Effect of a Decision Aid on Knowledge and Treatment Decision Making for Breast Cancer Surgery
Top Cited Papers
Open Access
- 28 July 2004
- journal article
- clinical trial
- Published by American Medical Association (AMA) in JAMA
- Vol. 292 (4) , 435-441
- https://doi.org/10.1001/jama.292.4.435
Abstract
Breast cancer is common affecting more than 200 000 women per year in North America. It usually presents at an early stage with disease confined to the breast and axillary lymph nodes. Prior to 1980, the standard surgical treatment involved a modified radical mastectomy. In the early 1980s, 2 published randomized trials from Italy and the United States demonstrated that removal of the cancer and radiation to the remaining breast called breast conservation therapy (BCT), resulted in equivalent survival.1,2 Since then 4 other published randomized trials3-6 and a number of meta-analyses7,8 confirmed these findings. Randomized trials have also suggested improved quality of life and satisfaction for women treated with BCT.9,10Keywords
This publication has 24 references indexed in Scilit:
- Helping Patients Make Informed Choices: A Randomized Trial of a Decision Aid for Adjuvant Chemotherapy in Lymph Node-Negative Breast CancerJNCI Journal of the National Cancer Institute, 2003
- Mastectomy or Lumpectomy? Helping Women Make Informed ChoicesJournal of Clinical Oncology, 1999
- Quality of life of early-stage breast cancer patients treated with radical mastectomy or breast-conserving procedures: results of EORTC trial 10801European Journal Of Cancer, 1998
- Patients’ Preferences for Therapy in Advanced Epithelial Ovarian Cancer: Development, Testing, and Application of a Bedside Decision InstrumentGynecologic Oncology, 1996
- Validation of a Decisional Conflict ScaleMedical Decision Making, 1995
- Mastectomy versus breast-conserving therapy in the treatment of stage I and II carcinoma of the breast: a randomized trial at the National Cancer Institute.Journal of Clinical Oncology, 1992
- Sample size formulae for intervention studies with the cluster as unit of randomizationStatistics in Medicine, 1988
- Measuring depressive symptoms in illness populations: Psychometric properties of the Center for Epidemiologic Studies Depression (CES-D) ScalePsychology & Health, 1988
- Five-Year Results of a Randomized Clinical Trial Comparing Total Mastectomy and Segmental Mastectomy with or without Radiation in the Treatment of Breast CancerNew England Journal of Medicine, 1985
- Comparing Radical Mastectomy with Quadrantectomy, Axillary Dissection, and Radiotherapy in Patients with Small Cancers of the BreastNew England Journal of Medicine, 1981