S. T. Hawley|Jennifer J. Griggs|Ann S. Hamilton|J. J. Graff|Nancy K. Janz|M. Morrow|Reshma Jagsi|Barbara Salem|S. J. Katz
Decision Involvement and Receipt of Mastectomy Among Racially and Ethnically Diverse Breast Cancer Patients
Memorial Sloan Kettering Cancer Center|Michigan Department of Health and Human Services|University of Michigan–Ann Arbor|University of Southern California|VA Ann Arbor Healthcare System|Michigan Medicine|The Barbara Ann Karmanos Cancer Institute|Wayne State University|Michigan Department of Health and Human Services|University of Michigan–Ann Arbor|University of Southern California|VA Ann Arbor Healthcare System|Michigan Medicine|Memorial Sloan Kettering Cancer Center|The Barbara Ann Karmanos Cancer Institute|Wayne State University|Michigan Department of Health and Human Services|University of Michigan–Ann Arbor|University of Southern California|VA Ann Arbor Healthcare System|Michigan Medicine|Memorial Sloan Kettering Cancer Center|The Barbara Ann Karmanos Cancer Institute|Wayne State University|Michigan Department of Health and Human Services|VA Ann Arbor Healthcare System|Michigan Medicine|Memorial Sloan Kettering Cancer Center|The Barbara Ann Karmanos Cancer Institute|University of Michigan–Ann Arbor|University of Southern California|Wayne State University|Michigan Department of Health and Human Services|University of Michigan–Ann Arbor|University of Southern California|VA Ann Arbor Healthcare System|Michigan Medicine|Memorial Sloan Kettering Cancer Center|The Barbara Ann Karmanos Cancer Institute|Wayne State University|Michigan Department of Health and Human Services|University of Michigan–Ann Arbor|University of Southern California|Michigan Medicine|Memorial Sloan Kettering Cancer Center|The Barbara Ann Karmanos Cancer Institute|Wayne State University|VA Ann Arbor Healthcare System|University of Michigan–Ann Arbor|University of Southern California|VA Ann Arbor Healthcare System|Michigan Medicine|Memorial Sloan Kettering Cancer Center|The Barbara Ann Karmanos Cancer Institute|Michigan Department of Health and Human Services|Wayne State University|University of Michigan–Ann Arbor|University of Southern California|VA Ann Arbor Healthcare System|Michigan Medicine|Memorial Sloan Kettering Cancer Center|The Barbara Ann Karmanos Cancer Institute|Wayne State University|Michigan Department of Health and Human Services|Michigan Department of Health and Human Services|University of Michigan–Ann Arbor|University of Southern California|Michigan Medicine|Memorial Sloan Kettering Cancer Center|The Barbara Ann Karmanos Cancer Institute|Wayne State University|VA Ann Arbor Healthcare System
studies evaluated association patient decision involvement surgery received among racially ethnically diverse patients patients attitudes surgery role family friends surgical treatment choiceswomen diagnosed nonmetastatic breast cancer june 2005 february 2007 reported los angeles detroit surveillance epidemiology end results registries mailed survey diagnosis n 3133 latina african american women oversampled response rate 724 analytic sample n 1651 excluded stage iiia higher disease selfreported clinical contraindications breastconserving surgery radiation unclear race ethnicity dependent variable receipt mastectomy initially primary independent variables patient involvement decision making race ethnicity attitudes recurrence effects radiation impact surgery body image role others decision making latinas categorized low high acculturated association patient involvement decision making receipt mastectomy evaluated using logistic regression controlling independent variables statistical tests twosidedthe analytic sample 239 latina 120 low acculturated 119 high acculturated 271 african american 489 white 172 received mastectomy initially racial ethnic group women reported patientbased decision received mastectomy reported shared surgeonbased decision p 022 lowacculturated latinas p 001 groups women reported concerns recurrence radiation effects important surgery decision likely receive mastectomy less concerned recurrence concerns estimated relative risk rr 166 95 confidence interval ci 128 210 radiation concerns estimated rr 235 95 ci 188 285 women reported body image concerns spouses opinion important surgery decision less often received mastectomy less concerned body image placed less weight spouses opinion body image concerns estimated rr 047 95 ci 030 074 spouses opinion estimated rr 053 95 ci 036 078greater patient involvement decision making associated receipt mastectomy racial ethnic groups patient attitudes surgery opinions family friends contribute surgical choices made women breast cancer