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171 posters, 10 topics, 5 sessions, 690 authors, 211 institutions

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American Association of Plastic Surgeons Meeting 2022

April 9 - 12 | San Diego, California

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P36

Decision Regret In Breast Reconstruction Patients Following Preconsultation Education Group Intervention: A Randomized Controlled Trial

Part of Topic

Breast Reconstruction

Decision Regret Regarding Breast Reconstruction in Breast Cancer Patients Following Preconsultation Education Group Intervention (PEGI): A Randomized Controlled Trial.

 

•Postmastectomy breast reconstruction (PMBR)
–complex decision for patients
•Decision regret: important outcome measure
–Important to evaluate decision-making
•Preconsultation Education Group Intervention (PEGI)
–Decision support tool to help patients
–Previously shown to increase patient knowledge
 
Aim:
 

Investigate the effect of PEGI on decision regret 6 months post-consultation

 

Methods: 

Inclusion criteria

>18 years old referred for PMBR

Exclusion criteria

Active cancer, Non-English speakers, secondary revision, cognitive or psychiatric impairment, had previous visits for reconstruction

Outcomes:

BREAST-Q Satisfaction with Information at T1

Decision Regret Scale (Primary) and State Trait Anxiety Inventory (STAI) at T2

 

Conclusion:

 

No difference in baseline characteristics, mastectomy indications or surgical outcomes

PEGI increased Satisfaction with Information

No impact on decision regret or levels of anxiety

Lower decision regret was associated with undergoing PMBR and lower anxiety irrespective of education

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