PMID- 34851241 OWN - NLM STAT- MEDLINE DCOM- 20240219 LR - 20240219 IS - 1096-4665 (Electronic) IS - 0739-9332 (Linking) VI - 45 IP - 3 DP - 2024 TI - The relative importance of factors influencing the surgeons' choice between mastectomy and breast-conserving surgery for women with breast cancer. PG - 363-372 LID - 10.1080/07399332.2021.2009834 [doi] AB - 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. FAU - Koksalmis, Gulsah Hancerliogullari AU - Koksalmis GH AD - Faculty of Management, Department of Industrial Engineering, Istanbul Technical University, Istanbul, Turkey. FAU - Cetinguc, Basak AU - Cetinguc B AD - Faculty of Engineering, Department of Industrial Engineering, Yalova University, Yalova, Turkey. FAU - Durucu, Murat AU - Durucu M AD - Faculty of Management, Department of Industrial Engineering, Istanbul Technical University, Istanbul, Turkey. FAU - Camgoz Akdag, Hatice AU - Camgoz Akdag H AD - Faculty of Management, Department of Management Engineering, Istanbul Technical University, Istanbul, Turkey. FAU - Gulluoglu, Bahadir M AU - Gulluoglu BM AD - Department of Surgery, Breast & Endocrine Surgey Unit, School of Medicine, Marmara University, Istanbul, Turkey. AD - Department of Breast Surgery, SENATURK, Istanbul, Turkey. FAU - Karanlik, Hasan AU - Karanlik H AD - Institute of Oncology, Istanbul University, Istanbul, Turkey. AD - Senology Academy, SENATURK, Istanbul, Turkey. FAU - Sezer, Atakan AU - Sezer A AD - Faculty of Medicine, Department of Surgery, Trakya University, Edirne, Turkey. FAU - Calisir, Fethi AU - Calisir F AD - Faculty of Management, Department of Industrial Engineering, Istanbul Technical University, Istanbul, Turkey. LA - eng PT - Journal Article DEP - 20211201 PL - England TA - Health Care Women Int JT - Health care for women international JID - 8411543 MH - Humans MH - Female MH - Mastectomy MH - *Breast Neoplasms/surgery MH - Mastectomy, Segmental MH - Decision Making MH - *Surgeons EDAT- 2021/12/02 06:00 MHDA- 2024/02/19 06:43 CRDT- 2021/12/01 12:17 PHST- 2024/02/19 06:43 [medline] PHST- 2021/12/02 06:00 [pubmed] PHST- 2021/12/01 12:17 [entrez] AID - 10.1080/07399332.2021.2009834 [doi] PST - ppublish SO - Health Care Women Int. 2024;45(3):363-372. doi: 10.1080/07399332.2021.2009834. Epub 2021 Dec 1.