Meeting the Decision-Making Preferences of Patients With Breast Cancer in Oncology Consultations: Impact on Decision-Related Outcomes
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Brown, Richard
[1
]
Butow, Phyllis
论文数: 0引用数: 0
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Univ Sydney, Sch Psychol, Sydney, NSW 2006, AustraliaVirginia Commonwealth Univ, Sch Med, Richmond, VA 23298 USA
Butow, Phyllis
[2
]
Wilson-Genderson, Maureen
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Virginia Commonwealth Univ, Sch Med, Richmond, VA 23298 USAVirginia Commonwealth Univ, Sch Med, Richmond, VA 23298 USA
Wilson-Genderson, Maureen
[1
]
Bernhard, Juerg
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Int Breast Canc Study Grp, Coordinating Ctr, Bern, Switzerland
Univ Hosp Bern, Inselspital, CH-3010 Bern, SwitzerlandVirginia Commonwealth Univ, Sch Med, Richmond, VA 23298 USA
Bernhard, Juerg
[3
,4
]
Ribi, Karin
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Int Breast Canc Study Grp, Coordinating Ctr, Bern, SwitzerlandVirginia Commonwealth Univ, Sch Med, Richmond, VA 23298 USA
Ribi, Karin
[3
]
Juraskova, Ilona
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Univ Sydney, Sch Psychol, Sydney, NSW 2006, AustraliaVirginia Commonwealth Univ, Sch Med, Richmond, VA 23298 USA
Juraskova, Ilona
[2
]
机构:
[1] Virginia Commonwealth Univ, Sch Med, Richmond, VA 23298 USA
[2] Univ Sydney, Sch Psychol, Sydney, NSW 2006, Australia
[3] Int Breast Canc Study Grp, Coordinating Ctr, Bern, Switzerland
Purpose To investigate how involvement preferences of patients with breast cancer change during the treatment decision-making process and determine the impact of meeting patients' expectations on decision-making outcomes. Patients and Methods Participants were 683 patients with breast cancer from 62 oncologists in five different countries recruited to an International Breast Cancer Study Group (IBCSG 33-03) project. Questionnaires elicited patients' pre- and postconsultation preferences for involvement in treatment decision making and whether these were met or not. Decision-related outcomes were assessed postconsultation. Results Before the consultation, most patients preferred shared or patient-directed treatment decision making. After the consultation, 43% of patients' preferences changed, and most shifted toward patient-directed decisions. The actual postconsultation decision was more likely to be made according to postconsultation rather than preconsultation preferences. Compared with patients who were less involved than they had hoped to be, patients who were as involved as they had hoped to be or were even more involved in decision making had significantly better decision-related outcomes. This was true regardless of whether preference change occurred. Conclusion Many patients with early-stage breast cancer have treatment options and approach treatment decisions with a desire for decisional control, which may increase after their consultation. Patients' ultimate involvement preferences were more likely to be consistent with the way the decision was actually made, suggesting that patients need to feel concordance between their preference and the actual decision. Patients who directed decisions, even if more than they hoped for, fared better on all decision-related outcomes. These results emphasize the need for oncologists to endorse and facilitate patient participation in treatment decision making. J Clin Oncol 30: 857-862. (C) 2012 by American Society of Clinical Oncology
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Virginia Commonwealth Univ, Sch Med, Dept Social & Behav Hlth, Richmond, VA 23298 USAVirginia Commonwealth Univ, Sch Med, Dept Social & Behav Hlth, Richmond, VA 23298 USA
Brown, Richard F.
Butow, Phyllis N.
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Univ Sydney, Sch Psychol, Ctr Med Psychol & Evidence Based Decis Making, Camperdown, NSW, AustraliaVirginia Commonwealth Univ, Sch Med, Dept Social & Behav Hlth, Richmond, VA 23298 USA
Butow, Phyllis N.
