Older Women Breast Cancer Survivors: Decision Making, Sources of Information and Wellness Activities in Malaysia

Mohamed, Nor Aini; Muhamad, Mazanah

doi:10.7314/apjcp.2013.14.3.2043

Cited by 3 publications

(2 citation statements)

References 24 publications

(26 reference statements)

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“…Compared to patients from the other healthcare institutions who had an active role in strabismus decision-making treatment our patients rated a 71% score on involvement, compared to higher results observed in breast cancer patients (78-83%) [35,36], 93.3% in patients with multiple sclerosis [22] and 95% in primary and secondary care [33], while Nakashima et al (2012) reported a similar score with our 70% [37].…”

Section: Patients' Views On Involvement In Strabismus Decision-makingsupporting

confidence: 51%

Shared decision making and patients satisfaction with strabismus care—a pilot study

Paduca

Arnaut

Beschieru

et al. 2021

BMC Med Inform Decis Mak

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Background Strabismus is a complex disease that has various treatment approaches each with its own advantages and drawbacks. In this context, shared decisions making (SDM) is a communication process with the provider sharing all the relevant treatment alternatives, all the benefits, and risks of each procedure, while the patient shares all the preferences and values regarding his/her choices. In that way, SDM is a bidirectional process that goes beyond the typical informed consent. Therefore, it is known a little of the extent to which SDM influences the satisfaction with the treatment outcome along with strabismus patients. To study this correlation, an SDM-Q-9 questionnaire was provided within surgical consultations where treatment decisions were made; the SDM-Q-9 aims to assess the relationship between the post-operative patient’s satisfaction and their SMD score. Methods The study is considered a prospective observational pilot study. Eligible patients were adult patients diagnosed with strabismus, who had multiple treatment options, were given at the right of choice without being driven into a physician’s preference. Ninety-three strabismus patients were asked to fill out the SDM-Q-9 questionnaire related to their perception of SDM during the entire period of strabismus treatment. After the treatment, patients were asked to rate their satisfaction level with the surgical outcome as excellent, good, fair, and poor. Descriptive statistics and the linear regression statistical tests (Spearman, Mann Whitney U, and Kriskal–Wallis) were used as analysis tools. Results The average age of the participants was 24, where 50.6% were women. The mean SDM-Q-9 score among patients was 32 (IQR = 3). The postoperative patient satisfaction was rated as being excellent by 16 (17.2%) patients, good by 38 (40.9%), fair by 32 (34.4%), and poor by 7 patients (7.5%). Data analysis by linear regression statistical tests showed a positive correlation between the SDM-Q-9 score and the patient satisfaction related to the surgery outcome (B = 0.005, p < 0.001). Criteria in assessing patients’ satisfaction were age, gender, and strabismus type. A positive correlation between SDM and real satisfaction (r = 0.834, p < 0.01) was found with age, and no significant relationship was found while taking into consideration the responder’s gender and the strabismus type. Conclusions Assessing patient satisfaction after choosing a treatment for strabismus method helped us evaluate the gaps in constructive dialogue that would lead to a positive outcome for both patient and clinician. The correlation between the SDM process and the patients’ satisfaction with surgery outcome, adjusted by age, has been established. These findings can serve as a springboard to further communicative improvements related to the SDM process and between patients and physicians, thereby consequently leading to patients’ satisfaction raise in strabismus care. The study underlines the importance of further analysis and validation of on-ground interactions among the adolescent and adult patients and the clinicians across the strabismus management trajectory. A multicentral study and its validation will follow.

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Section: Patients' Views On Involvement In Strabismus Decision-makingsupporting

confidence: 51%

Shared decision making and patients satisfaction with strabismus care—a pilot study

Paduca

Arnaut

Beschieru

et al. 2021

BMC Med Inform Decis Mak

View full text Add to dashboard Cite

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“…Approximately onethird of BC patients are women >70 years old, and half are >65 years old (Tipples and Robinson, 2009;Vrana et al, 2013). Despite the fact that BC is a significant cause of morbidity and mortality in elderly women, many trials on which clinical practice is based have been conducted in younger populations, resulting in an under-representation of older patients (Tang et al, 2011;Güth et al, 2013;Mohamed and Muhamad, 2013).…”

Section: Introductionmentioning

confidence: 99%

Distinct Postsurgical Management in Young and Elderly Breast Cancer Patients Results in Equal Survival Rates

Oran

Yankol²,

Soybir³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Background: Although breast cancer (BC) is one of the most common malignant diseases in women, the majority of the studies describing the characteristics of BC in elderly patients have been limited to survival assessments or tumor features, without using younger BC patients as a reference group. The aim of our study was to describe and compare tumor characteristics and management patterns in elderly versus younger breast cancer patients in Turkey. Materials and Methods: We retrospectively analyzed 152 patients with invasive breast cancer who underwent surgery in our institution between 2002 and 2012. Patients were divided into 2 groups according to age at the time of diagnosis. Results: There were 62 patients in the elderly group (≥65 years) and 90 patients in the younger group (<65 years). Compared to the younger group, tumors in the elderly group were more likely to be larger (p=0.018), of lower grade (p=0.005), and hormone receptor-positive (p>0.001). There were no significant differences regarding histology, localization, lymph node involvement, or types of surgical procedures between the 2 groups. Comorbidities were more common in elderly patients (p<0.001). In addition, elderly patients were more likely to receive hormonal therapy (p<0.001) and less likely to receive radiotherapy (p=0.08) and chemotherapy (p=0.003). There was no difference in survival and locoregional recurrence rates between the groups. Conclusions: The results of this study demonstrate that breast cancer in elderly patients has more favorable tumor features, warranting less aggressive treatment regimens after surgery.

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Socio-Demography and Medical History as Predictors of Health-Related Quality of Life of Breast Cancer Survivors

Ramadas¹,

Qureshi²,

Dominic³

et al. 2015

Asian Pacific Journal of Cancer Prevention

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Background: Even after completion of conventional treatment, breast cancer survivors continue to exhibit a variety of psychological and physical symptoms, affecting their quality of life. The study aimed to investigate the relationship between socio-demography, medical characteristics and health-related quality of life (HR-QOL) of a sample of breast cancer survivors in Malaysia. Materials and Methods: This pilot cross-sectional survey was conducted among breast cancer survivors (n=40) who were members of Breast Cancer Support Group Centre Johor Bahru. A validated self-administered questionnaire was used to identify the relationships between socio-demography, medical characteristics and HR-QOL of the participants. Results: Living with family and completion of treatment were significant predictive factors of self-rated QOL, while living with family and ever giving birth significantly predicted satisfaction with health and physical health. Psychological health had moderate correlations with number of children and early cancer stage. Survivors' higher personal income (>MYR4,500) was the only significant predictor of social relationship, while age, income more than MYR4,500 and giving birth significantly predicted environment domain score. Conclusions: The findings suggested the survivors coped better in all four HR-QOL domains if they were married, lived with family, had children and were employed.

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Older Women Breast Cancer Survivors: Decision Making, Sources of Information and Wellness Activities in Malaysia

Cited by 3 publications

References 24 publications

Shared decision making and patients satisfaction with strabismus care—a pilot study

Shared decision making and patients satisfaction with strabismus care—a pilot study

Distinct Postsurgical Management in Young and Elderly Breast Cancer Patients Results in Equal Survival Rates

Socio-Demography and Medical History as Predictors of Health-Related Quality of Life of Breast Cancer Survivors

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