More women may opt to have breast reconstruction after surgical treatment for cancer thanks to a computer-based decision-making aid.
The tool has helped women play a larger role in decision-making, according to results from a new study reported at the 2009 Clinical Congress of the American College of Surgeons. Women who used the computer-based learning module were more involved in choosing reconstruction than those who did not, and they believed they were offered a greater number of options for breast reconstruction. The study was conducted at Beth Israel Deaconess Medical Center and Harvard Medical School, both in Boston, MA.
Nearly three-quarters of 168 women who had access to the decision-making aid reported they were solely or mostly responsible for choosing breast reconstruction compared with a little over half of 87 women who did not use the tool. The women also retained more information and were more satisfied with the amount of information they received. Four times more women reported they had learned about four types of reconstruction if they had seen the computer-based learning module (24 percent) than those who had not (six percent). Eighty-four percent of women who used the tool were very satisfied compared with 75 percent of those who did not, according to Bernard T. Lee, MD, FACS, an instructor in plastic surgery, Beth Israel Deaconess Medical Center and Harvard Medical School.
The computer-based decision aid explains each of five breast reconstruction options, presents data on outcomes from the clinical literature, and includes pictures and diagrams. "It talks about what the surgery is like, the postoperative recovery, and the different stages of the operation. It is very comprehensive, almost encyclopedic, but in a very user-friendly sort of format," Dr. Lee said.