Details:

Alternative Title:
Cancer
Personal Author:
Wallner, Lauren P. ; Li, Yun ; McLeod, M. Chandler ; Hamilton, Ann S. ; Ward, Kevin C. ; ... More +
Wallner, Lauren P. ; Li, Yun ; McLeod, M. Chandler ; Hamilton, Ann S. ; Ward, Kevin C. ; Veenstra, Christine M. ; An, Lawrence C. ; Janz, Nancy K. ; Katz, Steven J. ; Hawley, Sarah T. Less -
Description:
Background

Little is known about the size and characteristics of the decision support networks of women newly diagnosed with breast cancer and whether their involvement improves breast cancer treatment decisions.

Methods

A population-based sample of patients newly diagnosed with breast cancer in 2014–15 as reported to the Georgia and Los Angeles SEER registries were surveyed approximately 7 months after diagnosis (N = 2,502, 68% response rate). Network size was estimated by asking women to list up to 3 of the most important decision support people (DSP) who helped them with locoregional therapy decisions. Decision deliberation was measured using 4-items assessing degree to which patients thought through the decision, with higher scores reflecting more deliberative breast cancer treatment decisions. We compared the size of the network (0–3 or more) across patient-level characteristics and estimated the adjusted mean deliberation scores across levels of network size using multivariable linear regression.

Results

Of the 2,502 women included in this analysis, 51% reported having 3 or more DSPs, 20% reported 2, 18% reported 1, and 11% reported not having any DSPs. Married/partnered women, those younger than 45 years old, and black women were all more likely to report larger network sizes (all p<0.001). Larger support networks were associated with more deliberative surgical treatment decisions (p <0.001).

Conclusions

Most women engaged multiple DSPs in their treatment decision making, and involving more DSPs was associated with more deliberative treatment decisions. Future initiatives to improve treatment decision making among breast cancer patients should acknowledge and engage informal DSPs.


Subjects:
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Adult Aged Age Factors Black Or African American Breast Neoplasms Decision Making Female Humans Linear Models Marital Status Middle Aged Multivariate Analysis SEER Program Social Support Surveys And Questionnaires
Source:
Cancer. 123(20):3895-3903
Pubmed ID:
28640360
Pubmed Central ID:
PMC5626589
Document Type:
Journal Article
Funding:
HHSN261201000140C/CA/NCI NIH HHS/United States ; HHSN261201000035I/CA/NCI NIH HHS/United States ; HHSN261201300015C/CA/NCI NIH HHS/United States ; U58 DP003862/DP/NCCDPHP CDC HHS/United States ; K07 CA196752/CA/NCI NIH HHS/United States ; ... More +
HHSN261201000140C/CA/NCI NIH HHS/United States ; HHSN261201000035I/CA/NCI NIH HHS/United States ; HHSN261201300015C/CA/NCI NIH HHS/United States ; U58 DP003862/DP/NCCDPHP CDC HHS/United States ; K07 CA196752/CA/NCI NIH HHS/United States ; P01 CA163233/CA/NCI NIH HHS/United States ; U58 DP003875/DP/NCCDPHP CDC HHS/United States ; HHSN261201000035C/PC/NCI NIH HHS/United States ; HHSN261201000034C/CA/NCI NIH HHS/United States Less -
Place as Subject:
Georgia ; Los Angeles, CA
Georgia ; Los Angeles, CA Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:57fe744af6e855c54e834fec0f31177d4a9e26c0abb59a0aa8c46539230926f7
Download URL:
https://stacks.cdc.gov/view/cdc/48954/cdc_48954_DS1.pdf
File Type:

Supporting Files

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