Bilateral Mastectomy: Identifying Decision Points

This qualitative study explored how 23 women made their decision to have a bilateral mastectomy as a treatment for unilateral breast cancer. Five themes were identified that addressed specific determinants of the decision making process: finding something, collecting evidence, perceived level of risk, identifying priorities, and making the decision. Women who recalled being advised of their risk of recurrence reported overestimates of that risk. Providers should use best evidence when educating women on their options.