Breast Cancer Patients' Perceptions of Adjuvant Radiotherapy: an Assessment of Pre-Treatment Knowledge and Informational Needs.
Adjuvant radiotherapy
Breast cancer
Patient education
Journal
Journal of cancer education : the official journal of the American Association for Cancer Education
ISSN: 1543-0154
Titre abrégé: J Cancer Educ
Pays: England
ID NLM: 8610343
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
pubmed:
11
3
2019
medline:
26
1
2021
entrez:
11
3
2019
Statut:
ppublish
Résumé
There is little knowledge about breast cancer patients' information-seeking behaviors, needs, and perceptions of breast radiation therapy (BRT) prior to radiation oncology consultation. This study assessed these parameters to evaluate potential gaps and overlaps in the BRT educational process. Breast cancer patients > 18 years referred for adjuvant BRT at a tertiary cancer center completed an anonymous survey prior to their consultation. Response rate was 86% (118/137). The most commonly reported sources of information about BRT were healthcare providers (55%), family or friends treated with BRT (53%), and the Internet (45%). Most (79%) had little or no knowledge about BRT. Sixty-seven percent were a little or moderately concerned about BRT, while 29% were very concerned. Half were unsure about the benefit of BRT and 46% thought it would provide a moderate to significant benefit. While seeking information about BRT, a wide range of topics were encountered. The most common ones were fatigue (68%), skin care (57%), skin problems (54%), effects on healthy body tissues (43%), the immune system (37%), and pain (34%). Topics considered most important for the radiation oncologist to address were BRT effects on the heart (74%), second cancers (74%), immune system (66%), pain (64%), and lungs (62%). Although commonly encountered, fatigue (56%) and skin care (49%) were of lesser importance. In conclusion, breast cancer patients encounter a broad range of information about BRT prior to their radiation oncology consultation, which may contribute to worry and misconceptions. Potentially rare and serious side effects were considered important to address.
Identifiants
pubmed: 30852787
doi: 10.1007/s13187-019-01507-4
pii: 10.1007/s13187-019-01507-4
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
661-668Références
Jefford M, Tattersall MH (2002) Informing and involving cancer patients in their own care. Lancet Oncol 3(10):629–637
doi: 10.1016/S1470-2045(02)00877-X
Bovenkamp HM, Dwarswaard J (2017) The complexity of shaping self-management in daily practice. Health Expect 20(5):952–960
doi: 10.1111/hex.12536
Im H, Huh J (2017) Does health information in mass media help or hurt patients? Investigation of potential negative influence of mass media health information on patients’ beliefs and medication regimen adherence. J Health Commun 22(3):214–219
doi: 10.1080/10810730.2016.1261970
Gunther E (2003) The impact of the internet on cancer outcomes. CA Cancer J Clin 53(6):356–371
doi: 10.3322/canjclin.53.6.356
Long LE (2001) Being informed: undergoing radiation therapy. Cancer Nurs 24(6):463–468
doi: 10.1097/00002820-200112000-00007
Halkett GKB, Kristjanson LJ, Lobb EA (2008) ‘If we get too close to your bones they’ll go brittle’: Women’s initial fears about radiotherapy for early breast cancer. Psycho-Oncology 17(9):877–884
doi: 10.1002/pon.1298
Freudenberg LS, Beyer T (2011) Subjective perception of radiation risk. J Nucl Med 52(Suppl 2(Supplement_2)):35S
Kimiafar K, Sarbaz M, Shahid Sales S, Esmaeili M, Javame Ghazvini Z (2016) Breast cancer patients' information needs and information-seeking behavior in a developing country. Breast 28:156–160
doi: 10.1016/j.breast.2016.05.011
