학술논문
Decisional conflict in breast cancer patients considering immediate breast reconstruction
Document Type
article
Author
Jacqueline A. ter Stege; Hester S.A. Oldenburg; Leonie A.E. Woerdeman; Arjen J. Witkamp; Jacobien M. Kieffer; Martine A. van Huizum; Frederieke H. van Duijnhoven; Daniela E.E. Hahn; Miranda A. Gerritsma; Marianne A. Kuenen; Nikola (A.N.) Kimmings; Quinten (P.Q.) Ruhé; Irene S. Krabbe-Timmerman; Martijne van’t Riet; Eveline M.L. Corten; Kerry A. Sherman; Eveline M.A. Bleiker
Source
Breast, Vol 55, Iss , Pp 91-97 (2021)
Subject
Language
English
ISSN
1532-3080
Abstract
Background: Breast cancer (BC) patients who are treated with mastectomy are frequently offered immediate breast reconstruction. This study aimed to assess decisional conflict in patients considering immediate breast reconstruction, and to identify factors associated with clinically significant decisional conflict (CSDC). Methods: Baseline data of a multicenter randomized controlled trial evaluating the impact of an online decision aid for BC patients considering immediate breast reconstruction after mastectomy were analyzed. Participants completed questionnaires assessing sociodemographic and clinical characteristics, decisional conflict and other patient-reported outcomes related to decision-making such as breast reconstruction preference, knowledge, information resources used, preferred involvement in decision-making, information coping style, and anxiety. Multivariable logistic regression analysis was performed to identify factors associated with CSDC (score > 37.5 on decisional conflict). Results: Of the 250 participants, 68% experienced CSDC. Patients with a slight preference for breast reconstruction (odds ratio (OR) = 6.19, p