Offering a choice between two adjuvant chemotherapy regimens: a pilot study to develop a decision aid for women with breast cancer
Patient Education and CounselingPublished 1 July 1999
Ellen Irwin, Andrew Arnold, Timothy J. Whelan, Leonard Reyno, Patricia Cranton
Citations28
SJR quartileQ1
SJR score1.24
SNIP1.37
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The Decision Board appears to be a valuable educational tool that enables patients to become well-informed and directly involved in their treatment decisions.
Abstract
The Decision Board appears to be a valuable educational tool that enables patients to become well-informed and directly involved in their treatment decisions.
Keywords
MedicineHealth ProfessionsBiochemistry, Genetics and Molecular Biology
The LancetSystemic treatment of early breast cancer by hormonal, cytotoxic, or immune therapy
2,189 Citations1992Early Breast Cancer Trialist's Collaborative Group
Annals of Internal MedicineInformation and Participation Preferences Among Cancer Patients
1,142 Citations1980Barrie R. Cassileth, ROBERT V. ZUPKIS +2 more
Most patients in each age group displayed high levels of hope, preferences for open communication about their illness, and a desire for maximum amounts of information.
JAMAInformation Needs and Decisional Preferences in Women With Breast Cancer
1,116 Citations1997Lesley F. Degner
Priorities for information identified in this study provide an empirical basis to guide communication with women seeking care for breast cancer and suggest systematic approaches to assess and respond to women's desired level of participation in treatment decision making need to be evaluated.
Journal of General Internal MedicinePatients’ participation in medical care
1,112 Citations1988Sheldon Greenfield, Sherrie H. Kaplan +3 more
The authors conclude that the intervention is feasible and that it changes patient behavior, improves blood sugar control, and decreases functional limitations.
Journal of Clinical EpidemiologyDecision making during serious illness: What role do patients really want to play?
1,009 Citations1992Lesley F. Degner, Jeffrey A. Sloan
It is suggested that the impact of being diagnosed with a life-threatening illness may influence preferences to participate, and the majority of patients and members of the public wanted their physician and family to share responsibility for decision making if they were too ill to participate.
Journal of General Internal MedicineMeasuring patients’ desire for autonomy
941 Citations1989Jack Ende, Lewis E. Kazis +2 more
It was found that patients prefer that decisions be made principally by their physicians, not themselves, although they very much want to be informed, and there was no correlation between patients’ decision making and information-seeking preferences.
JAMADo Patients Want to Participate in Medical Decision Making?
759 Citations1984William Strull
Patients who preferred not to make initial therapeutic decisions did want to participate in ongoing evaluation of therapy, and clinicians underestimate patients' desire for information and discussion but overestimate Patients' desire to make decisions.
Journal of Clinical OncologyTwo months of doxorubicin-cyclophosphamide with and without interval reinduction therapy compared with 6 months of cyclophosphamide, methotrexate, and fluorouracil in positive-node breast cancer patients with tamoxifen-nonresponsive tumors: results from the National Surgical Adjuvant Breast and Bowel Project B-15.
627 Citations1990Bernard Fisher, Ann Brown +8 more
This study and NSABP B-16, which evaluates the worth of AC Therapy in TAM-responsive patients, indicate the merit of 2 months of AC therapy for all positive-node breast cancer patients.
Social Science & MedicineInformation and decision-making preferences of hospitalized adult cancer patients
493 Citations1988Christina G. Blanchard, Mark S. Labrecque +2 more
These data suggest that, although most patients prefer all information to be given to them, almost one-fourth of them preferred a more authoritarian, rather than participatory, relationship with their oncologist.
Annals of Internal MedicineA Bedside Decision Instrument To Elicit a Patient's Preference Concerning Adjuvant Chemotherapy for Breast Cancer
281 Citations1992Mark N. Levine, Amiram Gafni +2 more
The instrument has been used to elicit treatment preferences in 37 newly presenting patients with high-risk, node-negative breast cancer and has been found to be acceptable and helpful to the patient.
Journal of Clinical OncologyDoctor-patient communication about breast cancer adjuvant therapy.
220 Citations1989Laura A. Siminoff, John H. Fetting +1 more
The widespread recommendation of nonstandard regimens similar or identical to the experimental arms in ongoing trials suggests a serious lack of consensus on what questions to ask in clinical trials and whether or not those questions have been answered.
Social Science & MedicineOffering patients a choice of surgery for early breast cancer: A reduction in anxiety and depression in patients and their husbands
189 Citations1988Jenny Morris, G T Royle
It is indicated that with proper counselling patients and husbands suffer less stress if they are allowed to take an active part in the treatment of their cancer.
JAMAInformation needs and decisional preferences in women with breast cancer
180 Citations1997Lesley F. Degner
Journal of Clinical OncologyA randomized double-blind comparison of ondansetron and metoclopramide in the prophylaxis of emesis induced by cyclophosphamide, fluorouracil, and doxorubicin or epirubicin chemotherapy.
119 Citations1990Jacques Bonneterre, B Chevallier +7 more
Ondansetron was more effective in reducing acute nausea and being a significant neurotransmitter of cyclophosphamide/doxorubicin- or epirubicIn/fluorouracil-induced emesis, consistent with serotonin (5-HT), being asignificant neurotransmitter in breast cancer patients.
Journal of Clinical OncologyBreast irradiation postlumpectomy: development and evaluation of a decision instrument.
118 Citations1995Timothy J. Whelan, Mark N. Levine +5 more
The Decision Board facilitated shared decision making in node-negative lumpectomy patients who chose breast irradiation, but it did not affect a patient's choice to select breast irradiated.
Cancer NursingFactors women take into account when deciding upon type of surgery for breast cancer
114 Citations1989Sandra E. Ward, Susan M. Heidrich +1 more
Two factors, concerns about radiotherapy and body integrity, emerged as significantly different for women choosing BC vs. MRM, suggesting that nurses and other care providers are important in supporting women through the decision-making process.
Research in Nursing & HealthPreferences for treatment control among adults with cancer
103 Citations1988Lesley F. Degner, Catherine Aquino Russell
The preferences of adults with cancer about alternative roles they might play in treatment decision making was examined and it was indicated that most patients preferred the pattern of shared control; and that patients preferred to give control to the physician rather than a family member.
Social Science & MedicineChoice of surgery for early breast cancer: Psychosocial considerations
102 Citations1988Jenny E. Morris, Roger Ingham
Whether or not patients were given a choice was of greater relevance to psychosocial outcomes that was the type of operation performed, and providing a choice led to improved reported adjustments.
American Journal of HematologyDesign and validation of a bedside decision instrument to elicit a patient's preference concerning allogenic bone marrow transplantation in chronic myeloid leukemia
53 Citations1995Catherine Sebban, George P. Browman +5 more
A bedside decision instrument to be used by patients with chronic myeloid leukemia and their physicians in deciding between the therapeutic alternatives of bone marrow transplantation and conservative management during the early phase of disease is designed and validated.
Journal of Psychosocial OncologyInformal Decision Analysis with Breast Cancer Patients
36 Citations1987R. Glynn Owens, Jennifer J. Ashcroft +2 more
Tests of anxiety, depression, body satisfaction, marital adjustment, self-esteem, sociability, and life change were administered to patients before surgery and at intetvals up to one year after treatment to assess their psychological adaptation to treatment.
PubMedGuidelines for the optimal management of chemotherapy-induced nausea and vomiting: a consensus.
14 Citations1995David Osoba, Warr Dg +3 more
Recommendations for the optimal management of nausea and vomiting developed by a multidisciplinary group of health care professionals support the clear superiority of 5-HT3 receptor antagonists in a variety of clinical situations.
