Cargando…
Decision regret in breast cancer patients after adjuvant radiotherapy
PURPOSE: Breast cancer patients often engage in shared decision-making to select an individualized treatment regimen from multiple options. However, dissatisfaction with treatment outcomes can lead to decision regret. We evaluated decision regret and physical and psychological well-being among breas...
Autores principales: | , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9939714/ https://www.ncbi.nlm.nih.gov/pubmed/36758448 http://dx.doi.org/10.1016/j.breast.2023.01.014 |
_version_ | 1784890918240780288 |
---|---|
author | Köksal, Mümtaz Hoppe, Clara Schröder, Anna-Katharina Scafa, Davide Koch, David Sarria, Gustavo R. Leitzen, Christina Abramian, Alina Kaiser, Christina Faridi, Andree Henkenberens, Christoph Schmeel, Leonard C. Giordano, Frank A. |
author_facet | Köksal, Mümtaz Hoppe, Clara Schröder, Anna-Katharina Scafa, Davide Koch, David Sarria, Gustavo R. Leitzen, Christina Abramian, Alina Kaiser, Christina Faridi, Andree Henkenberens, Christoph Schmeel, Leonard C. Giordano, Frank A. |
author_sort | Köksal, Mümtaz |
collection | PubMed |
description | PURPOSE: Breast cancer patients often engage in shared decision-making to select an individualized treatment regimen from multiple options. However, dissatisfaction with treatment outcomes can lead to decision regret. We evaluated decision regret and physical and psychological well-being among breast cancer patients who underwent adjuvant radiotherapy and explored their associations with patient, tumor, treatment, and symptom characteristics. METHODS: This cross-sectional study involved retrospectively obtaining clinical data and data collected through interviews carried out as part of regular long-term medical aftercare. Decision regret regarding the radiotherapy was assessed using the Ottawa Decision Regret Scale, physical and psychological well-being were assessed using the PROMIS Global Health-10 questionnaire, and patients were asked about their treatment outcomes and symptoms. The questionnaire was administered 14 months to 4 years after completion of radiotherapy. RESULTS: Of the 172 included breast cancer patients, only 13.9% expressed high decision regret, with most patients expressing little or no decision regret. More decision regret was associated with volumetric modulated arc therapy, chest wall irradiation, use of docetaxel as a chemotherapy agent, lymphangiosis carcinomatosa, new heart disease after radiotherapy, and lower psychological well-being. CONCLUSION: Although most patients reported little or no decision regret, we identified several patient, treatment, and symptom characteristics associated with more decision regret. Our findings suggest that psychological well-being influences patients’ satisfaction with therapy decisions, implying that practitioners should pay special attention to maintaining psychological well-being during shared decision-making and ensuring that psychological assessment and treatment is provided after cancer therapy to deal with long-term effects of radiotherapy. |
format | Online Article Text |
id | pubmed-9939714 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-99397142023-02-21 Decision regret in breast cancer patients after adjuvant radiotherapy Köksal, Mümtaz Hoppe, Clara Schröder, Anna-Katharina Scafa, Davide Koch, David Sarria, Gustavo R. Leitzen, Christina Abramian, Alina Kaiser, Christina Faridi, Andree Henkenberens, Christoph Schmeel, Leonard C. Giordano, Frank A. Breast Original Article PURPOSE: Breast cancer patients often engage in shared decision-making to select an individualized treatment regimen from multiple options. However, dissatisfaction with treatment outcomes can lead to decision regret. We evaluated decision regret and physical and psychological well-being among breast cancer patients who underwent adjuvant radiotherapy and explored their associations with patient, tumor, treatment, and symptom characteristics. METHODS: This cross-sectional study involved retrospectively obtaining clinical data and data collected through interviews carried out as part of regular long-term medical aftercare. Decision regret regarding the radiotherapy was assessed using the Ottawa Decision Regret Scale, physical and psychological well-being were assessed using the PROMIS Global Health-10 questionnaire, and patients were asked about their treatment outcomes and symptoms. The questionnaire was administered 14 months to 4 years after completion of radiotherapy. RESULTS: Of the 172 included breast cancer patients, only 13.9% expressed high decision regret, with most patients expressing little or no decision regret. More decision regret was associated with volumetric modulated arc therapy, chest wall irradiation, use of docetaxel as a chemotherapy agent, lymphangiosis carcinomatosa, new heart disease after radiotherapy, and lower psychological well-being. CONCLUSION: Although most patients reported little or no decision regret, we identified several patient, treatment, and symptom characteristics associated with more decision regret. Our findings suggest that psychological well-being influences patients’ satisfaction with therapy decisions, implying that practitioners should pay special attention to maintaining psychological well-being during shared decision-making and ensuring that psychological assessment and treatment is provided after cancer therapy to deal with long-term effects of radiotherapy. Elsevier 2023-02-01 /pmc/articles/PMC9939714/ /pubmed/36758448 http://dx.doi.org/10.1016/j.breast.2023.01.014 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Köksal, Mümtaz Hoppe, Clara Schröder, Anna-Katharina Scafa, Davide Koch, David Sarria, Gustavo R. Leitzen, Christina Abramian, Alina Kaiser, Christina Faridi, Andree Henkenberens, Christoph Schmeel, Leonard C. Giordano, Frank A. Decision regret in breast cancer patients after adjuvant radiotherapy |
title | Decision regret in breast cancer patients after adjuvant radiotherapy |
title_full | Decision regret in breast cancer patients after adjuvant radiotherapy |
title_fullStr | Decision regret in breast cancer patients after adjuvant radiotherapy |
title_full_unstemmed | Decision regret in breast cancer patients after adjuvant radiotherapy |
title_short | Decision regret in breast cancer patients after adjuvant radiotherapy |
title_sort | decision regret in breast cancer patients after adjuvant radiotherapy |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9939714/ https://www.ncbi.nlm.nih.gov/pubmed/36758448 http://dx.doi.org/10.1016/j.breast.2023.01.014 |
work_keys_str_mv | AT koksalmumtaz decisionregretinbreastcancerpatientsafteradjuvantradiotherapy AT hoppeclara decisionregretinbreastcancerpatientsafteradjuvantradiotherapy AT schroderannakatharina decisionregretinbreastcancerpatientsafteradjuvantradiotherapy AT scafadavide decisionregretinbreastcancerpatientsafteradjuvantradiotherapy AT kochdavid decisionregretinbreastcancerpatientsafteradjuvantradiotherapy AT sarriagustavor decisionregretinbreastcancerpatientsafteradjuvantradiotherapy AT leitzenchristina decisionregretinbreastcancerpatientsafteradjuvantradiotherapy AT abramianalina decisionregretinbreastcancerpatientsafteradjuvantradiotherapy AT kaiserchristina decisionregretinbreastcancerpatientsafteradjuvantradiotherapy AT faridiandree decisionregretinbreastcancerpatientsafteradjuvantradiotherapy AT henkenberenschristoph decisionregretinbreastcancerpatientsafteradjuvantradiotherapy AT schmeelleonardc decisionregretinbreastcancerpatientsafteradjuvantradiotherapy AT giordanofranka decisionregretinbreastcancerpatientsafteradjuvantradiotherapy |