Issues of Regret in Women With Contralateral Prophylactic Mastectomies

Ll, Montgomery; Tran, Kaylie; Mc, Heelan; Zee, Kimberly J. Van; Mj, Massie; Dk, Payne; Pi, Borgen

doi:10.1007/s10434-999-0542-1

Cited by 164 publications

(129 citation statements)

References 45 publications

(47 reference statements)

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“…It has been argued that any estimate of contralateral risk not based on genetic evidence of risk is likely to be an over-estimate (Wood 2009). To minimise the risk of regrets in women contemplating contralateral prophylactic mastectomy, it is important that women receive information on contralateral breast cancer risk, other alternatives, and a realistic expectation of the cosmetic outcome (Montgomery, Tran, Heelan, van Zee, Massie, Payne et al 1999). There is a key timepoint towards the end of chemotherapy, when surgery is approaching, when women would most benefit from this information.…”

Section: Discussionmentioning

confidence: 99%

Exploring patient experiences of neo-adjuvant chemotherapy for breast cancer

Beaver

Williamson

Briggs

2016

European Journal of Oncology Nursing

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Section: Discussionmentioning

confidence: 99%

Exploring patient experiences of neo-adjuvant chemotherapy for breast cancer

Beaver

Williamson

Briggs

2016

European Journal of Oncology Nursing

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Section: These Studies Base Their Analysis On the Linear-in-parametermentioning

confidence: 99%

“…Ziarnowski et al (2009) found that anticipated regret played an important role in the decision to vaccinate adolescent girls against HPV. Furthermore, several studies highlighted that regret can be experienced by patients before or after cancer-related decisions (e.g., Hu et al, 2003, Montgomery et al, 1999, Clark et al 2001, 2003, Payne et al 2000, and Joseph-Williams et al, 2010.2 The idea that regret is an important determinant of choice behaviour is not new and is well established theoretically and empirically in many fields, including marketing (e.g. Simonson, 1992;Zeelenberg and Pieters, 2007), microeconomics (e.g.…”

mentioning

confidence: 99%

The role of regret minimisation in lifestyle choices affecting the risk of coronary heart disease

Boeri

Longo

Grisolía

et al. 2013

Journal of Health Economics

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Research Highlights: This paper introduces the discrete choice paradigm of Random Regret Minimization (RRM) to the field of health economics The combined use of RRM and Random Utility Maximization (RUM) models provide useful behavioural insights on choice Whilst the RUM is suitable for calculating welfare estimates, the RRM highlights how anticipated regret affects choices We find that the choices of overweight or obese respondents and smokers are more likely to conform to the RUM approach We also find that the choices of people in good health and with higher education are more likely to reflect the RRM approach AbstractPage 2 of 31 A c c e p t e d M a n u s c r i p t This paper introduces the discrete choice model-paradigm of Random Regret Minimization (RRM) to the field of health economics. The RRM is a regret-based model that explores a driver of choice different from the traditional utility-based Random Utility Maximization (RUM). The RRM approach is based on the idea that, when choosing, individuals aim to minimize their regret -regret being defined as what one experiences when a non-chosen alternative in a choice set performs better than a chosen one in relation to one or more attributes. Analysing data from a discrete choice experiment on diet, physical activity and risk of a fatal heart attack in the next ten years administered to a sample of the Northern Ireland population, we find that the combined use of RUM and RRM models offer additional information, providing useful behavioural insights for better informed policy appraisal.Keywords: Random Regret Minimization; Random Utility Maximization; dietary choices; physical activity; coronary heart disease risk; behavioural economics. Page 3 of 31A c c e p t e d M a n u s c r i p t IntroductionDiscrete choice experiments (DCE) are a survey-based technique used to investigate the trade-offs that people are prepared to make between different hypothetical goods or services, where respondents are shown alternative variants of the good or service described by a set of attributes and are asked to choose the most preferred one (Ryan and Hughes, 1997;Vick and Scott, 1998). Since the first applications of DCE in health economics to value patient experiences (Ryan and Hughes, 1997;Ryan, 1999), this technique has become widely used to investigate a wide range of policy questions (Ryan et al., 2008 Evidence from previous studies suggests that regret can be an important factor in both medical decision making (Smith, 1996;Djulbegovic et al. 1999 andSorum et al. 2004) and personal healthcare decisions (Brehaut et al., 2003 andZiarnowski et al., 2009), particularly when the outcome of the choice may be unfavourable. Smith (1996) explored the concept of regret in healthcare decision making from the patient's viewpoint, arguing that valuation techniques based on the utility theory, such as QALYs, will not necessarily reflect the true preferences of the individual. Ziarnowski et al. (2009) found that anticipated regret played an important role in the decision to vaccinate adol...

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“…Additional factors influencing the rate of contralateral risk-reducing mastectomy identified in other population-based studies are a large tumor size (> 5 cm vs. 2 cm), the presence of multicentric disease, a positive lymph node status, being treated by a female surgeon [11], physician advice regarding the risk of contralateral breast cancer, patient's fear of developing another tumor, desire for cosmetic symmetry, family history of breast cancer, difficulty in screening for breast cancer, or a combination of all these reasons [12,13].…”

Section: Benefits Of Contralateral Risk-reducing Mastectomymentioning

confidence: 99%