{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T15:18:42Z","timestamp":1776007122414,"version":"3.50.1"},"reference-count":33,"publisher":"American Public Health Association","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[1995,6]]},"abstract":"<jats:p> 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 prophylactic 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 specialty. 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 surgeons and 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. <\/jats:p>","DOI":"10.2105\/ajph.85.6.801","type":"journal-article","created":{"date-parts":[[2008,11,29]],"date-time":"2008-11-29T13:18:52Z","timestamp":1227964732000},"page":"801-805","source":"Crossref","is-referenced-by-count":39,"title":["The practice of prophylactic mastectomy: a survey of Maryland surgeons."],"prefix":"10.2105","volume":"85","author":[{"given":"F","family":"Houn","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K J","family":"Helzlsouer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N B","family":"Friedman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M E","family":"Stefanek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"844","reference":[{"key":"p_1","unstructured":"Stout H. 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Philadelphia, Pa: JB Lippincott Co; 1990:1-12."},{"key":"p_5","first-page":"171","volume":"171","author":"Wapnir IL","year":"1990","journal-title":"Surgery."},{"key":"p_6","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19840201)53:3+<803::AID-CNCR2820531332>3.0.CO;2-6"},{"key":"p_7","doi-asserted-by":"publisher","DOI":"10.1126\/science.7545954"},{"key":"p_8","doi-asserted-by":"publisher","DOI":"10.1007\/BF01570320"},{"key":"p_9","doi-asserted-by":"publisher","DOI":"10.1007\/BF01578331"},{"key":"p_10","unstructured":"Bohmert HH. Subcutaneous mastectomy: advantages and problems. In: Grundfest-Broniatowski S, Esselstyn CB Jr, eds. Controversies in Breast Disease: Diagnosis and Management. New York, NY: Marcel Dekker; 1988:235-259."},{"key":"p_11","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(1971)28:4<956::AID-CNCR2820280419>3.0.CO;2-T"},{"key":"p_12","first-page":"11","author":"Pressman PI","year":"1988","journal-title":"Prinm Care Cancer."},{"key":"p_13","unstructured":"SAS\/STAT User's Guide, Version 6. 4th ed., vol. 1 and 2. Cary, NC: SAS Institute Inc; 1989."},{"key":"p_14","first-page":"1459","volume":"147","author":"Miller AB","year":"1992","journal-title":"Can MedAssocJ."},{"key":"p_15","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/81.24.1879"},{"key":"p_16","unstructured":"Dowden RV, Grundfest-Broniatowski S. Prophylactic mastectomy: when and how? In: Grundfest-Broniatowski S, Esselstyn CB Jr, eds. Controversies in Breast Disease: Diagnosis and Management. New York, NY: Marcel Dekker; 1988:219-233."},{"key":"p_17","first-page":"11","author":"Gump F","year":"1990","journal-title":"Prim Care Cancer."},{"key":"p_18","first-page":"262","volume":"28","author":"Aryian S","year":"1985","journal-title":"Can JSurg."},{"key":"p_19","doi-asserted-by":"crossref","unstructured":"Temple WJ, Lindsay RL, Magi E, Urbanski SJ. Technical considerations for prophylactic mastectomy in patients at high risk for breast cancer.AmJSurg. 1991;161:413-415.","DOI":"10.1016\/0002-9610(91)91100-W"},{"key":"p_20","first-page":"242","volume":"28","author":"Schechter MT","year":"1985","journal-title":"Can J Surg."},{"key":"p_21","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199204233261701"},{"key":"p_22","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199204233261702"},{"key":"p_23","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a115616"},{"key":"p_24","doi-asserted-by":"crossref","unstructured":"Ziegler LD, Kroll SS. Primary breast cancer after prophylactic mastectomy. Am JClin OncoL 1991;14:451-454.","DOI":"10.1097\/00000421-199110000-00018"},{"key":"p_25","first-page":"67","volume":"99","author":"Wong JH","year":"1986","journal-title":"Surgery."},{"key":"p_26","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198904000-00011"},{"key":"p_27","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.1991.9.1.7"},{"key":"p_28","doi-asserted-by":"crossref","unstructured":"Jacobs I, Oram D. Prevention of ovarian cancer: a survey of the practice of prophylactic oophorectomy by fellows and members of the Royal College of Obstetricians and Gynaecologists. Br J Obstet GynaecoL 1989;96:510-515.","DOI":"10.1111\/j.1471-0528.1989.tb03248.x"},{"key":"p_29","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.1988.6.11.1736"},{"key":"p_30","doi-asserted-by":"crossref","unstructured":"King M-C, Rowell S, Love SM. Inherited breast and ovarian cancer: what are the risks? What are the choices? 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Bethesda, Md: Office of Medical Applications of Research, National Institutes of Health; June 18-21,1990:8(6)."}],"container-title":["American Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.85.6.801","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T18:12:23Z","timestamp":1652119943000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajph.aphapublications.org\/doi\/full\/10.2105\/AJPH.85.6.801"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1995,6]]},"references-count":33,"journal-issue":{"issue":"6","published-print":{"date-parts":[[1995,6]]}},"alternative-id":["10.2105\/AJPH.85.6.801"],"URL":"https:\/\/doi.org\/10.2105\/ajph.85.6.801","relation":{},"ISSN":["0090-0036","1541-0048"],"issn-type":[{"value":"0090-0036","type":"print"},{"value":"1541-0048","type":"electronic"}],"subject":[],"published":{"date-parts":[[1995,6]]}}}