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Surgeon's recommendation, perceived operative efficacy and age dictate treatment choice by Chinese women facing breast cancer surgery
Purpose: 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‐s...
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| Published in: | Psycho-oncology (Chichester, England) England), 2005-07, Vol.14 (7), p.585-593 |
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| container_title | Psycho-oncology (Chichester, England) |
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| creator | Lam, Wendy WT Fielding, Richard Ho, Ella YY Chan, Miranda Or, Amy |
| description | Purpose: 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 |
| doi_str_mv | 10.1002/pon.877 |
| format | article |
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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.</description><identifier>ISSN: 1057-9249</identifier><identifier>EISSN: 1099-1611</identifier><identifier>DOI: 10.1002/pon.877</identifier><identifier>PMID: 15546161</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Adult ; Aged ; Body Image ; Breast cancer ; Breast Neoplasms - ethnology ; Breast Neoplasms - psychology ; Breast Neoplasms - surgery ; Chinese people ; Choice ; Cultural Characteristics ; Decision Making ; Female ; Hong Kong ; Hong Kong - ethnology ; Humans ; Mastectomy, Segmental ; Middle Aged ; Neoplasm Recurrence, Local ; Options ; Prognosis ; Reconstructive Surgical Procedures ; Surgery ; Survival ; Treatment Outcome ; Women</subject><ispartof>Psycho-oncology (Chichester, England), 2005-07, Vol.14 (7), p.585-593</ispartof><rights>Copyright © 2004 John Wiley & Sons, Ltd.</rights><rights>Copyright 2004 John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4167-ce7db106a68f9ddef099d73e7c6cb8392cbdc1da64605033b6f532decbbd4a243</citedby><cites>FETCH-LOGICAL-c4167-ce7db106a68f9ddef099d73e7c6cb8392cbdc1da64605033b6f532decbbd4a243</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,31000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15546161$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lam, Wendy WT</creatorcontrib><creatorcontrib>Fielding, Richard</creatorcontrib><creatorcontrib>Ho, Ella YY</creatorcontrib><creatorcontrib>Chan, Miranda</creatorcontrib><creatorcontrib>Or, Amy</creatorcontrib><title>Surgeon's recommendation, perceived operative efficacy and age dictate treatment choice by Chinese women facing breast cancer surgery</title><title>Psycho-oncology (Chichester, England)</title><addtitle>Psycho-Oncology</addtitle><description>Purpose: 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.</description><subject>Adult</subject><subject>Aged</subject><subject>Body Image</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - ethnology</subject><subject>Breast Neoplasms - psychology</subject><subject>Breast Neoplasms - surgery</subject><subject>Chinese people</subject><subject>Choice</subject><subject>Cultural Characteristics</subject><subject>Decision Making</subject><subject>Female</subject><subject>Hong Kong</subject><subject>Hong Kong - ethnology</subject><subject>Humans</subject><subject>Mastectomy, Segmental</subject><subject>Middle Aged</subject><subject>Neoplasm Recurrence, Local</subject><subject>Options</subject><subject>Prognosis</subject><subject>Reconstructive Surgical Procedures</subject><subject>Surgery</subject><subject>Survival</subject><subject>Treatment Outcome</subject><subject>Women</subject><issn>1057-9249</issn><issn>1099-1611</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqF0c1u1DAQB_AIgegHiDdAPtFDSbHjxE6OsIVSddUiAYKbZY8nW8PG3trZljwA741Xu2pPwMkj-zczsv5F8YLRE0Zp9WYV_Ekr5aNin9GuK5lg7PGmbmTZVXW3Vxyk9IPSbDvxtNhjTVOLjPaL35_XcYHBHyUSEcIwoLd6dMG_JiuMgO4WLQm5zJe3SLDvHWiYiPaW6AUS62DUI5Ixoh5z80jgOjhAYiYyu3YeE5K7kB9Ir8H5BTEZpqy0B4wkbbbH6VnxpNfLhM9352Hx9cP7L7OP5fzq7Hz2dl5CzYQsAaU1jAot2r6zFvv8Vys5ShBgWt5VYCwwq0UtaEM5N6JveGURjLG1rmp-WBxt565iuFljGtXgEuByqT2GdVJS1JWguTnLV_-UoqUVq2j7X9hIWlPOxMNuiCGliL1aRTfoOClG1SZElUNUOcQsX-5Grs2A9sHtUsvgeAvu3BKnv81Rn64ut-PKrXZpxF_3WsefSkguG_Xt8kydfmcX7OLdXM35H7rStzU</recordid><startdate>200507</startdate><enddate>200507</enddate><creator>Lam, Wendy WT</creator><creator>Fielding, Richard</creator><creator>Ho, Ella YY</creator><creator>Chan, Miranda</creator><creator>Or, Amy</creator><general>John Wiley & Sons, Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>200507</creationdate><title>Surgeon's recommendation, perceived operative efficacy and age dictate treatment choice by Chinese women facing breast cancer surgery</title><author>Lam, Wendy WT ; Fielding, Richard ; Ho, Ella YY ; Chan, Miranda ; Or, Amy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4167-ce7db106a68f9ddef099d73e7c6cb8392cbdc1da64605033b6f532decbbd4a243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Body Image</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - ethnology</topic><topic>Breast Neoplasms - psychology</topic><topic>Breast Neoplasms - surgery</topic><topic>Chinese people</topic><topic>Choice</topic><topic>Cultural Characteristics</topic><topic>Decision Making</topic><topic>Female</topic><topic>Hong Kong</topic><topic>Hong Kong - ethnology</topic><topic>Humans</topic><topic>Mastectomy, Segmental</topic><topic>Middle Aged</topic><topic>Neoplasm Recurrence, Local</topic><topic>Options</topic><topic>Prognosis</topic><topic>Reconstructive Surgical Procedures</topic><topic>Surgery</topic><topic>Survival</topic><topic>Treatment Outcome</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lam, Wendy WT</creatorcontrib><creatorcontrib>Fielding, Richard</creatorcontrib><creatorcontrib>Ho, Ella YY</creatorcontrib><creatorcontrib>Chan, Miranda</creatorcontrib><creatorcontrib>Or, Amy</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Psycho-oncology (Chichester, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lam, Wendy WT</au><au>Fielding, Richard</au><au>Ho, Ella YY</au><au>Chan, Miranda</au><au>Or, Amy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgeon's recommendation, perceived operative efficacy and age dictate treatment choice by Chinese women facing breast cancer surgery</atitle><jtitle>Psycho-oncology (Chichester, England)</jtitle><addtitle>Psycho-Oncology</addtitle><date>2005-07</date><risdate>2005</risdate><volume>14</volume><issue>7</issue><spage>585</spage><epage>593</epage><pages>585-593</pages><issn>1057-9249</issn><eissn>1099-1611</eissn><abstract>Purpose: 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.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>15546161</pmid><doi>10.1002/pon.877</doi><tpages>9</tpages></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Wiley-Blackwell Read & Publish Collection |
| subjects | Adult Aged Body Image Breast cancer Breast Neoplasms - ethnology Breast Neoplasms - psychology Breast Neoplasms - surgery Chinese people Choice Cultural Characteristics Decision Making Female Hong Kong Hong Kong - ethnology Humans Mastectomy, Segmental Middle Aged Neoplasm Recurrence, Local Options Prognosis Reconstructive Surgical Procedures Surgery Survival Treatment Outcome Women |
| title | Surgeon's recommendation, perceived operative efficacy and age dictate treatment choice by Chinese women facing breast cancer surgery |
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