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Article: Participation and satisfaction with surgical treatment decision-making in breast cancer among Chinese women

TitleParticipation and satisfaction with surgical treatment decision-making in breast cancer among Chinese women
Authors
Issue Date2003
PublisherSpringer New York LLC. The Journal's web site is located at http://springerlink.metapress.com/openurl.asp?genre=journal&issn=0167-6806
Citation
Breast Cancer Research And Treatment, 2003, v. 80 n. 2, p. 171-180 How to Cite?
AbstractPurpose. To report Chinese women's preferred and perceived participation in breast cancer treatment decision making (TDM), describe influences on women's participation preference and participation congruence (PC) (correspondence between preferred and actual amount of participation in TDM), and explore subsequent satisfaction with TDM. Patients and methods. Of 172/211 eligible and available Chinese women recently undergoing breast cancer surgery at one of six Hong Kong government hospitals 154 (89.5%) were recruited. Within 12 days after surgery, women provided interview information on preferred and perceived TDM participation, satisfaction with TDM consultation, difficulties in TDM, and medical and demographic information. Results. Half (55%) reported a treatment choice: 33% wanted the choice to be their own, 59% wanted to share and 8% wanted to delegate the decision. Only age predicted participation preference with older women preferring a more passive role. Eighty percent of women participated as much as, 13% more than and 6% less than desired. Adjusted for age, women reporting PC had fewer difficulties in TDM (β = 0.21, p = 0.009) than women not reporting PC, while over-involved women had more doubts about their choice (β = -0.23, p = 0.005). PC was associated with being offered a treatment option (χ2 = 15.59, p < 0.001) and surgeons expressing a surgical preference (χ2 = 6.63, p = 0.036). Satisfaction was unrelated to PC. Conclusion. Most Chinese women want shared TDM and to know their surgeon's treatment preference. Over-involved women are at greater risk of difficulties and doubts in TDM and under-involved women perceive a lack of time and information to make their decision.
Persistent Identifierhttp://hdl.handle.net/10722/86688
ISSN
2015 Impact Factor: 4.085
2015 SCImago Journal Rankings: 2.424
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLam, Wen_HK
dc.contributor.authorFielding, Ren_HK
dc.contributor.authorChan, Men_HK
dc.contributor.authorChow, Len_HK
dc.contributor.authorHo, Een_HK
dc.date.accessioned2010-09-06T09:20:06Z-
dc.date.available2010-09-06T09:20:06Z-
dc.date.issued2003en_HK
dc.identifier.citationBreast Cancer Research And Treatment, 2003, v. 80 n. 2, p. 171-180en_HK
dc.identifier.issn0167-6806en_HK
dc.identifier.urihttp://hdl.handle.net/10722/86688-
dc.description.abstractPurpose. To report Chinese women's preferred and perceived participation in breast cancer treatment decision making (TDM), describe influences on women's participation preference and participation congruence (PC) (correspondence between preferred and actual amount of participation in TDM), and explore subsequent satisfaction with TDM. Patients and methods. Of 172/211 eligible and available Chinese women recently undergoing breast cancer surgery at one of six Hong Kong government hospitals 154 (89.5%) were recruited. Within 12 days after surgery, women provided interview information on preferred and perceived TDM participation, satisfaction with TDM consultation, difficulties in TDM, and medical and demographic information. Results. Half (55%) reported a treatment choice: 33% wanted the choice to be their own, 59% wanted to share and 8% wanted to delegate the decision. Only age predicted participation preference with older women preferring a more passive role. Eighty percent of women participated as much as, 13% more than and 6% less than desired. Adjusted for age, women reporting PC had fewer difficulties in TDM (β = 0.21, p = 0.009) than women not reporting PC, while over-involved women had more doubts about their choice (β = -0.23, p = 0.005). PC was associated with being offered a treatment option (χ2 = 15.59, p < 0.001) and surgeons expressing a surgical preference (χ2 = 6.63, p = 0.036). Satisfaction was unrelated to PC. Conclusion. Most Chinese women want shared TDM and to know their surgeon's treatment preference. Over-involved women are at greater risk of difficulties and doubts in TDM and under-involved women perceive a lack of time and information to make their decision.en_HK
dc.languageengen_HK
dc.publisherSpringer New York LLC. The Journal's web site is located at http://springerlink.metapress.com/openurl.asp?genre=journal&issn=0167-6806en_HK
dc.relation.ispartofBreast Cancer Research and Treatmenten_HK
dc.subject.meshAdulten_HK
dc.subject.meshAgeden_HK
dc.subject.meshAsian Continental Ancestry Groupen_HK
dc.subject.meshBreast Neoplasms - drug therapy - ethnology - surgeryen_HK
dc.subject.meshDecision Makingen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHong Kongen_HK
dc.subject.meshHumansen_HK
dc.subject.meshInterviews as Topicen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshPatient Education as Topicen_HK
dc.subject.meshPatient Participationen_HK
dc.subject.meshPatient Satisfaction - ethnologyen_HK
dc.subject.meshWomen's Healthen_HK
dc.titleParticipation and satisfaction with surgical treatment decision-making in breast cancer among Chinese womenen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0167-6806&volume=80&issue=2&spage=171&epage=180&date=2003&atitle=Participation+and+satisfaction+with+surgical+treatment+decision-making+in+breast+cancer+among+Chinese+womenen_HK
dc.identifier.emailLam, W:wwtlam@hku.hken_HK
dc.identifier.emailFielding, R:fielding@hku.hken_HK
dc.identifier.authorityLam, W=rp00443en_HK
dc.identifier.authorityFielding, R=rp00339en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1023/A:1024568732213en_HK
dc.identifier.pmid12908820en_HK
dc.identifier.scopuseid_2-s2.0-0038675076en_HK
dc.identifier.hkuros80464en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0038675076&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume80en_HK
dc.identifier.issue2en_HK
dc.identifier.spage171en_HK
dc.identifier.epage180en_HK
dc.identifier.isiWOS:000183856500005-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLam, W=7203022022en_HK
dc.identifier.scopusauthoridFielding, R=7102200484en_HK
dc.identifier.scopusauthoridChan, M=7402597760en_HK
dc.identifier.scopusauthoridChow, L=7202532995en_HK
dc.identifier.scopusauthoridHo, E=7102724570en_HK

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