Decision quality and regret with treatment decisions in women with breast cancer: Pre-operative breast MRI and breast density

Purpose We evaluated self-report of decision quality and regret with breast cancer surgical treatment by pre-operative breast MRI use in women recently diagnosed with breast cancer. Methods We conducted a survey with 957 women aged 18 + with stage 0-III breast cancer identified in the Breast Cancer...

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Bibliographic Details
Published in:Breast cancer research and treatment 2022-08, Vol.194 (3), p.607-616
Main Authors: Wernli, Karen J., Smith, Rebecca E., Henderson, Louise M., Zhao, Wenyan, Durham, Danielle D., Schifferdecker, Karen, Kaplan, Celia, Buist, Diana S. M., Kerlikowske, Karla, Miglioretti, Diana L., Onega, Tracy, Alsheik, Nila H., Sprague, Brian L., Jackson-Nefertiti, Gloria, Budesky, Jill, Johnson, Dianne, Tosteson, Anna N. A.
Format: Article
Language:English
Subjects:
Breast cancer
Breast Density
Breast Neoplasms - diagnostic imaging
Breast Neoplasms - epidemiology
Cancer
Cancer research
Cancer therapies
Care and treatment
Clinical trials
Decision Making
Emotions
Epidemiology
Female
Football (College)
Humans
Magnetic Resonance Imaging
Mastectomy
Medicine
Medicine & Public Health
Oncology
Population studies
Surveys
Survival
Women
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Summary:Purpose We evaluated self-report of decision quality and regret with breast cancer surgical treatment by pre-operative breast MRI use in women recently diagnosed with breast cancer. Methods We conducted a survey with 957 women aged 18 + with stage 0-III breast cancer identified in the Breast Cancer Surveillance Consortium. Participants self-reported receipt of pre-operative breast MRI. Primary outcomes were process measures in the Breast Cancer Surgery Decision Quality Instrument (BCS-DQI) (continuous outcome) and Decision Regret Scale (dichotomized outcome as any/none). Generalized estimating equations with linear and logit link were used to estimate adjusted associations between breast MRI and primary outcomes. All analyses were also stratified by breast density. Results Survey participation rate was 27.9% (957/3430). Study population was primarily > 60 years, White, college educated, and diagnosed with early-stage breast cancer. Pre-operative breast MRI was reported in 46% of women. A higher proportion of women who were younger age (
ISSN:0167-6806
1573-7217
1573-7217
DOI:10.1007/s10549-022-06648-7