FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2497371092> ?p ?o ?g. }

• W2497371092 abstract "A2 Purpose:Few studies have explored decision processes for risk-reducing surgery for HBOC. We described decision processes for risk-reducing oophorectomy (RRO) and risk-reducing mastectomy (RRM) in women who were at risk for HBOC and presenting for commercial BRCA genetic predisposition testing.
 >Procedures: 107 women ages 18 and older were enrolled from a university or a community cancer genetic risk program. Three months after receiving their BRCA test results from a genetic counselor, the women completed a self-report survey wherein they listed their choice (have, not have, undecided) for RRO and RRM. These decisions were interpreted using conditions of Decision Theory (Resnik, 1987): decision under certainty, decision under risk, and decision under uncertainty. A decision under certainty reflects a desire to carefully weigh known advantages/disadvantages to risk-reducing surgery and make a decision based on personal reasons or estimations, without necessarily agreeing with information and recommendations from healthcare providers or other sources. A decision under risk is based primarily on BRCA test result and treatments that offer the most personal benefit for controlling cancer risk. A decision under uncertainty reflects discomfort with the decision, basing it primarily on opinions and information from healthcare providers and other sources. Descriptive statistics, chi-square and ANOVA were used to assess demographic and disease characteristics, BRCA test results, risk factors, perceived risk, decisions, decision processes, and associations of decision processes with other variables.
 >Findings: The mean age was 53.6 years. Most participants were white, well-educated and professionally employed. Most had a personal history of cancer: 84.1%, 4.7%, and 0.9% were diagnosed with breast cancer, ovarian cancer, and both cancers, respectively. Most (84%) had a negative BRCA test result, 8% had a positive result and 8% had an inconclusive result. 54% and 62% chose not to have RRO and RRM, respectively; 29% and 30% had undergone or planned to have RRO and RRM, respectively; and 17% and 8% were undecided having RRO and RRM, respectively. There was a significant difference among the three decision types with age (F=3.214). For RRO, decision types were significantly associated with current occupation (χ2 =31.39). 43% of participants who chose to have or not have risk-reducing surgery made a decision under certainty; 46% of women who were undecided reported making a decision under risk. The decision-making process was significantly associated with participants’ HBOC risk factors (chi-square =10.38), but not with any other variables.
 >Conclusions: The majority of our sample did not desire risk-reducing surgery, despite its known efficacy in preventing breast and ovarian cancer occurrence or recurrence. Most women who chose to either have or not have risk-reducing surgery made their decision based on certainty, suggesting that the decision is based on careful consideration of all factors and is autonomous. High-risk women are becoming more proactive in their decision-making about RRM and RRO, and may or may not use the information given by healthcare providers to make their choices. BRCA testing is but one tool to use for decision making, but in this small sample, it did not appear to move women from a state of indecision for surgery." @default.
• W2497371092 created "2016-08-23" @default.
• W2497371092 creator A5034779094 @default.
• W2497371092 creator A5058848963 @default.
• W2497371092 creator A5070396228 @default.
• W2497371092 date "2007-12-01" @default.
• W2497371092 modified "2023-09-27" @default.
• W2497371092 title "Decision-making processes for risk-reducing surgery used by women at risk for hereditary breast/ovarian cancer (HBOC)" @default.
• W2497371092 hasPublicationYear "2007" @default.
• W2497371092 type Work @default.
• W2497371092 sameAs 2497371092 @default.
• W2497371092 citedByCount "0" @default.
• W2497371092 crossrefType "journal-article" @default.
• W2497371092 hasAuthorship W2497371092A5034779094 @default.
• W2497371092 hasAuthorship W2497371092A5058848963 @default.
• W2497371092 hasAuthorship W2497371092A5070396228 @default.
• W2497371092 hasConcept C121608353 @default.
• W2497371092 hasConcept C12174686 @default.
• W2497371092 hasConcept C126322002 @default.
