Jennifer C. Livaudais|Rebeca Franco|Kezhen Fei|Nina A. Bickell
Breast Cancer Treatment Decision-Making: Are We Asking Too Much of Patients?
Icahn School of Medicine at Mount Sinai|Icahn School of Medicine at Mount Sinai|Icahn School of Medicine at Mount Sinai|Icahn School of Medicine at Mount Sinai
physicians mandated offer treatment choices patients yet patients may want responsibility entails evaluated predisposing factors longterm consequences much enough perceived decisionmaking responsibility among breast cancer patients longitudinal assessment measurements collected surgical treatment baseline 6month followup women earlystage breast cancer treated surgically eight nyc hospitals recruited randomized controlled trial patient assistance improve receipt adjuvant treatment using logistic regression explored multivariableadjusted associations perceived treatment decisionmaking responsibility baseline knowledge treatment benefit b 6month decision regret 368 women aged 2889 years 72 reported reasonable amount 21 much 7 enough responsibility treatment decisionmaking baseline health literacy problems common among enough 68 much responsibility 62 29 women knowledge treatment benefits 40 experienced 6month decision regret multivariable analysis women reporting much vs reasonable amount responsibility less treatment knowledge 044 95 ci 020099 model c 07343p 001 decision regret 291 95 ci 140606 model c 07937p 0001 findings similar women reporting enough responsibility though statistically significant much perceived responsibility breast cancer treatment decisions associated poor baseline treatment knowledge 6month decision regret health literacy problems common suggesting health care professionals find alternative ways communicate low health literacy patients enabling assume desired amount decisionmaking responsibility thereby reducing decision regret