logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. Fulltext. The practice of prophylactic mastectomy : a survey of Maryland surgeons.

    Article - En anglais

    Fulltext.

    Objectives

    Bilateral prophylactic mastectomy is a drastic breast cancer preventive option for which indications are not standardized and efficacy has not been proven.

    To estimate the magnitude of this controversial practice, surgeons were surveyed on their recommendations about and performance of prophylolactic mastectomy.

    Methods

    A cross-sectional survey was sent to general surgeons (n=522), plastic surgeons (n=80), and gynecologists (n=801) licensed to practice in Maryland in 1992.

    Proportions responding were 41.9%, 66.3%, and 54.9%, respectively.

    In addition, there were 30 respondents who identified « other » as their speciality.

    The respondents were asked about the role of bilateral prophylactic mastectomy and the number of times they had recommended and performed it in a year.

    Results

    Seven hundred forty-two surgeons responded (51.8%). More plastic surgeons (84.6%) than general surgeons (47.0%) and gynecologists (38.3%) agreed that bilateral prophylactic mastectomy has a role in the care of high-risk women.

    Eighty-one percent of plastic surgeons had recommended the procedure, compared with 38.8% of general with 17.7% of gynecologists.

    Conclusions

    Indications and practice patterns reveal heterogeneity of medical opinion and practice of prophylactic mastectomy.

    This study raises the need for better evaluation of the efficacy and appropriateness of prophylactic mastectomy.

    Mots-clés Pascal : Tumeur maligne, Glande mammaire, Prévention, Mastectomie, Homme, Femelle, Indication, Maryland, Etats Unis, Amérique du Nord, Amérique, Glande mammaire pathologie, Chirurgie

    Mots-clés Pascal anglais : Malignant tumor, Mammary gland, Prevention, Mastectomy, Human, Female, Indication, Maryland, United States, North America, America, Mammary gland diseases, Surgery

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0349002

    Code Inist : 002B20E02. Création : 01/03/1996.