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Psychological effects of being offered choice of surgery for breast cancer
Open accessAbstract
The putative benefits of patients participating in decision making in health care are frequently asserted by the proponents of a strong consumerist approach but are supported by few data. The proponents argue, for example, that an opportunity to choose surgery prevents the psychological morbidity associated with breast cancer. Results from studies are equivocal, although the studies are often based on small samples with short follow up and minimal assessment of morbidity.*RF 1-3* We report psychological data from a prospective study covering three years which compared women treated by surgeons who offered choice whenever possible with women treated by surgeons who favoured either mastectomy or breast conserving surgery. We studied 269 consecutive patients aged under 75 with stage I or II breast cancer in south east England. We assessed them using semistructured psychiatric interviews …
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Citations
Cited by
Psychiatric morbidity and its recognition by doctors in patients with cancer
Fallowfield, L., Ratcliffe, D., Jenkins, V, & Saul, J. (2001) · British Journal of Cancer · doi:10.1054/bjoc.2001.1724 · Cited by 694
“In one study of women with breast cancer, those who were satisfied with the way in which the surgeon discussed their diagnosis and treatment options evidenced less psychiatric morbidity during the first year post treatment and at 2 and 3 year follow up (Fallowfield et al, 1990; Fallowfield and Hall, 1994).”
BackgroundSelf-citationInteracting with cancer patients: the significance of physicians' communication behavior
Arora, N. K. (2003) · Social Science & Medicine · doi:10.1016/s0277-9536(02)00449-5 · Cited by 661
Anxiety Disorders in Cancer Patients: Their Nature, Associations, and Relation to Quality of Life
Stark, D., Kiely, M., Smith, A., Velikova, G., House, A., & Selby, P. (2002) · Journal of Clinical Oncology · doi:10.1200/jco.2002.08.549 · Cited by 496
Stark, D. P. H., & House, A. (2000) · British Journal of Cancer · doi:10.1054/bjoc.2000.1405 · Cited by 431
Oncologist Communication About Emotion During Visits With Patients With Advanced Cancer
Pollak, K. I., Arnold, R. M., Jeffreys, A. S., Alexander, S. C., Olsen, M. K., Abernethy, A. P., Sugg Skinner, C., Rodriguez, K. L., & Tulsky, J. A. (2007) · Journal of Clinical Oncology · doi:10.1200/jco.2007.12.4180 · Cited by 406
Metadata
- Authors
- Fallowfield, L. J., Hall, A., Maguire, P., Baum, M., & A’Hern, R. P.
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 1994-08-13
- Volume
- 309
- Issue
- 6952
- Pages
- 448
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- OpenAlex
- W2051322204
- Cited by
- 198
- References
- 0
- FWCI
- 16.41
- Type
- journal article
- Language
- en
- Open access
- green
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- Fallowfield, L. J., Hall, A., Maguire, P., Baum, M., & A’Hern, R. P. (1994). Psychological effects of being offered choice of surgery for breast cancer. BMJ. https://doi.org/10.1136/bmj.309.6952.448
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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