Tanis M, Hartmann T (2016) Online health anxiety and consultation satisfaction: a quantitative exploratory study on their relations. Patient Educ Couns 99(7):1227–1232
doi: 10.1016/j.pec.2016.01.021
Ebel M, Stellamanns J, Keinki C, Rudolph I, Huebner J (2015) Cancer patients and the internet: a survey among German cancer patients. J Cancer Educ 32(3):503–508
doi: 10.1007/s13187-015-0945-6
Hamidi M, Moody JS, Kozak KR (2010) Refusal of radiation therapy and its associated impact on survival. Am J Clin Oncol 33(6):629–632
doi: 10.1097/COC.0b013e3181d270ce
Halkett GKB, Kristjanson LJ, Lobb E, O'Driscoll C, Taylor M, Spry N (2010) Meeting breast cancer patients’ information needs during radiotherapy: what can we do to improve the information and support that is currently provided? Eur J Cancer Care (Engl) 19(4):538
doi: 10.1111/j.1365-2354.2009.01090.x
Brown RF, Butow PN, Dunn SM, Tattersall MH (2001) Promoting patient participation and shortening cancer consultations: a randomised trial. Br J Cancer 85(9):1273–1279
doi: 10.1054/bjoc.2001.2073
Epstein RM (2008) Have you really addressed your patient's concerns? Fam Pract Manag 15(3):35
pubmed: 18422265
Glaser BG, Strauss AL (2017) The discovery of grounded theory: strategies for qualitative research. New Brunswick: Aldine Transaction
Wang S, Kelly G, Gross C et al (2017) Information needs of older women with early-stage breast cancer when making radiation therapy decisions. Int J Radiat Oncol Biol Phys 98(4):733–740
doi: 10.1016/j.ijrobp.2017.02.001
Nguyen SKA, Ingledew P (2013) Tangled in the breast cancer web: an evaluation of the usage of web-based information resources by breast cancer patients. J Cancer Educ 28(4):662–668
doi: 10.1007/s13187-013-0509-6
Castleton K, Fong T, Wang-Gillam A, Waqar MA, Jeffe DB, Kehlenbrink L, Gao F, Govindan R (2011) A survey of internet utilization among patients with cancer. Support Care Cancer 19(8):1183–1190
doi: 10.1007/s00520-010-0935-5
Remouchamps VM, Vicini FA, Sharpe MB, Kestin LL, Martinez AA, Wong JW (2003) Significant reductions in heart and lung doses using deep inspiration breath hold with active breathing control and intensity-modulated radiation therapy for patients treated with locoregional breast irradiation. Int J Radiat Oncol Biol Phys 55(2):392–406
doi: 10.1016/S0360-3016(02)04143-3
Warren E, Footman K, Tinelli M, McKee M, Knai C (2014) Do cancer-specific websites meet patient's information needs? Patient Educ Couns 95(1):126–136
doi: 10.1016/j.pec.2013.12.013
Shaverdian N, Wang X, Hegde JV, Aledia C, Weidhaas JB, Steinberg ML, McCloskey SA (2018) The patient’s perspective on breast radiotherapy: initial fears and expectations versus reality: perspectives on breast radiotherapy. Cancer 124(8):1673–1681
doi: 10.1002/cncr.31159
Sundaresan P, Sullivan L, Pendlebury S, Kirby A, Rodger A, Joseph D, Campbell I, Dhillon HM, Stockler MR (2015) Patients’ perceptions of health-related quality of life during and after adjuvant radiotherapy for T1N0M0 breast cancer. Clin Oncol 27(1):9–15
doi: 10.1016/j.clon.2014.09.007
Linden W, Vodermaier A, MacKenzie R, Greig D (2012) Anxiety and depression after cancer diagnosis: prevalence rates by cancer type, gender, and age. J Affect Disord 141(2):343–351
doi: 10.1016/j.jad.2012.03.025
Härtl K, Schennach R, Müller M et al (2010) Quality of life, anxiety, and oncological factors: a follow-up study of breast cancer patients. Psychosomatics 51(2):112–123
doi: 10.1016/S0033-3182(10)70671-X
Matsuyama RK, Wilson-Genderson M, Kuhn L, Moghanaki D, Vachhani H, Paasche-Orlow M (2011) Education level, not health literacy, associated with information needs for patients with cancer. Patient Educ Couns 85(3):e236
doi: 10.1016/j.pec.2011.03.022