Resource |
Lack of experienced BR surgeons |
30 |
72.0 |
70 |
35–100 |
16 |
Lack of experienced operating theatre staff and specialised BR equipment |
27 |
66.0 |
63 |
21–100 |
18 |
Lack of operating time |
30 |
72.5 |
69 |
25–100 |
15 |
Lack of funding |
28 |
78.0 |
70 |
17–100 |
9 |
Lack of MDT support |
25 |
80.0 |
72 |
35–100 |
6 |
Lack of mentoring of junior/isolated surgeons |
30 |
75.0 |
70 |
28–100 |
11 |
Attitudinal |
Some breast surgeons do not discuss BR options |
29 |
92.0 |
86 |
40–100 |
2 |
Some breast surgeons are opposed to BR |
24 |
90.5 |
76 |
7–100 |
3 |
Some breast reconstructive surgeons do not work in public hospitals |
19 |
55.0 |
63 |
24–100 |
23 |
Some breast reconstructive surgeons do not work outside major cities |
19 |
74.0 |
71 |
31–100 |
12 |
Some breast surgeons do not keep up with the latest evidence on BR |
25 |
65.0 |
67 |
23–100 |
20 |
Some breast surgeons have poor communication and mentoring skills |
20 |
71.0 |
70 |
26–100 |
17 |
Some breast surgeons do not work with other subspecialty surgeons |
16 |
58.5 |
61 |
22–100 |
21 |
Access |
No access to BR discussion |
27 |
98.0 |
87 |
24–100 |
1 |
Inadequate BR information is provided |
25 |
74.0 |
74 |
23–100 |
13 |
BR decision-making is rushed |
15 |
85.0 |
74 |
30–100 |
5 |
Women cannot afford BR (even with private health insurance) |
22 |
90.5 |
87 |
46–100 |
4 |
Long waiting times for BR in public hospitals |
24 |
79.5 |
75 |
42–100 |
8 |
Long distances to travel for BR |
17 |
73.0 |
71 |
39–100 |
14 |
Some hospitals will not accept ‘out of area’ referrals for BR |
24 |
55.5 |
62 |
20–100 |
22 |
Inadequate practical support for women seeking/having BR |
23 |
54.0 |
61 |
21–100 |
24 |
Inadequate emotional support for women seeking/having BR |
22 |
65.5 |
63 |
18–100 |
19 |
Inadequate continuity of care postoperatively |
22 |
50.0 |
54 |
5–100 |
25 |
Inadequate targeted assistance for culturally and linguistically diverse and low literacy women |
21 |
80.0 |
67 |
22–100 |
7 |
Women are not able to participate in clinical trials that may benefit them |
21 |
76.0 |
65 |
6–100 |
10 |