Patient satisfaction with decision-making for breast cancer therapy

Weiss, Stephen M.; Wengert, Paul A.; Martínez, E.; Sewall, Warren; Kopp, E

doi:10.1007/bf02306284

Cited by 26 publications

(9 citation statements)

References 10 publications

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“…Some research suggests that information seeking among breast cancer patients was associated with better physical functioning or physical quality of life six months post-treatment [37]. Additionally, research has found that patients who are better informed report better emotional well-being [38], better satisfaction with medical treatment [39], and improved physical functioning [40]. Patient information seeking behavior, sources of information, and informational needs change over time.…”

Section: Resultsmentioning

confidence: 99%

Information-Seeking Styles Among Cancer Patients Before and After Treatment by Demographics and Use of Information Sources

Eheman

Berkowitz

Lee

et al. 2009

Journal of Health Communication

115

106

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The type and quantity of information needed varies between patients who actively seek information and those who tend to avoid information. We analyzed data from a longitudinal study of adult cancer patients from outpatient clinics for whom information needs and behaviors were assessed by survey before and after treatment. We evaluated the relationships between information-seeking style (active, moderately active and passive styles) and demographics, cancer type, and health status for the pretreatment and posttreatment periods and overall. The Generalized Estimating Equations (GEE) approach was used to model the log odds of more active to more passive information-seeking preferences taking into consideration both the pretreatment and posttreatment periods.Results-Analyses included 731 case participants, including female breast cancer patients (51%), male genitourinary cancer patients (18%), and lung cancer patients of both sexes (10%). At pretreatment, 17% reported an active information-seeking style, 69% were moderately active, and 14% were passive. During this period, 19% of those with at least some college education reported being very active compared to 14% of those with less education. With adjustment for all other covariates, male genitourinary and lung cancer patients had a higher odds of having a more active information-seeking style in the pretreatment than in the posttreatment period, with an odds of 4.5 (95% confidence interval [CI]: 2.4-8.4) and 5.4 (95% CI: 2.7-10.6), respectively. Controlling for all covariates, breast cancer patients had 1.5 (95% CI: 1.0-2.1) times higher odds of being more active in seeking information than other patients.Conclusions-Public health researchers and clinicians must work together to develop the most effective strategy for meeting the informational needs of these patients before and after treatment.

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Section: Resultsmentioning

confidence: 99%

Information-Seeking Styles Among Cancer Patients Before and After Treatment by Demographics and Use of Information Sources

Eheman

Berkowitz

Lee

et al. 2009

Journal of Health Communication

115

106

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show abstract

“…Many patients who undertake a passive role in decision-making still want to be well informed. Increases in knowledge, satisfaction, treatment compliance, and quality of life have been reported as positive outcomes of adequate information provision [18][19][20]. Not having enough information has been linked to dissatisfaction with care and reduced wellbeing [17,21].…”

Section: Introductionmentioning

confidence: 98%

Information acquisition for women facing surgical treatment for breast cancer: Influencing factors and selected outcomes

O’Leary

Estabrooks

Olson

et al. 2007

Patient Education and Counseling

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“…Many of these will be younger women who prefer greater involvement in treatment decision-making and their needs for information may differ from older women (Degner et al ., 1997). In general, patients who are better informed experience greater emotional, social and physical well-being (Fallowfield et al ., 1994), better clinical outcomes, quality of life (Fallowfield et al ., 1994) and satisfaction with care (Weiss et al ., 1996). Timing of information is important.…”

Section: Discussionmentioning

confidence: 99%

Breast cancer in young women and its impact on reproductive function

Hickey

Peate

Saunders

et al. 2009

Human Reproduction Update

138

108

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BACKGROUNDBreast cancer is the most common cancer in women in developed countries, and 12% of breast cancer occurs in women 20–34 years. Survival from breast cancer has significantly improved, and the potential late effects of treatment and the impact on quality of life have become increasingly important. Young women constitute a minority of breast cancer patients, but commonly have distinct concerns and issues compared with older women, including queries regarding fertility, contraception and pregnancy. Further, they are more likely than older women to have questions regarding potential side effects of therapy and risk of relapse or a new primary. In addition, many will have symptoms associated with treatment and they present a management challenge. Reproductive medicine specialists and gynaecologists commonly see these women either shortly after initial diagnosis or following adjuvant therapy and should be aware of current management of breast cancer, the options for women at increased genetic risk, the prognosis of patients with early stage breast cancer and how adjuvant systemic treatments may impact reproductive function.METHODSNo systematic literature search was done. The review focuses on the current management of breast cancer in young women and the impact of treatment on reproductive function and subsequent management. With reference to key studies and meta-analyses, we highlight controversies and current unanswered questions regarding patient management.RESULTSChemotherapy for breast cancer is likely to negatively impact on reproductive function. A number of interventions are available which may increase the likelihood of future successful pregnancy, but the relative safety of these interventions is not well established. For those who do conceive following breast cancer, there is no good evidence that pregnancy is detrimental to survival. We review current treatment; effects on reproductive function; preservation of fertility; contraception; pregnancy; breastfeeding and management of menopausal symptoms following breast cancer.CONCLUSIONThis paper provides an update on the management of breast cancer in young women and is targeted at reproductive medicine specialists and gynaecologists.

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Patient satisfaction with decision-making for breast cancer therapy

Abstract: When informed of the diagnosis and treatment options in an unhurried, supportive setting, and when encouraged to seek further consultations as desired, breast cancer patients make appropriate therapeutic choices about mastectomy or breast conservation therapy.

Cited by 26 publications

References 10 publications

Information-Seeking Styles Among Cancer Patients Before and After Treatment by Demographics and Use of Information Sources

Information-Seeking Styles Among Cancer Patients Before and After Treatment by Demographics and Use of Information Sources

Information acquisition for women facing surgical treatment for breast cancer: Influencing factors and selected outcomes

Breast cancer in young women and its impact on reproductive function

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