Cargando…
Association of shared decision-making with type of breast cancer surgery: a cross-sectional study
BACKGROUND: Although some studies examined the association between shared decision-making (SDM) and type of breast cancer surgery received, it is little known how treatment decisions might be shaped by the information provided by physicians. The purpose of this study was to identify the associations...
Autores principales: | , , , , , , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2010
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2837652/ https://www.ncbi.nlm.nih.gov/pubmed/20175937 http://dx.doi.org/10.1186/1472-6963-10-48 |
_version_ | 1782178839219142656 |
---|---|
author | Lee, Myung Kyung Noh, Dong Young Nam, Seok Jin Ahn, Se Hyun Park, Byeong Woo Lee, Eun Sook Yun, Young Ho |
author_facet | Lee, Myung Kyung Noh, Dong Young Nam, Seok Jin Ahn, Se Hyun Park, Byeong Woo Lee, Eun Sook Yun, Young Ho |
author_sort | Lee, Myung Kyung |
collection | PubMed |
description | BACKGROUND: Although some studies examined the association between shared decision-making (SDM) and type of breast cancer surgery received, it is little known how treatment decisions might be shaped by the information provided by physicians. The purpose of this study was to identify the associations between shared decision making (SDM) and surgical treatment received. METHODS: Questionnaires on SDM were administered to 1,893 women undergoing primary curative surgery for newly diagnosed stage 0-II localized breast cancer at five hospitals in Korea. Questions included being informed on treatment options and the patient's own opinion in decision-making. RESULTS: Patients more likely to undergo mastectomy were those whose opinions were respected in treatment decisions (adjusted odds ratio, aOR), 1.40; 95% confidence interval (CI), 1.14-1.72) and who were informed on chemotherapy (aOR, 2.57; CI, 2.20-3.01) or hormone therapy (aOR, 2.03; CI, 1.77-2.32). In contrast, patients less likely to undergo mastectomy were those who were more informed on breast surgery options (aOR, 0.34; CI, 0.27-0.42). In patients diagnosed with stage 0-IIa cancer, clinical factors and the provision of information on treatment by the doctor were associated with treatment decisions. In patients diagnosed with stage IIb cancer, the patient's opinion was more respected in treatment decisions. CONCLUSION: Our population-based study suggested that women's treatment decisions might be shaped by the information provided by physicians, and that women might request different information from their physicians based on their preferred treatment options. These results might need to be confirmed in other studies of treatment decisions. |
format | Text |
id | pubmed-2837652 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-28376522010-03-13 Association of shared decision-making with type of breast cancer surgery: a cross-sectional study Lee, Myung Kyung Noh, Dong Young Nam, Seok Jin Ahn, Se Hyun Park, Byeong Woo Lee, Eun Sook Yun, Young Ho BMC Health Serv Res Research article BACKGROUND: Although some studies examined the association between shared decision-making (SDM) and type of breast cancer surgery received, it is little known how treatment decisions might be shaped by the information provided by physicians. The purpose of this study was to identify the associations between shared decision making (SDM) and surgical treatment received. METHODS: Questionnaires on SDM were administered to 1,893 women undergoing primary curative surgery for newly diagnosed stage 0-II localized breast cancer at five hospitals in Korea. Questions included being informed on treatment options and the patient's own opinion in decision-making. RESULTS: Patients more likely to undergo mastectomy were those whose opinions were respected in treatment decisions (adjusted odds ratio, aOR), 1.40; 95% confidence interval (CI), 1.14-1.72) and who were informed on chemotherapy (aOR, 2.57; CI, 2.20-3.01) or hormone therapy (aOR, 2.03; CI, 1.77-2.32). In contrast, patients less likely to undergo mastectomy were those who were more informed on breast surgery options (aOR, 0.34; CI, 0.27-0.42). In patients diagnosed with stage 0-IIa cancer, clinical factors and the provision of information on treatment by the doctor were associated with treatment decisions. In patients diagnosed with stage IIb cancer, the patient's opinion was more respected in treatment decisions. CONCLUSION: Our population-based study suggested that women's treatment decisions might be shaped by the information provided by physicians, and that women might request different information from their physicians based on their preferred treatment options. These results might need to be confirmed in other studies of treatment decisions. BioMed Central 2010-02-23 /pmc/articles/PMC2837652/ /pubmed/20175937 http://dx.doi.org/10.1186/1472-6963-10-48 Text en Copyright ©2010 Lee et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research article Lee, Myung Kyung Noh, Dong Young Nam, Seok Jin Ahn, Se Hyun Park, Byeong Woo Lee, Eun Sook Yun, Young Ho Association of shared decision-making with type of breast cancer surgery: a cross-sectional study |
title | Association of shared decision-making with type of breast cancer surgery: a cross-sectional study |
title_full | Association of shared decision-making with type of breast cancer surgery: a cross-sectional study |
title_fullStr | Association of shared decision-making with type of breast cancer surgery: a cross-sectional study |
title_full_unstemmed | Association of shared decision-making with type of breast cancer surgery: a cross-sectional study |
title_short | Association of shared decision-making with type of breast cancer surgery: a cross-sectional study |
title_sort | association of shared decision-making with type of breast cancer surgery: a cross-sectional study |
topic | Research article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2837652/ https://www.ncbi.nlm.nih.gov/pubmed/20175937 http://dx.doi.org/10.1186/1472-6963-10-48 |
work_keys_str_mv | AT leemyungkyung associationofshareddecisionmakingwithtypeofbreastcancersurgeryacrosssectionalstudy AT nohdongyoung associationofshareddecisionmakingwithtypeofbreastcancersurgeryacrosssectionalstudy AT namseokjin associationofshareddecisionmakingwithtypeofbreastcancersurgeryacrosssectionalstudy AT ahnsehyun associationofshareddecisionmakingwithtypeofbreastcancersurgeryacrosssectionalstudy AT parkbyeongwoo associationofshareddecisionmakingwithtypeofbreastcancersurgeryacrosssectionalstudy AT leeeunsook associationofshareddecisionmakingwithtypeofbreastcancersurgeryacrosssectionalstudy AT yunyoungho associationofshareddecisionmakingwithtypeofbreastcancersurgeryacrosssectionalstudy |