Cited by 258Patient-Provider Communication in HealthcareCancer survivorship and careWomen's cancer prevention and management

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Patient Participation in Deciding Breast Cancer Treatment and Subsequent Quality of Life

Street, Richard L., Voigt, Becky·1997·Medical Decision Making

DOI 10.1177/0272989x9701700306

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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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“Increases in knowledge, satisfaction, treatment compliance, and quality of life have been reported as positive outcomes of adequate information provision [18–20].”
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Lay understanding of common medical terminology in oncology
Pieterse, A., Jager, N. A., Smets, E. M. A., & Henselmans, I. (2013) · Psycho-Oncology · doi:10.1002/pon.3096 · Cited by 74
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Electronic home healthcare: concepts and challenges
Demiris, G. (2004) · International Journal of Electronic Healthcare · doi:10.1504/ijeh.2004.004655 · Cited by 73
Systematic Assessment of Factors Influencing Preferences of Crohn's Disease Patients in Selecting an Anti‐Tumor Necrosis Factor Agent (CHOOSE TNF TRIAL)
Vavricka, S., Bentele, N., Scharl, M., Rogler, G., Zeitz, J., Frei, P., Straumann, A., Binek, J., Schoepfer, A., & Fried, M. (2012) · Inflammatory Bowel Diseases · doi:10.1002/ibd.21888 · Cited by 73
“Today, more than ever before, patients have easier access to medical information of various quality and would like to be perceived as the physician’s partner in clinical decision-making.(23) Moreover, several studies have demonstrated a correlation between effective physician–patient communication and improved health…”
Background
Examining the Relationship of Patients’ Attitudes and Beliefs With Their Self-Reported Level of Participation in Medical Decision-Making
Arora, N. K., Ayanian, J., & Guadagnoli, E. (2005) · Medical Care · doi:10.1097/01.mlr.0000173560.18607.67 · Cited by 72
POST-TREATMENT REGRET AMONG YOUNG BREAST CANCER SURVIVORS
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“This approach can engender an increased sense of control over the illness and a sense of responsibility for the treatment decisions [7].”
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Using the Behavioral Model for Complementary and Alternative Medicine: The CAM Healthcare Model
Fouladbakhsh, J. M., & Stommel, M. (2007) · Journal of Complementary and Integrative Medicine · doi:10.2202/1553-3840.1035 · Cited by 71
“…healthcare can be influential factors in making the decision to use CAM, given that CAM approaches offer a myriad of self-treatment possibilities for both health promotion and symptom management (Astin, 1998; Helgeson, Cohen, Schulz & Yasko, 2000; Seidl & Steward, 1998; Street & Voight, 1997).”
Impact of Physician–Patient Discussions on Patient Satisfaction
Chen, J. Y., Tao, M. L., Tisnado, D. M., Malin, J. L., Ko, C. Y., Timmer, M., Adams, J., Ganz, P. A., & Kahn, K. L. (2008) · Medical Care · doi:10.1097/mlr.0b013e31817924bc · Cited by 70
“and engagement of patients in the decision making process for breast cancer treatment that has been the important predictor of patient outcomes and satisfaction.(3,7,23,24) In this study, we found that the more treatment outcomes physicians discussed with their patients in advance of decision-making, the more satisfie…”
Background
Eliciting patient treatment preferences: A strategy to integrate evidence-based and patient-centered care.
Sidani, S., Epstein, D. R., & Miranda, J. (2006) · Worldviews on Evidence-Based Nursing · doi:10.1111/j.1741-6787.2006.00060.x · Cited by 69
Psychometric evaluation and design of patient-centered communication measures for cancer care settings.
Reeve, B., Thissen, D., Bann, C., Mack, N., Treiman, K., Sanoff, H., Roach, N., Magnus, B. E., He, J., Wagner, L., et al. (2017) · Patient Education and Counseling · doi:10.1016/j.pec.2017.02.011 · Cited by 68
Treatment preference in hypochondriasis
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Attitudes Toward Family Involvement in Cancer Treatment Decision Making: The Perspectives of Patients, Family Caregivers, and Their Oncologists
Shin, D., Cho, J., Roter, D. L., Kim, S. Y., Yang, H.-K., Park, K., Kim, H. J., Shin, H.-Y., Kwon, T., & Park, J. H. (2017) · Psycho-Oncology · doi:10.1002/pon.4226 · Cited by 66
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The quality‐of‐life benefits of breast reconstruction do not diminish with age
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Clinicians’ concerns about decision support interventions for patients facing breast cancer surgery options: understanding the challenge of implementing shared decision-making
Caldon, L. J. M., Collins, K., Reed, M., Sivell, S., Austoker, J., Clements, A., Patnick, J., Elwyn, G. J., & BresDex Group (2010) · Health Expectations · doi:10.1111/j.1369-7625.2010.00633.x · Cited by 59
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Shared decision making coding systems: how do they compare in the oncology context?
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Involvement in decision-making and breast cancer survivor quality of life.
