Cargando…
How patient acceptability affects access to breast reconstruction: a qualitative study
OBJECTIVES: There has been limited research on the acceptability of breast reconstruction (BR) to breast cancer patients. We performed interviews to explore breast cancer patients’ acceptability of BR. DESIGN: Qualitative study. SETTING: Recruitment from six Ontario hospitals across the province (To...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6731851/ https://www.ncbi.nlm.nih.gov/pubmed/31481552 http://dx.doi.org/10.1136/bmjopen-2019-029048 |
_version_ | 1783449744332292096 |
---|---|
author | Retrouvey, Helene Zhong, Toni Gagliardi, Anna R Baxter, Nancy N Webster, Fiona |
author_facet | Retrouvey, Helene Zhong, Toni Gagliardi, Anna R Baxter, Nancy N Webster, Fiona |
author_sort | Retrouvey, Helene |
collection | PubMed |
description | OBJECTIVES: There has been limited research on the acceptability of breast reconstruction (BR) to breast cancer patients. We performed interviews to explore breast cancer patients’ acceptability of BR. DESIGN: Qualitative study. SETTING: Recruitment from six Ontario hospitals across the province (Toronto, Ottawa, Hamilton, London, Thunder Bay and Windsor) as well as key breast cancer organisations between November 2017 and June 2018. PARTICIPANTS: Women of any age with a diagnosis of breast cancer planning to undergo or having undergone a mastectomy with or without BR. INTERVENTION: Sixty-minute semi-structured interviews were analysed using qualitative descriptive methodology that draws on inductive thematic analysis. OUTCOME: In the telephone interviews, participants discussed their experience with breast cancer and accessing BR, focusing on the acceptability of BR as a surgical option post-mastectomy. RESULTS: Of the 28 participants, 11 had undergone BR at the time of the interview, 5 at the time of mastectomy and 6 at a later date. Four inter-related themes were identified that reflected women’s evolving ideas about BR as they progressed through different stages of their disease and treatment. The themes we developed were: (1) cancer survival before BR, (2) the influence of physicians on BR acceptability, (3) patient’s shift to BR acceptance and (4) women’s need to justify BR. For many women, access to BR surgery became more salient over time, thus adding a temporal element to the existing access framework. CONCLUSION: In our study, women’s access to BR was negatively influenced by the poor acceptability of this surgical procedure. The acceptability of BR was a complex process taking place over time, from the moment of breast cancer diagnosis to BR consideration. BR access may be improved through enhancing patient acceptability of BR. We suggest adapting the current access to care frameworks by further developing the concept of acceptability. |
format | Online Article Text |
id | pubmed-6731851 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-67318512019-09-20 How patient acceptability affects access to breast reconstruction: a qualitative study Retrouvey, Helene Zhong, Toni Gagliardi, Anna R Baxter, Nancy N Webster, Fiona BMJ Open Surgery OBJECTIVES: There has been limited research on the acceptability of breast reconstruction (BR) to breast cancer patients. We performed interviews to explore breast cancer patients’ acceptability of BR. DESIGN: Qualitative study. SETTING: Recruitment from six Ontario hospitals across the province (Toronto, Ottawa, Hamilton, London, Thunder Bay and Windsor) as well as key breast cancer organisations between November 2017 and June 2018. PARTICIPANTS: Women of any age with a diagnosis of breast cancer planning to undergo or having undergone a mastectomy with or without BR. INTERVENTION: Sixty-minute semi-structured interviews were analysed using qualitative descriptive methodology that draws on inductive thematic analysis. OUTCOME: In the telephone interviews, participants discussed their experience with breast cancer and accessing BR, focusing on the acceptability of BR as a surgical option post-mastectomy. RESULTS: Of the 28 participants, 11 had undergone BR at the time of the interview, 5 at the time of mastectomy and 6 at a later date. Four inter-related themes were identified that reflected women’s evolving ideas about BR as they progressed through different stages of their disease and treatment. The themes we developed were: (1) cancer survival before BR, (2) the influence of physicians on BR acceptability, (3) patient’s shift to BR acceptance and (4) women’s need to justify BR. For many women, access to BR surgery became more salient over time, thus adding a temporal element to the existing access framework. CONCLUSION: In our study, women’s access to BR was negatively influenced by the poor acceptability of this surgical procedure. The acceptability of BR was a complex process taking place over time, from the moment of breast cancer diagnosis to BR consideration. BR access may be improved through enhancing patient acceptability of BR. We suggest adapting the current access to care frameworks by further developing the concept of acceptability. BMJ Publishing Group 2019-09-03 /pmc/articles/PMC6731851/ /pubmed/31481552 http://dx.doi.org/10.1136/bmjopen-2019-029048 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Surgery Retrouvey, Helene Zhong, Toni Gagliardi, Anna R Baxter, Nancy N Webster, Fiona How patient acceptability affects access to breast reconstruction: a qualitative study |
title | How patient acceptability affects access to breast reconstruction: a qualitative study |
title_full | How patient acceptability affects access to breast reconstruction: a qualitative study |
title_fullStr | How patient acceptability affects access to breast reconstruction: a qualitative study |
title_full_unstemmed | How patient acceptability affects access to breast reconstruction: a qualitative study |
title_short | How patient acceptability affects access to breast reconstruction: a qualitative study |
title_sort | how patient acceptability affects access to breast reconstruction: a qualitative study |
topic | Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6731851/ https://www.ncbi.nlm.nih.gov/pubmed/31481552 http://dx.doi.org/10.1136/bmjopen-2019-029048 |
work_keys_str_mv | AT retrouveyhelene howpatientacceptabilityaffectsaccesstobreastreconstructionaqualitativestudy AT zhongtoni howpatientacceptabilityaffectsaccesstobreastreconstructionaqualitativestudy AT gagliardiannar howpatientacceptabilityaffectsaccesstobreastreconstructionaqualitativestudy AT baxternancyn howpatientacceptabilityaffectsaccesstobreastreconstructionaqualitativestudy AT websterfiona howpatientacceptabilityaffectsaccesstobreastreconstructionaqualitativestudy |