Mastectomy or Lumpectomy? Helping Women Make Informed Choices

作者: Timothy Whelan , Mark Levine , Amiram Gafni , Kenneth Sanders , Andrew Willan

DOI: 10.1200/JCO.1999.17.6.1727

关键词:

摘要: PURPOSE: To develop an instrument to help clinicians inform their patients about surgical treatment options for the of breast cancer and evaluate impact on clinical encounter. METHODS: We developed instrument, called Decision Board, present information regarding benefits risks breast-conserving therapy (lumpectomy plus radiation therapy) mastectomy women with early-stage enable them express a preference type surgery. Seven surgeons from different communities in Ontario administered newly diagnosed stage I or II over 18-month period. Patients were interviewed acceptability instrument. The rates surgery performed by before after introduction compared. RESULTS: Board was 175 patients; 98% reported that easy underst...

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