Cargando…

The Psychosocial Impact of the Decision to Undergo Risk-Reducing Salpingo-Oophorectomy Surgery in BRCA Mutation Carriers and the Role of Physician-Patient Communication

Risk-reducing bilateral salpingo-oophorectomy (RRSO) is an effective prophylactic surgery provided to premenopausal women carrying BRCA1 or BRCA2 mutations and presenting an increased risk of developing breast or ovarian cancer. This procedure is related to physiological, sexual, and psychosocial di...

Descripción completa

Detalles Bibliográficos
Autores principales: Alves-Nogueira, Ana C., Melo, Daniela, Carona, Carlos, Figueiredo-Dias, Margarida
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9955232/
https://www.ncbi.nlm.nih.gov/pubmed/36826146
http://dx.doi.org/10.3390/curroncol30020185
_version_ 1784894303124848640
author Alves-Nogueira, Ana C.
Melo, Daniela
Carona, Carlos
Figueiredo-Dias, Margarida
author_facet Alves-Nogueira, Ana C.
Melo, Daniela
Carona, Carlos
Figueiredo-Dias, Margarida
author_sort Alves-Nogueira, Ana C.
collection PubMed
description Risk-reducing bilateral salpingo-oophorectomy (RRSO) is an effective prophylactic surgery provided to premenopausal women carrying BRCA1 or BRCA2 mutations and presenting an increased risk of developing breast or ovarian cancer. This procedure is related to physiological, sexual, and psychosocial distress, which altogether increase uncertainty and complexity in the clinical decision-making process and post-surgery adaptation. Physician-patient communication (PPC) has been pointed out as a determinant factor in the decision-making to undergo RRSO, and the subsequent adjustment of women. However, studies examining the psychosocial impact of the decision-making process have been scarce and often lack clear theoretical frameworks. While the role of PPC in such processes has been highlighted in a few qualitative studies, there is a paucity of quantitative research addressing this question. Therefore, this narrative review, conducted using a multidisciplinary approach, was planned to: (1) present an updated medical background for RRSO; (2) analyze the psychosocial impact of the decision-making process within a theoretical framework of the Health Belief Model; and (3) discuss the role of PPC in such a decision-making process and in post-surgery. The collected research also enabled the recommendation of some additions to the existing clinical guidelines and the outlining of future research directions.
format Online
Article
Text
id pubmed-9955232
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-99552322023-02-25 The Psychosocial Impact of the Decision to Undergo Risk-Reducing Salpingo-Oophorectomy Surgery in BRCA Mutation Carriers and the Role of Physician-Patient Communication Alves-Nogueira, Ana C. Melo, Daniela Carona, Carlos Figueiredo-Dias, Margarida Curr Oncol Review Risk-reducing bilateral salpingo-oophorectomy (RRSO) is an effective prophylactic surgery provided to premenopausal women carrying BRCA1 or BRCA2 mutations and presenting an increased risk of developing breast or ovarian cancer. This procedure is related to physiological, sexual, and psychosocial distress, which altogether increase uncertainty and complexity in the clinical decision-making process and post-surgery adaptation. Physician-patient communication (PPC) has been pointed out as a determinant factor in the decision-making to undergo RRSO, and the subsequent adjustment of women. However, studies examining the psychosocial impact of the decision-making process have been scarce and often lack clear theoretical frameworks. While the role of PPC in such processes has been highlighted in a few qualitative studies, there is a paucity of quantitative research addressing this question. Therefore, this narrative review, conducted using a multidisciplinary approach, was planned to: (1) present an updated medical background for RRSO; (2) analyze the psychosocial impact of the decision-making process within a theoretical framework of the Health Belief Model; and (3) discuss the role of PPC in such a decision-making process and in post-surgery. The collected research also enabled the recommendation of some additions to the existing clinical guidelines and the outlining of future research directions. MDPI 2023-02-17 /pmc/articles/PMC9955232/ /pubmed/36826146 http://dx.doi.org/10.3390/curroncol30020185 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Alves-Nogueira, Ana C.
Melo, Daniela
Carona, Carlos
Figueiredo-Dias, Margarida
The Psychosocial Impact of the Decision to Undergo Risk-Reducing Salpingo-Oophorectomy Surgery in BRCA Mutation Carriers and the Role of Physician-Patient Communication
title The Psychosocial Impact of the Decision to Undergo Risk-Reducing Salpingo-Oophorectomy Surgery in BRCA Mutation Carriers and the Role of Physician-Patient Communication
title_full The Psychosocial Impact of the Decision to Undergo Risk-Reducing Salpingo-Oophorectomy Surgery in BRCA Mutation Carriers and the Role of Physician-Patient Communication
title_fullStr The Psychosocial Impact of the Decision to Undergo Risk-Reducing Salpingo-Oophorectomy Surgery in BRCA Mutation Carriers and the Role of Physician-Patient Communication
title_full_unstemmed The Psychosocial Impact of the Decision to Undergo Risk-Reducing Salpingo-Oophorectomy Surgery in BRCA Mutation Carriers and the Role of Physician-Patient Communication
title_short The Psychosocial Impact of the Decision to Undergo Risk-Reducing Salpingo-Oophorectomy Surgery in BRCA Mutation Carriers and the Role of Physician-Patient Communication
title_sort psychosocial impact of the decision to undergo risk-reducing salpingo-oophorectomy surgery in brca mutation carriers and the role of physician-patient communication
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9955232/
https://www.ncbi.nlm.nih.gov/pubmed/36826146
http://dx.doi.org/10.3390/curroncol30020185
work_keys_str_mv AT alvesnogueiraanac thepsychosocialimpactofthedecisiontoundergoriskreducingsalpingooophorectomysurgeryinbrcamutationcarriersandtheroleofphysicianpatientcommunication
AT melodaniela thepsychosocialimpactofthedecisiontoundergoriskreducingsalpingooophorectomysurgeryinbrcamutationcarriersandtheroleofphysicianpatientcommunication
AT caronacarlos thepsychosocialimpactofthedecisiontoundergoriskreducingsalpingooophorectomysurgeryinbrcamutationcarriersandtheroleofphysicianpatientcommunication
AT figueiredodiasmargarida thepsychosocialimpactofthedecisiontoundergoriskreducingsalpingooophorectomysurgeryinbrcamutationcarriersandtheroleofphysicianpatientcommunication
AT alvesnogueiraanac psychosocialimpactofthedecisiontoundergoriskreducingsalpingooophorectomysurgeryinbrcamutationcarriersandtheroleofphysicianpatientcommunication
AT melodaniela psychosocialimpactofthedecisiontoundergoriskreducingsalpingooophorectomysurgeryinbrcamutationcarriersandtheroleofphysicianpatientcommunication
AT caronacarlos psychosocialimpactofthedecisiontoundergoriskreducingsalpingooophorectomysurgeryinbrcamutationcarriersandtheroleofphysicianpatientcommunication
AT figueiredodiasmargarida psychosocialimpactofthedecisiontoundergoriskreducingsalpingooophorectomysurgeryinbrcamutationcarriersandtheroleofphysicianpatientcommunication