Offering patients a choice of surgery for early breast cancer: A reduction in anxiety and depression in patients and their husbands

Stage II breast cancer: Differences between four coping patterns in side effects during adjuvant chemotherapy

“…The questionnaire generates scores on three subscales, including physical side effects, psychological side effects, and overall or total side effects [50,51]. The RSCL has been used in a number of studies of breast cancer patients [51][52][53][54][55].…”

The impact of the perception of treatment choice on satisfaction with treatment, experienced chemotherapy burden and current quality of life

“…The involvement of patients in making decisions about their own care may contribute to medical care that is in harmony with patients' wants and needs, and may perhaps improve health outcomes. Patients who perceive that they have decisional control in treatment decision-making may regain a sense of control and mastery over their disease or treatment (Morris and Royle, 1988;Hack et al, 1994;Street and Voigt, 1997;Deadman et al, 2001), which may ultimately lead to a higher quality of life (QoL) (Morris and Royle, 1988;Street and Voigt, 1997;Deadman et al, 2001;Polsky et al, 2002;Mandelblatt et al, 2003). For example, Polsky et al (2002) observed that patients who believed they had had a choice of surgical treatment for breast cancer reported higher QoL scores by means of a Visual Analogue Scale at 5 months following surgery, than did patients who perceived themselves to have had no control over the decision.…”

“…Both treatments are equally effective, but may be valued differently by patients. A number of studies showed that breast cancer patients who had actually been offered a choice of surgery had a better sense of psychological well being than patients who had not been given a choice based on clinical arguments, such as central position of the tumour, inadequate tumour-to-breast ratio and multiple tumours (Morris and Royle, 1988;Al-Ghazal et al, 2000;Deadman et al, 2001). Other studies observed similar differences in both physical and psychological well being, between patients who felt that they had had a choice of treatment and patients who believed they had had no choice of treatment, irrespective of whether the choice had actually been offered (Street and Voigt, 1997;King et al, 2000;Polsky et al, 2002;Mandelblatt et al, 2003).…”

Developing a Taxonomy and Mapping Concepts of Shared Decision Making to Improve Clinicians Understanding

“…82 Although not its intention, shared decision making can reduce the risk of malpractice allegations, if the research evidence is correctly communicated to patients. 83 While some clinicians argue that discussing risks as part of shared decision making might create undue anxiety, studies have demonstrated that fully informed patients were not more anxious. 84 Some authors propose that shared decision making should be evaluated by patient outcomes, and subsequent reduced risks to patients.…”