Patient participation in deciding breast cancer treatment and subsequent quality of life
Abstract
This investigation of patients with early breast cancer examined relationships among patient involvement in deciding treatment (i.e., whether to undergo breast removal or breast conservation), perceptions of control over treatment decisions, and subsequent health-related quality of life. It was predicted 1) that patients who more actively participated in consultations to decide treatment would perceive more decision control than would more passive patients and 2) that patients who perceived greater decision control would report better health-related quality of life following treatment than would patients perceiving less decision control. Sixty patients with stage I or II breast cancer allowed their consultations with surgeons to be audiorecorded. Following these visits, patients reported on their involvement in the consultation, optimism for the future, knowledge about treatment, and two aspects of perceived decision control, the perception of having a choice for treatment and the extent to which the doctor or patient was responsible for the decision. Six and 12 months postoperatively, 51 patients (85%) returned a follow-up survey assessing perceived decision control and health-related quality of life. The first prediction received some support. The patients who had more actively participated in their consultations, particularly in terms of offering opinions, assumed more responsibility for treatment decisions during the year following surgery than did less expressive patient…
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Patient participation is linked to positive patient outcomes such as improved quality of life, reduced anxiety and depression, greater satisfaction, better sharing of information, and better treatment adherence.
“Research suggests that patient participation is linked to positive patient outcomes such as improved quality of life, reduced anxiety and depression, greater satisfaction, better sharing of information, and better treatment adherence (6)(7)(8)(9).”
From High levels of socioeconomic deprivation do not inhibit patients’ communication of concerns in head and neck cancer review clinics (2018) · cites this paper as [8]
Building rapport is an important aspect of clinical communication with a number of benefits for patients.
“Nonetheless, building rapport is an important aspect of clinical communication with a number of benefits for patients (5,(7)(8)(9), and low SES patients may be placed at a disadvantage if less time is spent building rapport.”
From High levels of socioeconomic deprivation do not inhibit patients’ communication of concerns in head and neck cancer review clinics (2018) · cites this paper as [8]
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- Authors
- Street, R. L., & Voigt, B.
- Affiliations
- Texas A&M University (US)
- ORCID
- Street, Richard L.
- Venue
- Medical Decision Making
- Publisher
- SAGE Publications
- Published
- 1997-07
- Volume
- 17
- Issue
- 3
- Pages
- 298-306
- ISSN
- 0272-989X (ISSN-L)
- 1552-681X
- OpenAlex
- W1986448046
- Cited by
- 258
- References
- 0
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 2 · 2023: 8 · 2022: 7 · 2021: 7 · 2020: 7 · 2019: 5 · 2018: 9 · 2017: 9 · 2016: 12 · 2015: 15 · 2014: 7 · 2013: 12 · 2012: 10
- FWCI
- 16.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medical Decision Making (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Keywords
- patient participation, shared decision-making, breast cancer, early breast cancer, health-related quality of life, breast-conserving therapy, mastectomy, physician-patient consultation, treatment selection
- MeSH terms
- Adult, Aged, Aged, 80 and over, Breast Neoplasms, Decision Support Techniques, Female, Follow-Up Studies, Humans, Internal-External Control, Middle Aged, Patient Care Team, Patient Participation, Quality of Life, Mastectomy, Segmental, Treatment Outcome, Patient Satisfaction
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