer-review

Abstract

Background: The objective of this study was to describe patient values and personality traits associated with breast surgery choice for patients with breast cancer. Methods: A survey based on qualitative patient interviews and the Big-Five personality trait profile was distributed to Love Research Army volunteers aged 18–70 years old who underwent breast cancer surgery from 2009 to 2020. Multivariable logistic regression analysis was used to determine independent patient values and personality traits for the choice of breast-conserving surgery (BCS), unilateral mastectomy (UM) and bilateral mastectomy (BM). Results: 1497 participants completed the survey. Open-mindedness was associated with UM and sociability was associated with BM. A majority of patients prioritized cancer outcomes. Compared to BM patients, BCS and UM patients were significantly more likely to choose values associated with maintaining their self-image, optimizing surgical recovery, and following their doctor's recommendation. Conclusions: Other values besides cancer outcomes differentiate patient surgical choice for BCS or mastectomy.

Original language	English (US)
Pages (from-to)	137-145
Number of pages	9
Journal	American journal of surgery
Volume	227
DOIs	https://doi.org/10.1016/j.amjsurg.2023.10.010
State	Published - Jan 2024

Funding

This work was supported in part by a grant from the John Wayne Cancer Foundation .

Keywords

Big-Five Inventory
Breast cancer
Breast surgery
Decision-making
Personality

ASJC Scopus subject areas

Surgery

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.amjsurg.2023.10.010

Cite this

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title = "Patient values in breast cancer surgical decision-making - The WhySurg study",

abstract = "Background: The objective of this study was to describe patient values and personality traits associated with breast surgery choice for patients with breast cancer. Methods: A survey based on qualitative patient interviews and the Big-Five personality trait profile was distributed to Love Research Army volunteers aged 18–70 years old who underwent breast cancer surgery from 2009 to 2020. Multivariable logistic regression analysis was used to determine independent patient values and personality traits for the choice of breast-conserving surgery (BCS), unilateral mastectomy (UM) and bilateral mastectomy (BM). Results: 1497 participants completed the survey. Open-mindedness was associated with UM and sociability was associated with BM. A majority of patients prioritized cancer outcomes. Compared to BM patients, BCS and UM patients were significantly more likely to choose values associated with maintaining their self-image, optimizing surgical recovery, and following their doctor's recommendation. Conclusions: Other values besides cancer outcomes differentiate patient surgical choice for BCS or mastectomy.",

keywords = "Big-Five Inventory, Breast cancer, Breast surgery, Decision-making, Personality",

author = "Marie Fefferman and Kristine Kuchta and Kyra Nicholson and Deanna Attai and David Victorson and Catherine Pesce and Katherine Kopkash and Elizabeth Poli and Smith, {Thomas W.} and Katharine Yao",

note = "Publisher Copyright: {\textcopyright} 2023 Elsevier Inc.",

year = "2024",

month = jan,

doi = "10.1016/j.amjsurg.2023.10.010",

language = "English (US)",

volume = "227",

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journal = "American journal of surgery",

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AU - Fefferman, Marie

AU - Kuchta, Kristine

AU - Nicholson, Kyra

AU - Attai, Deanna

AU - Victorson, David

AU - Pesce, Catherine

AU - Kopkash, Katherine

AU - Poli, Elizabeth

AU - Smith, Thomas W.

AU - Yao, Katharine

PY - 2024/1

Y1 - 2024/1

N2 - Background: The objective of this study was to describe patient values and personality traits associated with breast surgery choice for patients with breast cancer. Methods: A survey based on qualitative patient interviews and the Big-Five personality trait profile was distributed to Love Research Army volunteers aged 18–70 years old who underwent breast cancer surgery from 2009 to 2020. Multivariable logistic regression analysis was used to determine independent patient values and personality traits for the choice of breast-conserving surgery (BCS), unilateral mastectomy (UM) and bilateral mastectomy (BM). Results: 1497 participants completed the survey. Open-mindedness was associated with UM and sociability was associated with BM. A majority of patients prioritized cancer outcomes. Compared to BM patients, BCS and UM patients were significantly more likely to choose values associated with maintaining their self-image, optimizing surgical recovery, and following their doctor's recommendation. Conclusions: Other values besides cancer outcomes differentiate patient surgical choice for BCS or mastectomy.

AB - Background: The objective of this study was to describe patient values and personality traits associated with breast surgery choice for patients with breast cancer. Methods: A survey based on qualitative patient interviews and the Big-Five personality trait profile was distributed to Love Research Army volunteers aged 18–70 years old who underwent breast cancer surgery from 2009 to 2020. Multivariable logistic regression analysis was used to determine independent patient values and personality traits for the choice of breast-conserving surgery (BCS), unilateral mastectomy (UM) and bilateral mastectomy (BM). Results: 1497 participants completed the survey. Open-mindedness was associated with UM and sociability was associated with BM. A majority of patients prioritized cancer outcomes. Compared to BM patients, BCS and UM patients were significantly more likely to choose values associated with maintaining their self-image, optimizing surgical recovery, and following their doctor's recommendation. Conclusions: Other values besides cancer outcomes differentiate patient surgical choice for BCS or mastectomy.

KW - Big-Five Inventory

KW - Breast cancer

KW - Breast surgery

KW - Decision-making

KW - Personality

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Patient values in breast cancer surgical decision-making - The WhySurg study

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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