Isaac M. Lipkus|Ellen Peters|Gretchen Kimmick|Vlayka Liotcheva|P. Kelly Marcom
Breast Cancer Patients’ Treatment Expectations after Exposure to the Decision Aid Program Adjuvant Online: The Influence of Numeracy
Duke University|Decision Research|Duke Medical Center|Duke Medical Center|Duke Medical Center
decision aid called adjuvant online adjuvant short helps breast cancer patients make treatment decisions providing numerical estimates treatment efficacy eg 10y relapse survival studies exploring patients numeracy interacts estimates provided adjuvant lacking pooling across 2 studies totaling 105 women estrogen receptorpositive earlystage breast cancer authors explored patients treatment expectations perceived benefit treatments confidence personal benefit treatments patients numerate likely provide estimates cancerfree survival matched estimates provided adjuvant treatment option compared patients lower numeracy odds ratios 16 24 estimates treatment efficacy provided adjuvant increased patients estimates cancerfree survival 037 gt r gt 048 perceptions treatment benefit hormonal therapy r 028 combined therapy r 027 relationships significantly pronounced higher numeracy especially perceived benefit combined therapy results suggest numeracy influences patients ability interpret numerical estimates treatment efficacy decision aids adjuvant