{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T10:33:20Z","timestamp":1760783600578},"reference-count":26,"publisher":"Wiley","issue":"7-8","license":[{"start":{"date-parts":[[2012,10,8]],"date-time":"2012-10-08T00:00:00Z","timestamp":1349654400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The rates of contralateral prophylactic mastectomy (<jats:styled-content style=\"fixed-case\">CPM<\/jats:styled-content>) are increasing worldwide. This study investigated <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralian and <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>ew <jats:styled-content style=\"fixed-case\">Z<\/jats:styled-content>ealand's breast surgeons' perceptions, knowledge and attitudes towards <jats:styled-content style=\"fixed-case\">CPM<\/jats:styled-content>, and explored if demographic characteristics of surgeons were associated with an increased tendency to recommend or perform <jats:styled-content style=\"fixed-case\">CPM<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross sectional research design was employed, with breast surgeons completing a self\u2010report questionnaire. The questionnaire collected information including surgeons' perceptions on <jats:styled-content style=\"fixed-case\">CPM<\/jats:styled-content> in their clinical practice, their attitudes and knowledge of <jats:styled-content style=\"fixed-case\">CPM<\/jats:styled-content> and surgeons' demographic information.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>\u2002Eighty\u2010one of 220 (37%) breast surgeons contacted via <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>reast<jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>urg<jats:styled-content style=\"fixed-case\">ANZ<\/jats:styled-content> participated in this study. Forty\u2010four\u2009per\u2009cent of surgeons perceived that the rates of <jats:styled-content style=\"fixed-case\">CPMs<\/jats:styled-content> they performed had increased over the last year. <jats:styled-content style=\"fixed-case\">CPM<\/jats:styled-content> rates were found to be unrelated to surgeons' age (<jats:italic>P<\/jats:italic> = 0.773) or gender (<jats:italic>P<\/jats:italic> = 0.941). The main reasons a surgeon recommended a <jats:styled-content style=\"fixed-case\">CPM<\/jats:styled-content> to patients included known BRCA+ mutation, family history of breast cancer and patient factors including fear and anxiety and a desire to avoid further breast cancer treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Breast surgeons perceived that rates of <jats:styled-content style=\"fixed-case\">CPM<\/jats:styled-content> were increasing in their own clinical practice. <jats:styled-content style=\"fixed-case\">CPM<\/jats:styled-content> rates were unrelated to surgeon demographics including age and gender. While surgeons are aware of the objective risk factors that make performing a <jats:styled-content style=\"fixed-case\">CPM<\/jats:styled-content> advisable, they also report taking into account subjective factors, including patient fear and anxiety and a desire for breast symmetry when recommending a <jats:styled-content style=\"fixed-case\">CPM<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1445-2197.2012.06209.x","type":"journal-article","created":{"date-parts":[[2012,10,9]],"date-time":"2012-10-09T02:19:43Z","timestamp":1349749183000},"page":"527-532","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Breast surgeons' perceptions and attitudes towards contralateral prophylactic mastectomy"],"prefix":"10.1111","volume":"83","author":[{"given":"Toni","family":"Musiello","sequence":"first","affiliation":[{"name":"School of Surgery The University of Western Australia  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emelie","family":"Bornhammar","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences Link\u00f6ping University  Link\u00f6ping Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christobel","family":"Saunders","sequence":"additional","affiliation":[{"name":"School of Surgery The University of Western Australia  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,10,8]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Breast Cancer","author":"Saunders CM","year":"2009"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-009-0547-9"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2007.12.3141"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-010-1091-3"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2010.29.4041"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10434-999-0542-1"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-009-0641-z"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0960\u20109776(09)70282\u20106"},{"key":"e_1_2_6_10_1","first-page":"548","article-title":"Increasing use of contralateral prophylactic mastectomy: a counterintuitive trend","volume":"22","author":"Wood WC","year":"2008","journal-title":"Oncology (Huntingt)"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-009-0547-9"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2004.04.033"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.1998.16.5.1969"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(00)00505-5"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2005.10.080"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djq018"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.1984.12"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1053\/ejso.1999.0711"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD002748.pub3"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1086\/301749"},{"key":"e_1_2_6_21_1","first-page":"855","article-title":"Epidemiology of contralateral breast cancer","volume":"8","author":"Chen Y","year":"1999","journal-title":"Cancer Epidemiol. 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