Morgan, J.L., Burton, M., Collins, K. et al. (7 more authors) (2015) The balance of clinician and patient input into treatment decision-making in older women with operable breast cancer. Psycho-Oncology, 24 (12). pp. 1761-1766. ISSN 1057-9249
Abstract
Objective Primary endocrine therapy (PET) is an alternative to surgery for oestrogen receptor positive operable breast cancer in some older women. However the decision to offer PET involves complex trade‐offs and is influenced by both patient choice and healthcare professional (HCP) preference. This study aimed to compare the views of patients and HCPs about this decision and explore decision‐making (DM) preferences and whether these are taken into account during consultations.
Methods This multicentre, UK, mixed methods study had three components: (a) questionnaires to older women undergoing counseling about breast cancer treatment options which assessed their DM preferences and realities; (b) qualitative interviews with older women with operable breast cancer offered a choice of either surgery or PET and (c) qualitative interviews with HCPs (both of which focused on DM preferences in this setting).
Results Thirty‐three patients and 34 HCPs were interviewed. A range of opinions about patient involvement in DM were identified. Patients indicated varying preferences for DM involvement which were variably taken into account by HCPs. These qualitative findings were broadly supported by the questionnaire results. Most patients (536/729; 73.5%) achieved their preferred DM style; however, the remainder felt that their DM preferences had not been taken into consideration.
Conclusions These results suggest that whilst many older women achieve their desired level of DM engagement, some do not, raising the possibility that they may be making choices which are not concordant with their treatment preferences.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Copyright, Publisher and Additional Information: | © 2015 John Wiley & Sons, Ltd. This is an author-produced version of a paper subsequently published in Psycho-Oncology. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | Cancer; primary endocrine therapy; oncology; elderly; decision-making |
Dates: |
|
Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > The Medical School (Sheffield) |
Funding Information: | Funder Grant number National Institute for Health Research N/A NIHR Central Commissioning Facility NIHRDH-RP-PG-1209-10071 |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 11 Jan 2021 10:09 |
Last Modified: | 11 Jan 2021 10:09 |
Status: | Published |
Publisher: | Wiley |
Refereed: | Yes |
Identification Number: | 10.1002/pon.3853 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:169849 |