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Article: Surgeon's recommendation, perceived operative efficacy and age dictate treatment choice by Chinese women facing breast cancer surgery

TitleSurgeon's recommendation, perceived operative efficacy and age dictate treatment choice by Chinese women facing breast cancer surgery
Authors
Issue Date2005
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/5807
Citation
Psycho-Oncology, 2005, v. 14 n. 7, p. 585-593 How to Cite?
AbstractPurpose: To identify factors influencing Chinese women's choices between breast-conserving therapy (BCT), mastectomy (MRM) or MRM followed by breast reconstruction (MRM+R). Methods: Of 405/443 Hong Kong Chinese women receiving surgery for early breast cancer who were interviewed one week post-surgery about their pre-surgical consultation, available treatment alternatives, whether their surgeons had indicated a surgical preference, perceived efficacy of the surgical options and considerations influencing their treatment decisions (TDM), 198 (49%) reported they were offered a choice of surgery. Results: Among women offered a choice of surgery, BCT was chosen by 34/43 (79%) of women whose surgeons recommended BCT but by only 34/96 (37%) of women whose surgeons expressed no treatment recommendation. Multivariate adjustment showed women choosing MRM were influenced more by avoiding both cancer recurrence (p = 0.003) and further treatment (p = 0.009) when choosing surgical option than women choosing BCT. In contrast, women choosing MRM + R and BCT, placed more emphasis on appearance (p < 0.001) and body image (p<0.001) concerns as influencing treatment choice than did women who chose MRM. Conclusion: Survival concerns rather than physical appearance, age and lack of recommendation push Chinese women to choose MRM as BCT is, incorrectly often seen as less efficacious. Recommending BCT increases BCT choice. Copyright © 2004 John Wiley & Sons, Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/151609
ISSN
2015 Impact Factor: 3.256
2015 SCImago Journal Rankings: 1.904
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLam, WWTen_US
dc.contributor.authorFielding, Ren_US
dc.contributor.authorHo, EYYen_US
dc.contributor.authorChan, Men_US
dc.contributor.authorOr, Aen_US
dc.date.accessioned2012-06-26T06:25:25Z-
dc.date.available2012-06-26T06:25:25Z-
dc.date.issued2005en_US
dc.identifier.citationPsycho-Oncology, 2005, v. 14 n. 7, p. 585-593en_US
dc.identifier.issn1057-9249en_US
dc.identifier.urihttp://hdl.handle.net/10722/151609-
dc.description.abstractPurpose: To identify factors influencing Chinese women's choices between breast-conserving therapy (BCT), mastectomy (MRM) or MRM followed by breast reconstruction (MRM+R). Methods: Of 405/443 Hong Kong Chinese women receiving surgery for early breast cancer who were interviewed one week post-surgery about their pre-surgical consultation, available treatment alternatives, whether their surgeons had indicated a surgical preference, perceived efficacy of the surgical options and considerations influencing their treatment decisions (TDM), 198 (49%) reported they were offered a choice of surgery. Results: Among women offered a choice of surgery, BCT was chosen by 34/43 (79%) of women whose surgeons recommended BCT but by only 34/96 (37%) of women whose surgeons expressed no treatment recommendation. Multivariate adjustment showed women choosing MRM were influenced more by avoiding both cancer recurrence (p = 0.003) and further treatment (p = 0.009) when choosing surgical option than women choosing BCT. In contrast, women choosing MRM + R and BCT, placed more emphasis on appearance (p < 0.001) and body image (p<0.001) concerns as influencing treatment choice than did women who chose MRM. Conclusion: Survival concerns rather than physical appearance, age and lack of recommendation push Chinese women to choose MRM as BCT is, incorrectly often seen as less efficacious. Recommending BCT increases BCT choice. Copyright © 2004 John Wiley & Sons, Ltd.en_US
dc.languageengen_US
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/5807en_US
dc.relation.ispartofPsycho-Oncologyen_US
dc.rightsPsycho-Oncology. Copyright © John Wiley & Sons Ltd.-
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshBody Imageen_US
dc.subject.meshBreast Neoplasms - Ethnology - Psychology - Surgeryen_US
dc.subject.meshCultural Characteristicsen_US
dc.subject.meshDecision Makingen_US
dc.subject.meshFemaleen_US
dc.subject.meshHong Kong - Ethnologyen_US
dc.subject.meshHumansen_US
dc.subject.meshMastectomy, Segmentalen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshNeoplasm Recurrence, Localen_US
dc.subject.meshPrognosisen_US
dc.subject.meshReconstructive Surgical Proceduresen_US
dc.subject.meshSurvivalen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleSurgeon's recommendation, perceived operative efficacy and age dictate treatment choice by Chinese women facing breast cancer surgeryen_US
dc.typeArticleen_US
dc.identifier.emailLam, WWT: wwtlam@hku.hken_US
dc.identifier.emailFielding, R: fielding@hku.hken_US
dc.identifier.authorityLam, WWT=rp00443en_US
dc.identifier.authorityFielding, R=rp00339en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1002/pon.877en_US
dc.identifier.pmid15546161-
dc.identifier.scopuseid_2-s2.0-22644439033en_US
dc.identifier.hkuros100951-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-22644439033&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume14en_US
dc.identifier.issue7en_US
dc.identifier.spage585en_US
dc.identifier.epage593en_US
dc.identifier.isiWOS:000230664400007-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridLam, WWT=7203022022en_US
dc.identifier.scopusauthoridFielding, R=7102200484en_US
dc.identifier.scopusauthoridHo, EYY=7102724570en_US
dc.identifier.scopusauthoridChan, M=7402597760en_US
dc.identifier.scopusauthoridOr, A=8562756500en_US

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