Patient values in breast cancer surgical decision-making - The WhySurg study.
Am J Surg
; 227: 137-145, 2024 Jan.
Article
em En
| MEDLINE
| ID: mdl-37858372
ABSTRACT
BACKGROUND:
The objective of this study was to describe patient values and personality traits associated with breast surgery choice for patients with breast cancer.METHODS:
A survey based on qualitative patient interviews and the Big-Five personality trait profile was distributed to Love Research Army volunteers aged 18-70 years old who underwent breast cancer surgery from 2009 to 2020. Multivariable logistic regression analysis was used to determine independent patient values and personality traits for the choice of breast-conserving surgery (BCS), unilateral mastectomy (UM) and bilateral mastectomy (BM).RESULTS:
1497 participants completed the survey. Open-mindedness was associated with UM and sociability was associated with BM. A majority of patients prioritized cancer outcomes. Compared to BM patients, BCS and UM patients were significantly more likely to choose values associated with maintaining their self-image, optimizing surgical recovery, and following their doctor's recommendation.CONCLUSIONS:
Other values besides cancer outcomes differentiate patient surgical choice for BCS or mastectomy.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias da Mama
Limite:
Adolescent
/
Adult
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Aged
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Female
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Humans
/
Middle aged
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article