The relative importance of factors influencing the surgeons’ choice between mastectomy and breast-conserving surgery for women with breast cancer
| Autor: | Murat Durucu, Bahadir M. Gulluoglu, Atakan Sezer, Fethi Calisir, Hatice Camgöz Akdağ, Basak Cetinguc, Hasan Karanlik, Gulsah Hancerliogullari Koksalmis |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment General surgery Analytic hierarchy process TOPSIS Computer-assisted web interviewing Multiple-criteria decision analysis medicine.disease Preference Breast cancer General Health Professions Breast-conserving surgery Medicine skin and connective tissue diseases business Mastectomy |
| Zdroj: | Health Care for Women International. :1-10 |
| ISSN: | 1096-4665 0739-9332 |
| DOI: | 10.1080/07399332.2021.2009834 |
| Popis: | The authors' aim is to provide breast surgeons' perspectives on the relative importance of the criteria for choosing an appropriate surgery method between mastectomy (total removal of a breast) and breast-conserving surgery (removal of a breast cancer tumor and some of the normal tissue that surrounds it) for women with breast cancer by using the multicriteria decision-making method (MCDM). The Analytic Hierarchy Process (AHP), the Technique for Order Preference by Similarity to Ideal Solution (TOPSIS), and Vise Kriterijumska Optimizacija I Kompromisno Resenje (VIKOR) methods are utilized. A decision hierarchy is set with a goal, criteria, and alternatives. We developed our model based on three main criteria, tumor-related, patient-related, and post-operative process-related factors and nineteen sub-criteria, as well as two alternatives, mastectomy and breast-conserving surgery (BCS). An online questionnaire was sent to the breast surgeons; we showed that the most important criteria are post-operative process-related factors, especially the demand for esthetic appearance based on 39 breast surgeons. Conversely, the least significant criteria are tumor-related factors. Furthermore, breast-conserving surgery is selected as the most appropriate surgery method for breast cancer patients using the AHP, TOPSIS, and VIKOR. |
| Databáze: | OpenAIRE |
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