Juraskova, Ilona
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h-index: 0
机构:
Univ Sydney, Sch Psychol, Ctr Med Psychol & Evidence Based Decis Making, Camperdown, NSW, AustraliaVirginia Commonwealth Univ, Sch Med, Dept Social & Behav Hlth, Richmond, VA 23298 USA
Juraskova, Ilona
Ribi, Karin
论文数: 0引用数: 0
h-index: 0
机构:
Coordinating Ctr, Int Breast Canc Study Grp, Bern, SwitzerlandVirginia Commonwealth Univ, Sch Med, Dept Social & Behav Hlth, Richmond, VA 23298 USA
Ribi, Karin
Gerber, Daniela
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Coordinating Ctr, Int Breast Canc Study Grp, Bern, SwitzerlandVirginia Commonwealth Univ, Sch Med, Dept Social & Behav Hlth, Richmond, VA 23298 USA
Gerber, Daniela
Bernhard, Jurg
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Coordinating Ctr, Int Breast Canc Study Grp, Bern, Switzerland
Univ Hosp Bern, Inselspital, CH-3010 Bern, SwitzerlandVirginia Commonwealth Univ, Sch Med, Dept Social & Behav Hlth, Richmond, VA 23298 USA
Bernhard, Jurg
Tattersall, Martin H. N.
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Univ Sydney, Sch Psychol, Ctr Med Psychol & Evidence Based Decis Making, Camperdown, NSW, Australia
Univ Sydney, Sch Med, Dept Canc Med, Camperdown, NSW, AustraliaVirginia Commonwealth Univ, Sch Med, Dept Social & Behav Hlth, Richmond, VA 23298 USA
机构:
Virginia Commonwealth Univ, Sch Med, Dept Social & Behav Hlth, Richmond, VA 23298 USAVirginia Commonwealth Univ, Sch Med, Dept Social & Behav Hlth, Richmond, VA 23298 USA
Brown, Richard F.
Butow, Phyllis N.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sydney, Sch Psychol, Ctr Med Psychol & Evidence Based Decis Making, Camperdown, NSW, AustraliaVirginia Commonwealth Univ, Sch Med, Dept Social & Behav Hlth, Richmond, VA 23298 USA
Butow, Phyllis N.
Juraskova, Ilona
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sydney, Sch Psychol, Ctr Med Psychol & Evidence Based Decis Making, Camperdown, NSW, AustraliaVirginia Commonwealth Univ, Sch Med, Dept Social & Behav Hlth, Richmond, VA 23298 USA
Juraskova, Ilona
Ribi, Karin
论文数: 0引用数: 0
h-index: 0
机构:
Coordinating Ctr, Int Breast Canc Study Grp, Bern, SwitzerlandVirginia Commonwealth Univ, Sch Med, Dept Social & Behav Hlth, Richmond, VA 23298 USA
Ribi, Karin
Gerber, Daniela
论文数: 0引用数: 0
h-index: 0
机构:
Coordinating Ctr, Int Breast Canc Study Grp, Bern, SwitzerlandVirginia Commonwealth Univ, Sch Med, Dept Social & Behav Hlth, Richmond, VA 23298 USA
Gerber, Daniela
Bernhard, Jurg
论文数: 0引用数: 0
h-index: 0
机构:
Coordinating Ctr, Int Breast Canc Study Grp, Bern, Switzerland
Univ Hosp Bern, Inselspital, CH-3010 Bern, SwitzerlandVirginia Commonwealth Univ, Sch Med, Dept Social & Behav Hlth, Richmond, VA 23298 USA
Bernhard, Jurg
Tattersall, Martin H. N.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sydney, Sch Psychol, Ctr Med Psychol & Evidence Based Decis Making, Camperdown, NSW, Australia
Univ Sydney, Sch Med, Dept Canc Med, Camperdown, NSW, AustraliaVirginia Commonwealth Univ, Sch Med, Dept Social & Behav Hlth, Richmond, VA 23298 USA