caa a22 4500 445333995 CHVBK 20180317142747.0 cr unu---uuuuu 170323e20110901xx s 000 0 eng 10.1245/s10434-011-1582-x doi (NATIONALLICENCE)springer-10.1245/s10434-011-1582-x The Choice for Breast Cancer Surgery: Can Women Accurately Predict Postoperative Quality of Life and Disease-Related Stigma? [Elektronische Daten] [Jennifer Waljee, Peter Ubel, Dunya Atisha, Emily Hu, Amy Alderman] Background: To make an informed choice, breast cancer patients facing surgery must imagine the effect of surgery on their future life experiences. However, the accuracy of patient predictions of postoperative quality of life (QoL) and disease-related stigma is not well understood. Materials and Methods: Four groups of breast cancer patients at the University of Michigan Medical Center were surveyed by mail and interview (response rate 76.3%): (1) preoperative (N=59), (2) mastectomy (N=146), (3) mastectomy with reconstruction (N=250), and (4) breast conservation (N=705). Subjects rated their QoL (1=lowest, 100=highest) and stigma (1=lowest, 5=highest) and estimated QoL and stigma associated with mastectomy alone, mastectomy with reconstruction, and breast conserving surgery (BCS). Mean scores were compared using linear regression controlling for age, race, partnered status, and income. Results: Preoperatively, women inaccurately predicted postoperative QoL and stigma for all surgical options, particularly for mastectomy. Preoperative patients underestimated the postoperative QoL for mastectomy alone (predicted: 56.8 vs actual: 83.7; P<.001). Preoperative patients underestimated QoL following mastectomy following reconstruction (predicted: 73.4 vs actual: 83.9; P<.001) and BCS (predicted: 72.2 vs actual: 88.6; P<.001). Additionally, preoperative patients overestimated stigma related to mastectomy (predicted: 3.25 vs actual: 2.43; P<.001). Finally, preoperative women overestimated stigma related to mastectomy with reconstruction (predicted: 2.54 vs actual: 2.03; P<.001) and BCS (predicted: 1.90 vs actual: 1.76; P<.001). Conclusion: Predicting QoL and stigma following breast cancer surgery is challenging for patients facing a diagnosis for surgery. Identifying strategies to better inform patients of surgical outcomes can improve the decision-making process. Society of Surgical Oncology, 2011 Waljee Jennifer Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor, Michigan aut Ubel Peter Fuqua School of Business, Duke University, Durham, North Carolina aut Atisha Dunya Division of Plastic, Reconstructive, Maxillofacial, and Oral Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina aut Hu Emily Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor, Michigan aut Alderman Amy Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor, Michigan aut Annals of Surgical Oncology Springer-Verlag 18/9(2011-09-01), 2477-2482 1068-9265 18:9<2477 2011 18 10434 https://doi.org/10.1245/s10434-011-1582-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1245/s10434-011-1582-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Waljee Jennifer Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor, Michigan aut NATIONALLICENCE 700 1- Ubel Peter Fuqua School of Business, Duke University, Durham, North Carolina aut NATIONALLICENCE 700 1- Atisha Dunya Division of Plastic, Reconstructive, Maxillofacial, and Oral Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina aut NATIONALLICENCE 700 1- Hu Emily Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor, Michigan aut NATIONALLICENCE 700 1- Alderman Amy Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor, Michigan aut NATIONALLICENCE 773 0- Annals of Surgical Oncology Springer-Verlag 18/9(2011-09-01), 2477-2482 1068-9265 18:9<2477 2011 18 10434 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer