Optimal Decision Making for Breast Cancer Treatment in the Presence of Cancer Regression and Type II Error in Mammography Results

2015 ◽  
pp. 185-204
Author(s):  
Sergio A. Vargas ◽  
Shengfan Zhang ◽  
Raha Akhavan-Tabatabaei
Keyword(s):  
Breast Cancer ◽  
Decision Making ◽  
Cancer Treatment ◽  
Breast Cancer Treatment ◽  
Optimal Decision ◽  
Type Ii ◽  
Type Ii Error ◽  
Optimal Decision Making ◽  
Cancer Regression

scholarly journals Understanding the engagement of key decision support persons in patient decision making around breast cancer treatment

Cancer ◽  
2019 ◽  
Vol 125 (10) ◽  
pp. 1709-1716 ◽  
Author(s):  
Christine M. Veenstra ◽  
Lauren P. Wallner ◽  
Paul H. Abrahamse ◽  
Nancy K. Janz ◽  
Steven J. Katz ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Decision Making ◽  
Decision Support ◽  
Cancer Treatment ◽  
Breast Cancer Treatment ◽  
Patient Decision Making ◽  
Patient Decision

Impact of an Educational Video on Patient Decision Making in Early Breast Cancer Treatment

2006 ◽  
Vol 26 (6) ◽  
pp. 589-598 ◽  
Author(s):  
Edwin G. Wilkins ◽  
Julie C. Lowery ◽  
Laurel A. Copeland ◽  
Sherry L. Goldfarb ◽  
Patricia A. Wren ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Decision Making ◽  
Cancer Treatment ◽  
Early Breast Cancer ◽  
Breast Cancer Treatment ◽  
Educational Video ◽  
Patient Decision Making ◽  
Patient Decision

Patient and surgeon correlates of shared decision making for surgical breast cancer treatment

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 6031-6031
Author(s):  
S. Hawley ◽  
P. Lantz ◽  
B. Salem ◽  
A. Fagerlin ◽  
N. Janz ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Decision Making ◽  
Surgical Treatment ◽  
Cancer Treatment ◽  
Treatment Decision ◽  
Breast Conserving Surgery ◽  
Breast Cancer Treatment ◽  
Shared Decision ◽  
Treatment Decision Making ◽  
The Right

6031 Background: The choice of surgical breast cancer treatment represents an opportunity for shared decision making (SDM), since both mastectomy and breast conserving surgery are viable options. Yet women vary in their desire for involvement in this decision. Correlates of SDM and/or the level of involvement in breast cancer surgical treatment decision-making are not known. Methods: Breast cancer patients of Detroit and Los Angeles SEER registries were mailed a questionnaire shortly after diagnosis in 2002 (N = 1,800, RR: 77%). Their responses were merged with a surgeon survey (N = 456, RR: 80%) for a dataset of 1,547 patients of 318 surgeons. Surgical treatment decision making was categorized into: 1) surgeon-based; 2) shared; or 3) patient-based. The concordance between a woman’s self-reported actual and desired decisional involvement was categorized as having more, less, or the right amount of involvement. Decision making and concordance were each analyzed as three-level dependent variables using multinomial logistic regression controlling for clustering within surgeons. Independent variables included patient clinical, treatment and demographic factors, surgeon demographic and practice-related factors, and a measure of surgeon-patient communication. Results: 37% of women reported the surgery decision was shared, 25% that it was surgeon-based, and 38% that it was patient-based. Two-thirds experienced the right amount of involvement, while 13% had less and 19% had more. Compared to women who reported a shared decision, those with surgeon-based decision were significantly (p < 0.05) more likely to have male surgeons, and those reporting a patient-based decision were more likely to have received mastectomy vs. breast conserving surgery. Women who were less involved in the surgery decision than they wanted were younger and had less education, while those with more involvement (vs. the right amount) more often had male surgeons. Patient-surgeon communication was associated with decisional involvement. Conclusions: Correlates of SDM and decisional involvement relating to surgical breast cancer treatment differ. Determining patients’ desired role in decision making may as important as achieving a shared decision for evaluating perceived quality of care. No significant financial relationships to disclose.

Shared decision-making in medical encounters regarding breast cancer treatment: the contribution of methodological triangulation

2014 ◽  
Vol 24 (4) ◽  
pp. 461-472 ◽  
Author(s):  
C. Durif-Bruckert ◽  
P. Roux ◽  
M. Morelle ◽  
H. Mignotte ◽  
C. Faure ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Decision Making ◽  
Cancer Treatment ◽  
Shared Decision Making ◽  
Breast Cancer Treatment ◽  
Shared Decision ◽  
Methodological Triangulation
Sign in / Sign up

Export Citation Format

Share Document