What does risk of future cancer mean to breast cancer patients?
| Autor: | Lindsey C. Karavites, Leilani Lacson, Seema A. Khan, Sofia F. Garcia, Kenzie A. Cameron, Margaret R. Moran, Jennifer L. Beaumont, Karen Kaiser, Chiara Rodgers, Nora M. Hansen, Swati Kulkarni |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
0301 basic medicine Cancer Research medicine.medical_specialty media_common.quotation_subject Clinical Decision-Making Breast Neoplasms Article Young Adult 03 medical and health sciences 0302 clinical medicine Breast cancer Contralateral Prophylactic Mastectomy Patient Education as Topic Surveys and Questionnaires medicine Humans Prospective Studies Mastectomy media_common Physician-Patient Relations business.industry BRCA mutation Cancer Cognition Middle Aged medicine.disease Risk perception Prophylactic Mastectomy 030104 developmental biology Social Class Oncology Feeling 030220 oncology & carcinogenesis Family medicine Female Perception business Patient education |
| Zdroj: | Breast Cancer Res Treat |
| ISSN: | 1573-7217 0167-6806 |
| DOI: | 10.1007/s10549-019-05182-3 |
| Popis: | PURPOSE: Newly diagnosed breast cancer patients greatly overestimate their risk of developing contralateral breast cancer (CBC). Better understanding of patient conceptions of risk would facilitate doctor-patient communication and surgical decision making. In this mixed methods study, we prospectively examined breast cancer patients’ perceived risk of future cancer and the reported factors that drove their risk perceptions. METHODS: Women age 21–60 diagnosed with breast cancer without a BRCA mutation or known distant metastases completed a study interview between surgical consult and surgical treatment. Participants completed a 12-item Perceived Risk Questionnaire, which assessed 10-year and lifetime risks of ipsilateral local recurrence, CBC, and distant recurrence. Patients provided qualitative explanations for their answers. RESULTS: Sixty-three patients completed study interviews (mean age 50.3). Participants were primarily White (85.7%) and 90.5% had attended college. Patients estimated their 10-year risk of CBC as 22.0%, nearly 4 times the established 10-year risk. Women attributed their risk perceptions to “gut feelings” about future cancer, even when women knew those feelings contradicted medically established risk. Perceptions of risk also reflected beliefs that cancer is random and that risk for local recurrence, CBC, and distant recurrence is the same. CONCLUSIONS: Our findings point to the need for novel ways of presenting factual information regarding both risk of recurrence and of new primary cancers, as well as the necessity of acknowledging cognitive and affective processes many patients use when conceptualizing risk. By differentiating women’s intuitive feelings about risk from their knowledge of medically estimated risk, doctors can enhance informed decision-making. |
| Databáze: | OpenAIRE |
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