Decisional conflict in breast cancer patients considering immediate breast reconstruction
| Autor: | Hester S. A. Oldenburg, Marianne A. Kuenen, Nikola A N Kimmings, Quinten P Q Ruhé, Irene S Krabbe-Timmerman, Eveline M. A. Bleiker, Eveline M L Corten, Arjen J. Witkamp, Kerry A. Sherman, Miranda A. Gerritsma, Martine A. van Huizum, Frederieke van Duijnhoven, Leonie A. E. Woerdeman, Martijne van 't Riet, Daniela E E Hahn, Jacobien M. Kieffer, Jacqueline A Ter Stege |
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| Přispěvatelé: | Plastic and Reconstructive Surgery and Hand Surgery |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Coping (psychology) Decisional conflict Mammaplasty medicine.medical_treatment Decision Making Breast Neoplasms Surgical preferences lcsh:RC254-282 Decision Support Techniques law.invention 03 medical and health sciences 0302 clinical medicine Breast cancer Randomized controlled trial SDG 3 - Good Health and Well-being law medicine Humans 030212 general & internal medicine skin and connective tissue diseases Mastectomy Immediate breast reconstruction business.industry General Medicine Odds ratio medicine.disease lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens 030220 oncology & carcinogenesis Physical therapy Anxiety Original Article Female Surgery medicine.symptom business Breast reconstruction |
| Zdroj: | The Breast, 55, 91-97. ELSEVIER Breast, Vol 55, Iss, Pp 91-97 (2021) The Breast, 55, 91-97. CHURCHILL LIVINGSTONE Breast, 55, 91-97. Churchill Livingstone The Breast : Official Journal of the European Society of Mastology |
| ISSN: | 1532-3080 0960-9776 |
| Popis: | Background Breast cancer (BC) patients who are treated with mastectomy are frequently offered immediate breast reconstruction. This study aimed to assess decisional conflict in patients considering immediate breast reconstruction, and to identify factors associated with clinically significant decisional conflict (CSDC). Methods Baseline data of a multicenter randomized controlled trial evaluating the impact of an online decision aid for BC patients considering immediate breast reconstruction after mastectomy were analyzed. Participants completed questionnaires assessing sociodemographic and clinical characteristics, decisional conflict and other patient-reported outcomes related to decision-making such as breast reconstruction preference, knowledge, information resources used, preferred involvement in decision-making, information coping style, and anxiety. Multivariable logistic regression analysis was performed to identify factors associated with CSDC (score > 37.5 on decisional conflict). Results Of the 250 participants, 68% experienced CSDC. Patients with a slight preference for breast reconstruction (odds ratio (OR) = 6.19, p Highlights • A majority of patients considering immediate breast reconstruction experience decisional conflict. • Patients without a strong preference for breast reconstruction are more likely to experience decisional conflict. • Patients with more anxiety are more likely to experience decisional conflict. |
| Databáze: | OpenAIRE |
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