Breast Cancer Patients’ Preferences for Adjuvant Radiotherapy Post Lumpectomy: Whole Breast Irradiation vs. Partial Breast Irradiation—Single Institutional Study
| Autor: | Deb Feldman-Stewart, Katija Bonin, Tamara Harth, Justin Lee, Hany Soliman, Eileen Rakovitch, Merrylee McGuffin, Lawrence Paszat, Danny Vesprini, Xingshan Cao, Ewa Szumacher, Aruz Mesci, Edward Chow, Mary Doherty, Roseanna Presutti, Ida Ackerman, Lisa Di Prospero, Alex Kiss |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Breast Neoplasms Mastectomy Segmental Logistic regression 03 medical and health sciences 0302 clinical medicine Breast cancer Whole Breast Irradiation Internal medicine medicine Humans 030212 general & internal medicine Aged Adjuvant radiotherapy business.industry Standard treatment Lumpectomy Public Health Environmental and Occupational Health Partial Breast Irradiation Patient Preference Middle Aged medicine.disease Surgery Regimen Oncology 030220 oncology & carcinogenesis Female Radiotherapy Adjuvant Neoplasm Recurrence Local business |
| Zdroj: | Journal of Cancer Education. 33:37-43 |
| ISSN: | 1543-0154 0885-8195 |
| Popis: | This study was conducted to elucidate patients with early breast cancer preference for standard whole breast irradiation (WBI) or partial breast irradiation (PBI) following lumpectomy, as well as identify important factors for patients when making their treatment decisions. Based on relevant literature and ASTRO consensus statement guidelines, an educational tool and questionnaire were developed. Consenting, eligible women reviewed the educational tool and completed the trade-off questionnaire. Descriptive statistics were calculated, as well as chi-squares and a logistic regression model. Of the 90 patients who completed the study, 62 % preferred WBI, 30 % preferred PBI, 4 % required more information, and 3 % had no preferences. Of the patients who chose WBI, 58 % preferred hypofractionated RT, whereas 25 % preferred the conventional RT regimen. The majority of patients rated recurrence rate [WBI = 55/55 (100 %), PBI = 26/26 (100 %)] and survival [WBI = 54/55 (98 %), PBI = 26/26 (100 %)] as important factors contributing to their choice of treatment preference. Financial factors [WBI = 21/55 (38 %), PBI = 14/26 (53 %)] and convenience [WBI = 36/54 (67 %), PBI = 18/26 (69 %)] were rated as important less frequently. Significantly, more patients who preferred WBI also rated standard method of treatment as important when compared to patients who preferred PBI [WBI = 52/54 (96 %), PBI = 16/26 (61 %), χ 2 = 16.63, p = 0.001]. The majority of patients with early breast cancer who were surveyed for this study preferred WBI as an adjuvant treatment post lumpectomy, yet there was a sizeable minority who preferred PBI. This was associated with the importance patients place on standard treatment. These results will help medical professionals treat patients according to patient values. |
| Databáze: | OpenAIRE |
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