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Interventions are needed to support patient–provider decision-making for DCIS: a scoping review
PURPOSE: Prognostic and treatment uncertainty make ductal carcinoma in situ (DCIS) complex to manage. The purpose of this study was to describe research that evaluated DCIS communication experiences, needs and interventions among DCIS patients or physicians. METHODS: MEDLINE, EMBASE, CINAHL and The...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5842253/ https://www.ncbi.nlm.nih.gov/pubmed/29273956 http://dx.doi.org/10.1007/s10549-017-4613-x |
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author | Kim, Claire Liang, Laurel Wright, Frances C. Hong, Nicole J. Look Groot, Gary Helyer, Lucy Meiers, Pamela Quan, May Lynn Urquhart, Robin Warburton, Rebecca Gagliardi, Anna R. |
author_facet | Kim, Claire Liang, Laurel Wright, Frances C. Hong, Nicole J. Look Groot, Gary Helyer, Lucy Meiers, Pamela Quan, May Lynn Urquhart, Robin Warburton, Rebecca Gagliardi, Anna R. |
author_sort | Kim, Claire |
collection | PubMed |
description | PURPOSE: Prognostic and treatment uncertainty make ductal carcinoma in situ (DCIS) complex to manage. The purpose of this study was to describe research that evaluated DCIS communication experiences, needs and interventions among DCIS patients or physicians. METHODS: MEDLINE, EMBASE, CINAHL and The Cochrane Library were searched from inception to February 2017. English language studies that evaluated patient or physician DCIS needs, experiences or behavioural interventions were eligible. Screening and data extraction were done in duplicate. Summary statistics were used to describe study characteristics and findings. RESULTS: A total of 51 studies published from 1997 to 2016 were eligible for review, with a peak of 8 articles in year 2010. Women with DCIS lacked knowledge about the condition and its prognosis, although care partners were more informed, desired more information and experienced decisional conflict. Many chose mastectomy or prophylactic mastectomy, often based on physician’s recommendation. Following treatment, women had anxiety and depression, often at levels similar to those with invasive breast cancer. Disparities were identified by education level, socioeconomic status, ethnicity and literacy. Physicians said that they had difficulty explaining DCIS and many referred to DCIS as cancer. Despite the challenges reported by patients and physicians, only two studies developed interventions designed to improve patient–physician discussion and decision-making. CONCLUSIONS: As most women with DCIS undergo extensive treatment, and many experience treatment-related complications, the paucity of research on PE to improve and support informed decision-making for DCIS is profound. Research is needed to improve patient and provider discussions and decision-making for DCIS management. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s10549-017-4613-x) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-5842253 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-58422532018-03-19 Interventions are needed to support patient–provider decision-making for DCIS: a scoping review Kim, Claire Liang, Laurel Wright, Frances C. Hong, Nicole J. Look Groot, Gary Helyer, Lucy Meiers, Pamela Quan, May Lynn Urquhart, Robin Warburton, Rebecca Gagliardi, Anna R. Breast Cancer Res Treat Review PURPOSE: Prognostic and treatment uncertainty make ductal carcinoma in situ (DCIS) complex to manage. The purpose of this study was to describe research that evaluated DCIS communication experiences, needs and interventions among DCIS patients or physicians. METHODS: MEDLINE, EMBASE, CINAHL and The Cochrane Library were searched from inception to February 2017. English language studies that evaluated patient or physician DCIS needs, experiences or behavioural interventions were eligible. Screening and data extraction were done in duplicate. Summary statistics were used to describe study characteristics and findings. RESULTS: A total of 51 studies published from 1997 to 2016 were eligible for review, with a peak of 8 articles in year 2010. Women with DCIS lacked knowledge about the condition and its prognosis, although care partners were more informed, desired more information and experienced decisional conflict. Many chose mastectomy or prophylactic mastectomy, often based on physician’s recommendation. Following treatment, women had anxiety and depression, often at levels similar to those with invasive breast cancer. Disparities were identified by education level, socioeconomic status, ethnicity and literacy. Physicians said that they had difficulty explaining DCIS and many referred to DCIS as cancer. Despite the challenges reported by patients and physicians, only two studies developed interventions designed to improve patient–physician discussion and decision-making. CONCLUSIONS: As most women with DCIS undergo extensive treatment, and many experience treatment-related complications, the paucity of research on PE to improve and support informed decision-making for DCIS is profound. Research is needed to improve patient and provider discussions and decision-making for DCIS management. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s10549-017-4613-x) contains supplementary material, which is available to authorized users. Springer US 2017-12-23 2018 /pmc/articles/PMC5842253/ /pubmed/29273956 http://dx.doi.org/10.1007/s10549-017-4613-x Text en © The Author(s) 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Review Kim, Claire Liang, Laurel Wright, Frances C. Hong, Nicole J. Look Groot, Gary Helyer, Lucy Meiers, Pamela Quan, May Lynn Urquhart, Robin Warburton, Rebecca Gagliardi, Anna R. Interventions are needed to support patient–provider decision-making for DCIS: a scoping review |
title | Interventions are needed to support patient–provider decision-making for DCIS: a scoping review |
title_full | Interventions are needed to support patient–provider decision-making for DCIS: a scoping review |
title_fullStr | Interventions are needed to support patient–provider decision-making for DCIS: a scoping review |
title_full_unstemmed | Interventions are needed to support patient–provider decision-making for DCIS: a scoping review |
title_short | Interventions are needed to support patient–provider decision-making for DCIS: a scoping review |
title_sort | interventions are needed to support patient–provider decision-making for dcis: a scoping review |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5842253/ https://www.ncbi.nlm.nih.gov/pubmed/29273956 http://dx.doi.org/10.1007/s10549-017-4613-x |
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