Information Needs and Decisional Preferences in Women With Breast Cancer

摘要: Objective. —To determine the degree of involvement women with breast cancer wanted in medical decision making, extent to which they believed had achieved their preferred level involvement, and types information judged be most important. Design Setting. —Cross-sectional survey at 2 tertiary oncology referral clinics community hospital Winnipeg, Manitoba. Patients. —Consecutive sample 1012 a confirmed diagnosis who were scheduled for visit 1 4 clinics. Main Outcome Measures. —The following measures used: (1) Preferences about various levels participation treatment making; (2) subjects (3) priority needs how these differed by selected sociodemographic, disease, variables. Results. —A total 22% select own treatment, 44% collaboratively physicians, 34% delegate this responsibility physicians. Only 42% control making. The highly ranked related knowing chances cure spread disease. Women younger than 50 years rated physical sexual attractiveness as more important did older ( P =.002); positive family history risk other =.03). Conclusions. substantial discrepancy between women's attained making suggests that systematic approaches assess respond desired need evaluated. Priorities identified study provide an empirical basis guide communication seeking care cancer.