+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Development of instruments to measure the quality of breast cancer treatment decisions

, : Development of instruments to measure the quality of breast cancer treatment decisions. Health Expectations 13(3): 258-272

Women with early-stage breast cancer face a multitude of decisions. The quality of a decision can be measured by the extent to which the treatment reflects what is most important to an informed patient. Reliable and valid measures of patients' knowledge and their goals and concerns related to breast cancer treatments are needed to assess the decision quality. To identify a set of key facts and goals relevant to each of three breast cancer treatment decisions (surgery, reconstruction and adjuvant chemotherapy and hormone therapy) and to evaluate the validity of the methods used to identify them. Candidate facts and goals were chosen based on evidence review and qualitative studies with breast cancer patients and providers. Cross-sectional surveys of patients and providers were conducted for each decision. The accuracy, importance and completeness of the items were examined. Thirty-eight facts (11-14 per decision) and 27 goals (8-10 per decision) were identified. An average of 17 patients and 21 providers responded to each survey. The sets of facts were accurate and complete for all three decisions. The sets of goals and concerns were important for surgery and reconstruction, but not chemotherapy/hormone therapy. Patients and providers disagreed about the relative importance of several key facts and goals. Overall, breast cancer patients and providers found the sets of facts and goals accurate, important and complete for three treatment decisions. Because patients' and providers' perspectives are different, it is vital that instrument development should include items reflecting both views.


PMID: 20550591

DOI: 10.1111/j.1369-7625.2010.00600.x

Other references

Oda, T.; Kono, T.; Akaiwa, K.; Takahara, Y.; Yasuoka, C.; Nakamura, K., 2017: Surgical Repair of Subacute Right Ventricular Perforation after Pacemaker Implantation. We report an 84-year-old woman who presented with right ventricular perforation 4 days after pacemaker implantation for syncope due to sick sinus syndrome. Median sternotomy revealed no pericardial effusion, but the pacing lead had penetrated the...

Lehr, H.B.; Hamilton, R.; Siegel, R.J., 1968: Preservation of the kidney. Journal of the American Medical Women's Association 23(12): 1104-1107

Mergenhagen, S.E.; Scott, D.B.; Scherp, H.W., 1960: Lysis by human oral bacteria of collagen altered by ethylene oxide. Treatment with ethylene oxide rendered reconstituted acid-soluble collagen readily digestible by combined pure cultures of human oral strains of fusiform bacilli, diphtheroid bacilli, streptococci, and Veillonella. The fact that only a few of thes...

Hatfield, B.A., 1984: An OR nurse wears two hats--nursing and politics. Today's Or Nurse 6(10): 30-31

Musa, B.Maiyaki.; Gebi, U.; Etiebet, M-Ann.; Omuh, H.; Ekedegwa, P.; Dakum, P.; Blattner, W., 2010: Immunological profile in persons under antiretroviral therapy in a rural Nigerian hospital. Human immunodeficiency virus (HIV) contributes significantly to morbidity and mortality in sub-Saharan Africa, with Nigeria having the third highest burden of HIV infection globally; efforts are made to increases access to HIV/AIDS care and treatm...

Picard, C.; Weiss, L., 1989: Biological monitoring of infection caused by human immunodeficiency virus (HIV). Annales de Dermatologie et de Venereologie 116(9): 677-679

Zhang QingJun; Joubert, J.; Suptra, T.; Thamoon, R., 1998: An experimental study on benzothiocarboxypurine fluorochrome strain in malaria diagnosis. The fluorochrome benzothiocarboxypurine (BCP) was investigated as a stain for the diagnosis of malaria, and compared with Giemsa. The parasite chromatin (in trophozoites, schizonts and gametocytes) fluoresced bright apple green and the cytoplasm f...

Levron, Céline.; Suchanová, E.; Poddubnaya, L.; Oros, Más.; Scholz, Tás., 2009: Spermatological characters of the aspidogastrean Aspidogaster limacoides Diesing, 1835. Using transmission electron microscopy, spermiogenesis and the spermatozoon ultrastructure are described in Aspidogaster limacoides (Aspidogastrea, Aspidogastridae), from two cyprinid fishes, Abramis sapa and Blicca bjoerkna, from eastern Slovakia...

Watson, P.A.; Gould, M.N., 2000: Overexpression of neu in the transgenic rat induces spontaneous mammary carcinomas exclusively in the male. Proceedings of the American Association for Cancer Research Annual Meeting (41): 718-719, March

Shugaya Shun ichiro, 1984: Pressure analysis in subnormal pressure reservoir. Sekiyu Gijutsu Kyokaishi = Journal of the Japanese Association of Petroleum Technology 49(6): 412-415