An approach to measuring the quality of breast cancer decisions.

摘要: Abstract Objective To explore an approach to measuring the quality of decisions made in treatment early stage breast cancer, focusing on patients’ decision-specific knowledge and concordance between stated preferences for outcomes received. Methods Candidate value items were identified after extensive review published literature as well reports 27 focus groups 46 individual interviews with cancer survivors. Items subjected cognitive six additional patients. A preliminary decision measure consisting five four was pilot tested 35 survivors who also completed control scale decisional conflict (DCS). Results Preference did not vary by treatment. The mean participants’ scores 54%. There no correlation informed subscale DCS (Pearson r  = .152, n  = 32, p  = 0.408). Patients preferred keep their over times likely have breast-conserving surgery than those (OR 5.33, 95% CI (1.2, 24.5),  = 0.06). wanted avoid radiation choose mastectomy 6.4, (1.34, 30.61),  = 0.04). Conclusion Measuring assessing values received, is feasible important. Further work necessary overcome methodological challenges this work. Practice implications Guidelines emphasize importance including about ability doctors patients make that reflect considered well-informed can should be measured.