TITLE

Variation in physician-patient discussion of breast reconstruction

AUTHOR(S)
Chen, Judy Y.; Malin, Jennifer; Ganz, Patricia A.; Ko, Clifford; Tisnado, Diana; May Lin Tao; Timmer, Martha; Adams, John L.; Kahn, Katherine L.; Tao, May Lin
PUB. DATE
January 2009
SOURCE
JGIM: Journal of General Internal Medicine;Jan2009, Vol. 24 Issue 1, p99
SOURCE TYPE
Academic Journal
DOC. TYPE
journal article
ABSTRACT
Background: For women with early stage breast cancer, physician-patient discussion of breast reconstruction is an essential step in their participation in the decision-making process for their treatments. This study examines sociodemographic variation of physician-patient discussion of breast reconstruction and explores the impact of this discussion on the use of breast reconstruction.Methods: We used data from the Los Angeles Women's Study, a population-based study of women 50 years and older with breast cancer. Bivariate and multivariate logistic regression models were used to estimate the impact of patient and hospital characteristics on self-reported receipt of physician-patient discussion and use of breast reconstruction.Results: Of 315 post-mastectomy women, 81% and 27% reported physician-patient discussion and use of breast reconstruction, respectively. In multivariable analysis, women with an annual income <$20,000 were less likely to have physician-patient discussion than women with annual income > or =$40,000 (OR = 0.23, 95% CI 0.07-0.82). Among the subset of women with physician-patient discussion, chest wall radiation, a known characteristic associated with higher rates of reconstruction complications, became an additional significant negative predictor of reconstruction.Conclusions: Lower income women are at risk of not receiving physician-patient discussion of breast reconstruction. Physician-patient discussion of breast reconstruction appears to decrease the use of breast reconstruction among women with clinical characteristics associated with higher rates of reconstruction complications and failure. This highlights the need for interventions to increase physician-patient discussion of breast reconstruction among lower income women.
ACCESSION #
35833663

 

Related Articles

  • Perceived helpfulness of physicians' communication behavior and breast cancer patients' level of trust over time. Arora, Neeraj K.; Gustafson, David H. // JGIM: Journal of General Internal Medicine;Feb2009, Vol. 24 Issue 2, p252 

    Objective: We evaluated the association between physicians' communication behavior and breast cancer patients' trust in their physicians.Design: Longitudinal survey conducted at baseline, 2-month, and 5-month follow-up during first year of diagnosis.Participants:...

  • Liaison psychiatry in a breast cancer unit. Dean, Christine; Hopwood, Penelope; Dean, C; Hopwood, P // British Journal of Psychiatry;Jul89, Vol. 155, p98 

    "The first 50 referrals to a newly established liaison psychiatry service for the breast cancer unit at Guy's Hospital, London, have been examined. The majority of referrals were for psychological reactions to malignant disease; most of these were mood disturbances. Patients with sustained...

  • Treatment decisions and employment of breast cancer patients: Results of a population-based survey. Jagsi, Reshma; Abrahamse, Paul H.; Lee, Kamaria L.; Wallner, Lauren P.; Janz, Nancy K.; Hamilton, Ann S.; Ward, Kevin C.; Morrow, Monica; Kurian, Allison W.; Friese, Christopher R.; Hawley, Sarah T.; Katz, Steven J. // Cancer (0008543X);Dec2017, Vol. 123 Issue 24, p4791 

    Background: Many patients with breast cancer work for pay at the time of their diagnosis, and the treatment plan may threaten their livelihood. Understanding work experiences in a contemporary population-based sample is necessary to inform initiatives to reduce the burden of cancer...

  • Black-white differences in risk perceptions of breast cancer survival and screening mammography benefit. Haggstrom, David A.; Schapira, Marilyn M. // JGIM: Journal of General Internal Medicine;Apr2006, Vol. 21 Issue 4, p371 

    Background: Given differences in cancer survival by race, black women may differ from white women in breast cancer risk perceptions.Objective: To evaluate black-white differences in risk perceptions of breast cancer survival and screening mammography...

  • Study design and protocol for moving forward: a weight loss intervention trial for African-American breast cancer survivors. Stolley, Melinda R; Sharp, Lisa K; Fantuzzi, Giamila; Arroyo, Claudia; Sheean, Patricia; Schiffer, Linda; Campbell, Richard; Gerber, Ben // BMC Cancer;2015, Vol. 15 Issue 1, p1018 

    Background: Breast cancer survival rates are significantly lower among African-American women compared to white women. In addition, African-American women with breast cancer are more likely than white women to die from co-morbid conditions. Obesity is common among African-American...

  • A group therapy approach to facilitate integration of risk information for women at risk for breast cancer. Esplen, Mary Jane; Toner, Brenda; Hunter, Jonathan; Glendon, Gordon; Butler, Kate; Field, Barbara; Esplen, M J; Toner, B; Hunter, J; Glendon, G; Butler, K; Field, B // Canadian Journal of Psychiatry;May1998, Vol. 43 Issue 4, p375 

    Objective: To describe and illustrate elements of a group counselling approach designed to enhance the communication of risk information on breast cancer (BC) to women with a family history of this disease. Breast cancer is a leading cause of female cancer death. The most important...

  • Helping patients understand breast reconstruction options. Blesse, Laura // JAAPA: Journal of the American Academy of Physician Assistants (;Oct2014, Vol. 27 Issue 10, p13 

    No abstract available.

  • What are the essential elements to enable patient participation in medical decision making? Fraenkel, Liana; McGraw, Sarah // JGIM: Journal of General Internal Medicine;May2007, Vol. 22 Issue 5, p614 

    Background: Patient participation in shared decision making (SDM) results in increased patient knowledge, adherence, and improved outcomes. Despite the benefits of the SDM model, many patients do not attain the level of participation they desire.Objective: To gain a...

  • Perceptions, expectations, and attitudes about communication with physicians among Chinese American and non-Hispanic white women with early stage breast cancer. Wang, Judy Huei-Yu; Adams, Inez F; Pasick, Rena J; Gomez, Scarlett L; Allen, Laura; Ma, Grace X; Lee, Michael X; Huang, Ellen // Supportive Care in Cancer;Dec2013, Vol. 21 Issue 12, p3315 

    Purpose: Asian Americans have consistently reported poorer communication with physicians compared with non-Hispanic Whites (NHW). This qualitative study sought to elucidate the similarities and differences in communication with physicians between Chinese and NHW breast cancer...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics