Patient-centered care and breast cancer survivors’ satisfaction with information

As the field of medicine moves toward practicing patient-centered care, radiologists in breast imaging must continue to look for ways to increase the value of their practice in the eyes of patients. Providing adjunct screening of women with dense breasts provides such an opportunity. The presence of dense breast tissue is not only an independent risk factor for breast cancer but also a risk factor for the delayed diagnosis of breast cancer as dense tissue reduces the efficacy of screening mammograms due to the tissue masking effect. As legislation for notifying women of their breast density becomes commonplace, both women and referring physicians need to understand the risks of dense breast tissue as well as the benefits of additional screening affords. Breast radiologists can become integral to their patients’ care team by offering education to both referring providers and patients on the topic of dense breasts and supplemental screening solutions, such as screening breast ultrasound, which has been shown to have benefit in overcoming mammography’s shortcomings in this demographic of women.

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Sociodemographic Predictors of Breast Reconstruction Procedure Choice: Analysis of the Mastectomy Reconstruction Outcomes Consortium Study Cohort

Plastic Surgery International ◽

10.1155/2015/150856 ◽

2015 ◽

Vol 2015 ◽

pp. 1-9 ◽

Cited By ~ 1

Author(s):

Tiffany N. S. Ballard ◽

Yeonil Kim ◽

Wess A. Cohen ◽

Jennifer B. Hamill ◽

Adeyiza O. Momoh ◽

...

Keyword(s):

Breast Cancer ◽

Breast Reconstruction ◽

Prophylactic Mastectomy ◽

Patient Centered Care ◽

Sociodemographic Factors ◽

Study Cohort ◽

Full Time ◽

Patient Centered ◽

Centered Care ◽

The Impact

Background. To promote patient-centered care, it is important to understand the impact of sociodemographic factors on procedure choice for women undergoing postmastectomy breast reconstruction. In this context, we analyzed the effects of these variables on the reconstructive method chosen. Methods. Women undergoing postmastectomy breast reconstruction were recruited for the prospective Mastectomy Reconstruction Outcomes Consortium Study. Procedure types were divided into tissue expander-implant/direct-to-implant and abdominally based flap reconstructions. Adjusted odds ratios were calculated from logistic regression. Results. The analysis included 2,203 women with current or previous breast cancer and 202 women undergoing prophylactic mastectomy. Compared with women <40 years old with current or previous breast cancer, those 40 to 59 were significantly more likely to undergo an abdominally based flap. Women working or attending school full-time were more likely to receive an autologous procedure than those working part-time or volunteering. Women undergoing prophylactic mastectomy who were ≥50 years were more likely to undergo an abdominal flap compared to those <40. Conclusions. Our results indicate that sociodemographic factors affect the reconstructive procedure received. As we move forward into a new era of patient-centered care, providing tailored treatment options to reconstruction patients will likely lead to higher satisfaction and better outcomes for those we serve.

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Patient-Centered Communication to Address Young Adult Breast Cancer Survivors’ Reproductive and Sexual Health Concerns

Health Communication ◽

10.1080/10410236.2020.1794550 ◽

2020 ◽

pp. 1-16

Author(s):

Jessica R. Gorman ◽

Julia H. Drizin ◽

Ellie Smith ◽

Yurissa Flores-Sanchez ◽

S. Marie Harvey

Keyword(s):

Breast Cancer ◽

Young Adult ◽

Sexual Health ◽

Cancer Survivors ◽

Breast Cancer Survivors ◽

Patient Centered ◽

Health Concerns ◽

Reproductive And Sexual Health

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Understanding Supportive Care Factors Among African American Breast Cancer Survivors

Journal of Transcultural Nursing ◽

10.1177/1043659616670713 ◽

2016 ◽

Vol 29 (1) ◽

pp. 21-29 ◽

Cited By ~ 1

Author(s):

Claudia M. Davis ◽

Adeline M. Nyamathi ◽

Alham Abuatiq ◽

Geraldine C. Fike ◽

Anna M. Wilson

Keyword(s):

Breast Cancer ◽

Health Care ◽

African American ◽

Supportive Care ◽

Cancer Survivors ◽

Breast Cancer Survivors ◽

Health Care Team ◽

Care Needs ◽

Patient Centered ◽

Qualitative Descriptive

Introduction: Comprehensive breast cancer care includes not only diagnosis, staging, and treatment of cancer but also assessment and management of the physical, psychological, social, and informational needs, collectively known as supportive care. Several studies have documented the importance of addressing supportive care factors among breast cancer survivors. However, there appears to be a paucity of research concerning African American breast cancer survivors (AABCS). Therefore, the purpose of this study was to describe and understand the patient-centered supportive care factors among self-identified AABCS. Method: Using a qualitative descriptive approach, an open-ended question explored supportive care factors that were used by N = 155 AABCS. Results: Four supportive care factors were identified: faith, supportive structures, optimism, and access to information. Discussion: An understanding of these factors might facilitate discussion between survivors and the health care team. The resultant effect could also inform and promote the delivery of culturally specific health care to address the supportive care needs among these women.

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Prospective Evaluation Of Patient-Centered Care In Short-Term Cancer Survivors, At One And Two Years Post Treatment, Through The Patient Assessment Of Chronic Illness Care Questionnaire

Value in Health ◽

10.1016/j.jval.2017.08.679 ◽

2017 ◽

Vol 20 (9) ◽

pp. A519

Author(s):

A Escobar ◽

A Bilbao ◽

E Perez-Ruiz ◽

A Rueda ◽

Md Trujillo-Martin

Keyword(s):

Chronic Illness ◽

Cancer Survivors ◽

Patient Centered Care ◽

Post Treatment ◽

Chronic Illness Care ◽

Prospective Evaluation ◽

Patient Assessment ◽

Short Term ◽

Patient Centered ◽

Centered Care

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The Meaning of Breast Cancer Patients’ Experience in Hospital X: a Viewpoint From Patient Centered Care

Jurnal Medicoeticolegal dan Manajemen Rumah Sakit ◽

10.18196/jmmr.8299 ◽

2019 ◽

Vol 8 (2) ◽

Author(s):

Farida Rozany ◽

Indah Winarni ◽

Viera Wardhani

Keyword(s):

Breast Cancer ◽

Cancer Patients ◽

Patient Centered Care ◽

Breast Cancer Patients ◽

Patient Centered ◽

Centered Care ◽

Patients Experience

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Analysis of Healthcare Team Communication Needs Among Younger vs Older Breast Cancer Survivors: A Web-based Survey (Preprint)

10.2196/preprints.31118 ◽

2021 ◽

Author(s):

Deborah Vollmer Dahlke ◽

Aya Yoshikawa ◽

Molly McAdams ◽

Sharyn Malatok ◽

Elaine D. Gonzales

Keyword(s):

Breast Cancer ◽

Cancer Survivors ◽

Older Women ◽

Breast Cancer Survivors ◽

Healthcare Providers ◽

Post Treatment ◽

Healthcare Team ◽

Patient Centered ◽

Younger Women

BACKGROUND Prior studies indicate that the age of onset of breast cancer is an important element in considering communication between patients and the healthcare team. Younger women ages 45 and under diagnosed with breast cancer are often at a higher risk of being more vulnerable to psychosocial issues as compared to older women. While doctor-patient communication is the primary way women with breast cancer learn about important elements of their cancer therapy and post-treatment survivorship, few studies have examined age differences in patient perceptions of treatment-related discussions and of communications during transition with their healthcare team. OBJECTIVE The aims of this survey were: 1) to better understand breast cancer survivors’ perspectives of healthcare providers communication during treatment and in transition to post-treatment, and 2) to determine the differences between younger women with breast cancer (<45 years of age) as compared to older women (>46 years of age and older). It was hypothesized that 1) breast cancer survivors’ psychosocial and finance-related communications with healthcare providers may lack effectiveness; 2) younger women experience greater needs in physician and healthcare providers’ patient-centered communication, especially around psychosocial care and transition to post-treatment; and 3) younger breast cancer patients (<45 years of age) need more information on survivorship and follow-up care. METHODS An online survey was conducted with 143 women in Central Texas with 35.% (n=50) age 45 or under and 65% (n=93) ages 46 and above. The participants were invited via email links from a number of Texas-based cancer and breast cancer advocacy groups. The Mann–Whitney U test was performed to assess differences in participants’ perceptions about communication with healthcare providers by age group: young (<45 years of age) and old (≥ 46 years of age). RESULTS Participants were asked to score question areas such as concerns during treatment and how much discussion occurred between patients and providers. Statistically significant results were in regard to rating healthcare team and patient discussions about the transition from treatment to post-treatment using a score of 0 as “no discussion” and 100 as “in-depth discussion.” For the questions about management of post treatment care the group mean score was 56.26; the younger group mean was 43.96; the older group mean was 61.96 (P=.022). For the question about the timing of follow-up appointments, the overall group mean was 64.29; the younger group mean was 54.44; the older group mean was 68.88 (P=.049). For the overall group, scores related to psychosocial and financial support discussions with healthcare providers during the transition to post treatment care were low, with a rollup average of only 30.02 out of 100, suggesting that this is an important area for improving patient-centered communications. CONCLUSIONS For all patients, transition from treatment to post-treatment require greater healthcare team engagement and communications. It appears that younger patients age <45 have needs for more in-depth and personalized messaging to better understand their post-treatment care requirements.

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