Correlates of regret with treatment decision-making among Japanese women with breast cancer: results of an internet-based cross-sectional survey

Autor: Mitsuyo Nakashima, Keiko Yamauchi, Motoyuki Nakao
Rok vydání: 2019
Předmět:
Adult
medicine.medical_specialty
Cross-sectional study
media_common.quotation_subject
medicine.medical_treatment
Decision Making
Emotions
Reproductive medicine
Breast Neoplasms
Fertility
Mastectomy
Segmental
lcsh:Gynecology and obstetrics
03 medical and health sciences
Breast cancer
0302 clinical medicine
Japan
Surveys and Questionnaires
Breast-conserving surgery
Humans
Medicine
030212 general & internal medicine
lcsh:RG1-991
Mastectomy
Aged
media_common
Japanese women
030219 obstetrics & reproductive medicine
business.industry
lcsh:Public aspects of medicine
Decisional regret
Obstetrics and Gynecology
lcsh:RA1-1270
Regret
General Medicine
Middle Aged
Decisional role
medicine.disease
Cross-Sectional Studies
Reproductive Medicine
Sex life
Family medicine
Female
business
Research Article
Decision-making
Zdroj: BMC Women's Health
BMC Women's Health, Vol 19, Iss 1, Pp 1-9 (2019)
ISSN: 1472-6874
DOI: 10.1186/s12905-019-0783-5
Popis: Background Satisfaction with medical decisions among patients with cancer is associated not only with the results of decisions they make but also with how they make those decisions. To elucidate the decision-making process among Japanese women with breast cancer, we explored the correlates of regret with patients’ treatment decision-making. Methods An Internet-based cross-sectional survey was utilized. Japanese women (N = 467) who self-reported that they had been diagnosed with stage 0­II breast cancer participated. Data regarding their decisional role (active, collaborative, or passive) in treatment decision-making, their most regrettable experience regarding their decision-making, the importance of various factors related to decision-making at the time, and clinical and sociodemographic factors were obtained. A forced-entry logistic regression analysis was performed on the likelihood that patients would have some regrets regarding the decision-making process. Results About half the women expressed some regret (51.4%). Women who had a mastectomy were significantly more likely to have regret than women who had breast conserving surgery. Correlates of regret differed by surgical type. For women who had a mastectomy, those who were aged ≥50 years when diagnosed, or who made their decisions collaboratively with their doctors were significantly less likely to have regret with the decision-making. For women who had breast conserving surgery, those who worked on a contract or part-time basis or whose decision-making roles matched their preferred role were significantly less likely to have regret. Among women who reported some regret, 23.8% expressed that their most regrettable experience concerned gathering information, while 21.3% regretted not consulting with others. For women who were diagnosed at a younger age, the influence on their sex life and pregnancy and childbirth was more important when making their treatment decisions than for women diagnosed an older age. Conclusions Approximately half of the Japanese women with breast cancer in this study reported some regret in the treatment decision-making process. Effective participation in decision-making differed by surgical types. Additionally, women who are diagnosed with breast cancer at a relatively younger age, as compared to those who are older, may need additional information and support regarding their sex life and fertility after cancer treatment. Electronic supplementary material The online version of this article (10.1186/s12905-019-0783-5) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
Externí odkaz: