Surgery decision conflict and its related factors among newly diagnosed early breast cancer patients in China: A cross‐sectional study

Abstract

According to global research data released by the World Health Organization (Bray et al., 2018), there were approximately 2.1 million newly diagnosed breast cancer (BCa) patients in 2018.In China, BCa accounts for 15% of all new female cancer cases and is still the most frequently diagnosed cancer in women (Chen et al., 2016). In addition to the high incidence rate of BCa, the survival rate is also increasing. In a survey conducted in 72 regions in China, the 5-year survival rate of BCa patients reached 58%-90% (Li et al., 2016), which is due in part to the availability of multiple effective treatments. Surgery is the most basic and common treatment for early BCa.A study of 3,846 Chinese BCa patients showed that 88.27% underwent surgery (Situ et al., 2015). In addition, the choice of surgery has evolved from single mastectomy to a number of options, including lumpectomy and reconstruction after mastectomy. It is generally verified that the survival rate for lumpectomy plus radiation is the same as that for mastectomy (Fisher et al., 2002). However, the fear of recurrence may be high among women who prefer to undergo

Effects of decisional conflict, decision regret and self‐stigma on quality of life for breast cancer survivors: A cross‐sectional, multisite study in China

“…This was different from another study, which reported a high decision conflict of 45.68 (SD = 23.40) among women newly diagnosed with early stage breast cancer in China (Tang et al, 2021). In our study, women completed the surgery and adjuvant therapy, while in Tang's study, women were confronted with decisions regarding surgery (Tang et al, 2021). Women may feel more uncertainty about the trade‐offs of different types of surgery before decision‐making, while after the completion of surgery, they have to accept the treatment results, thus experiencing less decisional conflict.…”

“…In our study, the decisional conflict of breast cancer survivors was 22.01 (SD = 17.36), which was mild. This was different from another study, which reported a high decision conflict of 45.68 (SD = 23.40) among women newly diagnosed with early stage breast cancer in China (Tang et al, 2021). In our study, women completed the surgery and adjuvant therapy, while in Tang's study, women were confronted with decisions regarding surgery (Tang et al, 2021).…”

“…among women newly diagnosed with early stage breast cancer in China (Tang et al, 2021). In our study, women completed the surgery and adjuvant therapy, while in Tang's study, women were confronted with decisions regarding surgery (Tang et al, 2021).…”

“…Nowadays, women are more willing to participate in treatment decision‐making. Due to the lack of information on breast cancer and surgical options, women still find it difficult to make decisions, which leads to decision conflict (Tang et al, 2021). Decisional conflict is the perceived uncertainty about what medical treatments should be carried out when women face life‐threatening or stressful decisions (O'Connor, 1995).…”

Relationship Between Decision Conflict and Decision Regret Among Postoperative Breast Cancer Patients in China: the Regulating Role of Decision-making Preparation

“…Besides, the decision-making progress were in uenced by family factors, traditional culture and fatalism [8]. When confronted with surgical decision, BC patients always experienced anxiety, illness uncertainty, depresses, hesitation and decision con ict [9].Facing numerous treatment options, BC patients experienced moods uctuate and always given the decision-making right to physicians, which just considered survival time and didn't consider patients' preference [10]. A survey showed 6-23% of cancer patients experience decision regret [11].…”