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Recurrence Risk Perception and Quality of Life Following Treatment of Breast Cancer
  • Published Date:
    Dec 21 2016
  • Source:
    Breast Cancer Res Treat. 161(3):557-565.
Filetype[PDF-466.32 KB]

  • Pubmed ID:
  • Pubmed Central ID:
  • Description:

    Little is known about different ways of assessing risk of distant recurrence following cancer treatment (e.g., numeric or descriptive). We sought to evaluate the association between overestimation of risk of distant recurrence of breast cancer and key patient reported outcomes, including quality of life and worry.


    We surveyed a weighted random sample of newly diagnosed patients with early-stage breast cancer identified through SEER registries of Los Angeles & Georgia (2013-14) ∼2 months after surgery (N=2578, RR=71%). Actual 10-year risk of distant recurrence after treatment was based on clinical factors for women with DCIS & low risk invasive cancer (Stg 1A, ER+HER2-, Gr 1-2). Women reported perceptions of their risk numerically (0 – 100%), with values ≥10% for DCIS & ≥20% for invasive considered overestimates. Perceptions of “moderate, high or very high” risk were considered descriptive overestimates. In our analytic sample (N=927), we assessed factors correlated with both types of overestimation and report multivariable associations between overestimation and QoL (PROMIS physical & mental health) and frequent worry.


    30.4% of women substantially overestimated their risk of distant recurrence numerically and 14.7% descriptively. Few factors other than family history were significantly associated with either type of overestimation. Both types of overestimation were significantly associated with frequent worry, and lower QoL.


    Ensuring understanding of systemic recurrence risk, particularly among patients with favorable prognosis, is important. Better risk communication by clinicians may translate to better risk comprehension among patients and to improvements in QoL.

  • Document Type:
  • Collection(s):
  • Funding:
    HHSN261201000140C/CA/NCI NIH HHS/United States
    P30 CA046592/CA/NCI NIH HHS/United States
    P01 CA163233/CA/NCI NIH HHS/United States
    U58 DP003875/DP/NCCDPHP CDC HHS/United States
    HHSN261201300015C/RC/CCR NIH HHS/United States
    HHSN261201000035I/CA/NCI NIH HHS/United States
    HHSN261201000034C/CA/NCI NIH HHS/United States
    U58 DP003862/DP/NCCDPHP CDC HHS/United States
    U01 CA197282/CA/NCI NIH HHS/United States
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