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Racial/Ethnic Disparities in Knowledge about One's Breast Cancer Characteristics
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Informed Decision Making Changes Test Preferences for Colorectal Cancer Screening in a Diverse Population
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ACR white paper: the value added that radiologists provide to the health care enterprise.
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Choice and placebo expectation effects in the context of pain analgesia
Rose, J. P., Geers, A. L., Rasinski, H. M., & Fowler, S. L. (2011) · Journal of Behavioral Medicine · doi:10.1007/s10865-011-9374-0 · Cited by 59
“... studies show that increased perceptions of choice, personal involvement, and maximization of fit between preferences and treatments have all been associated with beneficial outcomes (e.g., quality of life, treatment efficacy and satisfaction) in a number of different contexts (e.g., pain, depression, phobias; Devi…”
Background
Do prostate cancer patients want to choose their own radiation treatment?
van Tol‐Geerdink, J. J., Stalmeier, P. F. M., van Lin, E. N. J. T., Schimmel, E. C., Huizenga, H., van Daal, W. A. J., & Leer, J. W. H. (2006) · International Journal of Radiation Oncology*Biology*Physics · doi:10.1016/j.ijrobp.2006.07.001 · Cited by 51
The impact of the perception of treatment choice on satisfaction with treatment, experienced chemotherapy burden and current quality of life
Jansen, S., Otten, W., van de Velde, C. V. D., Nortier, J., & Stiggelbout, A. (2004) · British Journal of Cancer · doi:10.1038/sj.bjc.6601903 · Cited by 56
Patients’ knowledge and experience of adjuvant endocrine therapy for early breast cancer: A European study
Wengström, Y., Aapro, M., di Priolo, S. L., Cannon, H., & Georgiou, V. (2007) · The Breast · doi:10.1016/j.breast.2007.02.007 · Cited by 50
Treatment decision aids in advanced cancer: when the goal is not cure and the answer is not clear.
Leighl, N., Butow, P., & Tattersall, M. (2004) · Journal of Clinical Oncology · doi:10.1200/jco.2004.02.166 · Cited by 52
Communication about standard treatment options and clinical trials: can we teach doctors new skills to improve patient outcomes?
Bernhard, J., Butow, P. N., Aldridge, J., Juraskova, I., Ribi, K., & Brown, R. (2011) · Psycho-Oncology · doi:10.1002/pon.2044 · Cited by 52
“Actively participating or knowing one has choice in treatment decision making is beneficial to patients [7–9].”
Background
Why do hospital mastectomy rates vary? Differences in the decision-making experiences of women with breast cancer
Caldon, L., Collins, K., Wilde, D., Ahmedzai, S., Noble, T., Stotter, A., Sibbering, D., Holt, S., & Reed, M. (2011) · British Journal of Cancer · doi:10.1038/bjc.2011.141 · Cited by 50
“This should mean that those who will benefit from participating in decision making (Street and Voigt, 1997; Keating et al, 2002; Lam et al, 2003; Janz et al, 2004; Lantz et al, 2005; Hack et al, 2006) get the opportunity to do so.”
Background
Communication and Decision Making in Cancer Care: Setting Research Priorities for Decision Support/Patients' Decision Aids
Barnato, A. E., Llewellyn-Thomas, H., Peters, E., Siminoff, L., Collins, E. D., & Barry, M. J. (2007) · Medical decision making · doi:10.1177/0272989x07306788 · Cited by 50
Patient-Centered Communication (PCC) scale: Psychometric analysis and validation of a health survey measure
Moser, R., Trivedi, N. B., Murray, A., Jensen, R. E., Willis, G., & Blake, K. (2022) · PLoS ONE · doi:10.1371/journal.pone.0279725 · Cited by 49
“Research has shown that better PCC is associated with several health outcomes including higher quality of life in cancer survivors [6], higher cancer screening behaviors [7], and other psychological outcomes such as increased health-related self-efficacy, that is, the confidence in one’s ability to take care of one’s…”
Background
Does a decision aid for prostate cancer affect different aspects of decisional regret, assessed with new regret scales? A randomized, controlled trial
van Tol‐Geerdink, J. J., Leer, J. W. H., Wijburg, C. J., van Oort, I. M., VERGUNST, H., van Lin, E. N. J. T., Witjes, J. A., & Stalmeier, P. F. M. (2015) · Health Expectations · doi:10.1111/hex.12369 · Cited by 50
Changing trends in the decision-making preferences of women with early breast cancer
Caldon, L. J. M., Walters, S. J., & Reed, M. (2007) · British journal of surgery · doi:10.1002/bjs.5964 · Cited by 46
The Relationship of Patient–Provider Communication on Quality of Life among African-American and White Cancer Survivors
Li, C., Matthews, A. K., Dossaji, M., & Fullam, F. A. (2017) · Journal of Health Communication · doi:10.1080/10810730.2017.1324540 · Cited by 54

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
DOI: 10.1177/0272989x9701700306
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
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
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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Patient Participation in Deciding Breast Cancer Treatment and Subsequent Quality of Life

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