Wendy Wing Tak Lam|Miranda Chan|Amy Or|Ava Kwong|Dacita Suen|Richard Fielding
Reducing Treatment Decision Conflict Difficulties in Breast Cancer Surgery: A Randomized Controlled Trial
Kwong Wah Hospital|University of Hong Kong|Kwong Wah Hospital|University of Hong Kong|Kwong Wah Hospital|University of Hong Kong|Kwong Wah Hospital|University of Hong Kong|Kwong Wah Hospital|University of Hong Kong|Kwong Wah Hospital|University of Hong Kong
purpose breast cancer bc decision aid da randomized studies limited da use consultations among western populations primary surgery effectiveness beyond consultations reconstructive surgery populations evaluated developed da administered consultation chinese women deciding bc surgery relevant immediate breast reconstruction evaluated randomized controlled trial rct patients methods overall 276 women considering bc surgery earlystage bc randomly assigned receive da takehome booklet standard information booklet control condition initial consultation wherein surgeons disclosed diagnosis discussed treatment options patients using block random assignment week 138 women assigned da arm 138 control arm participants completed interviewbased questionnaires 1 week consultation 1 4 10 months surgery primary outcome measures decisional conflict decisionmaking difficulties bc knowledge 1 week consultation decision regret 1 month surgery secondary outcome measures treatment decision decision regret 4 10 months surgery postsurgical anxiety depression results da group reported significantly lower decisional conflict scores 1 week consultation p 016 compared women control arm women receiving da significantly lower decision regret scores 4 p 026 10 months p 014 surgery lower depression scores 10 months surgery p 001 conclusion rct demonstrated das may benefit chinese patients hong kong reducing decisional conflict subsequent regret enhance clinical services population