Qual Life Res (2017) 26:2287–2319 DOI 10.1007/s11136-017-1555-z Making decisions about breast reconstruction: A systematic review of patient-reported factors influencing choice 1,2 1,2 1,2 Kathy Flitcroft · Meagan Brennan · Andrew Spillane Accepted: 14 March 2017 / Published online: 10 April 2017 © Springer International Publishing Switzerland 2017 Abstract expectations; Fear; Timing; and Unnecessary. We found a Purpose Many studies have explored women’s reasons for strong consistency in reasons across studies, ranging from choosing or declining a particular type of breast reconstruc- 52% of relevant publications citing relationship expecta- tion (BR) following mastectomy for breast cancer. This sys- tions as a reason for choosing BR, up to 91% citing fear as tematic review synthesises women’s reasons for choosing a a reason for delaying or declining BR. Major thematic find- range of BR options, including no BR, in different settings ings were a lack of adequate information about BR, lack of and across time. genuine choice for women and additional access limitations Methods Thirteen databases were systematically due to health system barriers. searched, with 30 studies (4269 participants), meeting the Conclusions Understanding women’s reasons for want- selection criteria. Information on study aim and time frame, ing or not wanting BR can assist clinicians to help women
Quality of Life Research – Springer Journals
Published: Apr 10, 2017
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