Decisional conflict among breast cancer patients considering contralateral prophylactic mastectomy.
Breast cancer
Contralateral prophylactic mastectomy
Decisional conflict
Decisional processes
Journal
Patient education and counseling
ISSN: 1873-5134
Titre abrégé: Patient Educ Couns
Pays: Ireland
ID NLM: 8406280
Informations de publication
Date de publication:
05 2019
05 2019
Historique:
received:
11
06
2018
revised:
04
12
2018
accepted:
08
12
2018
pubmed:
17
12
2018
medline:
22
11
2019
entrez:
17
12
2018
Statut:
ppublish
Résumé
The study's goals were to characterize decisional conflict and preparedness for making the decision about having CPM among breast cancer patients considering CPM who do not carry cancer-predisposing mutation and to evaluate correlates of decisional conflict and preparedness. 93 women considering CPM completed a survey of decisional conflict and preparedness for the CPM decision, knowledge, perceived risk, self-efficacy, reasons for CPM, input from others and discussion with the doctor about CPM, and cancer worry. Between 8% and 27% of women endorsed elevated decisional conflict. Most women were satisfied with preparatory information that they were provided. Knowledge was low. Top reasons for choosing CPM were the desire for peace of mind, lowering the chance of another breast cancer, and improving survival. Decisional conflict is elevated in a subset of patients considering CPM. A more well-informed decision may be fostered by a comprehensive discussion about CPM with the patient's clinician, fostering self-efficacy in managing cancer worry, and helping patients understand their motivations for CPM. Clinicians working with breast cancer patients considering CPM should discuss the CPM decision, foster self-efficacy in managing cancer worry, and help patients understand their motivations for the surgery.
Identifiants
pubmed: 30553577
pii: S0738-3991(18)31014-0
doi: 10.1016/j.pec.2018.12.008
pmc: PMC7666877
mid: NIHMS1626767
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Pagination
902-908Subventions
Organisme : NCI NIH HHS
ID : P30 CA008748
Pays : United States
Organisme : NCI NIH HHS
ID : R21 CA187643
Pays : United States
Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2018. Published by Elsevier B.V.
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