• W2497371092 hasConcept C144237770 @default.
• W2497371092 hasConcept C151730666 @default.
• W2497371092 hasConcept C160735492 @default.
• W2497371092 hasConcept C162324750 @default.
• W2497371092 hasConcept C2777267654 @default.
• W2497371092 hasConcept C2780673598 @default.
• W2497371092 hasConcept C29456083 @default.
• W2497371092 hasConcept C33923547 @default.
• W2497371092 hasConcept C38652104 @default.
• W2497371092 hasConcept C41008148 @default.
• W2497371092 hasConcept C50522688 @default.
• W2497371092 hasConcept C512399662 @default.
• W2497371092 hasConcept C530470458 @default.
• W2497371092 hasConcept C59594135 @default.
• W2497371092 hasConcept C71924100 @default.
• W2497371092 hasConcept C86803240 @default.
• W2497371092 hasConceptScore W2497371092C121608353 @default.
• W2497371092 hasConceptScore W2497371092C12174686 @default.
• W2497371092 hasConceptScore W2497371092C126322002 @default.
• W2497371092 hasConceptScore W2497371092C144237770 @default.
• W2497371092 hasConceptScore W2497371092C151730666 @default.
• W2497371092 hasConceptScore W2497371092C160735492 @default.
• W2497371092 hasConceptScore W2497371092C162324750 @default.
• W2497371092 hasConceptScore W2497371092C2777267654 @default.
• W2497371092 hasConceptScore W2497371092C2780673598 @default.
• W2497371092 hasConceptScore W2497371092C29456083 @default.
• W2497371092 hasConceptScore W2497371092C33923547 @default.
• W2497371092 hasConceptScore W2497371092C38652104 @default.
• W2497371092 hasConceptScore W2497371092C41008148 @default.
• W2497371092 hasConceptScore W2497371092C50522688 @default.
• W2497371092 hasConceptScore W2497371092C512399662 @default.
• W2497371092 hasConceptScore W2497371092C530470458 @default.
• W2497371092 hasConceptScore W2497371092C59594135 @default.
• W2497371092 hasConceptScore W2497371092C71924100 @default.
• W2497371092 hasConceptScore W2497371092C86803240 @default.
• W2497371092 hasLocation W24973710921 @default.
• W2497371092 hasOpenAccess W2497371092 @default.
• W2497371092 hasPrimaryLocation W24973710921 @default.
• W2497371092 hasRelatedWork W1585297482 @default.
• W2497371092 hasRelatedWork W1730238667 @default.
• W2497371092 hasRelatedWork W1752209925 @default.
• W2497371092 hasRelatedWork W1804423020 @default.
• W2497371092 hasRelatedWork W1855208297 @default.
• W2497371092 hasRelatedWork W1968372188 @default.
• W2497371092 hasRelatedWork W1989402146 @default.
• W2497371092 hasRelatedWork W2044911299 @default.
• W2497371092 hasRelatedWork W2090377620 @default.
• W2497371092 hasRelatedWork W2166668842 @default.
• W2497371092 hasRelatedWork W2328240342 @default.
• W2497371092 hasRelatedWork W2910643895 @default.
• W2497371092 hasRelatedWork W2944760779 @default.
• W2497371092 hasRelatedWork W2951594675 @default.
• W2497371092 hasRelatedWork W2966705217 @default.
• W2497371092 hasRelatedWork W2981768527 @default.
• W2497371092 hasRelatedWork W2990817966 @default.
• W2497371092 hasRelatedWork W3092054857 @default.
• W2497371092 hasRelatedWork W3163640659 @default.
• W2497371092 hasRelatedWork W3195989146 @default.
• W2497371092 hasVolume "16" @default.
• W2497371092 isParatext "false" @default.
• W2497371092 isRetracted "false" @default.
• W2497371092 magId "2497371092" @default.
• W2497371092 workType "article" @default.