LAUSR

The rate of contralateral prophylactic mastectomy in women with unilateral average-risk breast cancer has increased significantly in the past decade. Our study was conducted in response to a recently published position statement from the American Society of Breast Surgeons concluding that contralateral prophylactic mastectomy should be discouraged for an average-risk woman with unilateral breast cancer due to lack of oncologic benefit. These conclusions identify a need for guidance to support shared decision-making around contralateral prophylactic mastectomy between patients and clinicians. The objective of our study is to identify the decisional needs of practitioners treating breast cancer patients with the option of prophylactic contralateral mastectomy. A practitioner needs assessment was conducted to establish desired roles in decision-making, decisional needs, values-based preferences, and potential strategies for overcoming barriers in the provision of decision support. PRESENT