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Association of clinical experiences with patient-reported outcomes among breast cancer surgery patients: breast cancer quality care study

Cited 11 time in Web of Science Cited 11 time in Scopus
Authors
Noh, Dong Young; Nam, Seok Jin; Ahn, Se Hyun; Park, Byeong Woo; Lee, Eun Sook; Lee, Myung Kyung; Kim, Soo Hyun; Kim, Yoo Min; Park, Sang Min; Yun, Young Ho
Issue Date
2007-12-19
Publisher
Springer Verlag
Citation
Qual Life Res. 2008 ;17(2):215-25.
Keywords
Breast Neoplasms/*surgeryCross-Sectional StudiesFemaleHealth SurveysHumansMastectomy/*psychologyMiddle AgedPatient Participation*Patient Satisfaction*Quality of LifeQuestionnairesSurvivors
Abstract
BACKGROUND: We aimed to clarify the association of breast cancer patients' clinical experiences with patient-reported outcomes (PRO) of satisfaction with care, choice of the same type of surgery again, and health-related quality of life (HRQOL). METHODS: There were 2,403 (25.9%) of 9,283 eligible women who had undergone primary curative surgery for breast cancer in one of five selected hospitals between 1993 and 2002 who responded to a survey questionnaire including information about care experiences, satisfaction with care, and HRQOL. RESULTS: Treatment satisfaction was independently associated with cancer recurrence, problems obtaining surgery, receiving adjuvant hormonal therapy, being involved in treatment decisions, having opinions reflected in treatment decisions, experiencing treatment toxicity, or being hospitalized for treatment toxicity (P <0.01). Breast-conserving surgery with radiotherapy, receiving adjuvant hormone therapy, being involved in treatment decisions, having opinion reflected in treatment decisions, having no treatment toxicity, and receiving regular follow-up care were associated with choosing the same treatment over again (P < 0.01). Good care experiences, except for regular follow-ups, were significantly associated with good HRQOL in most functioning subscales (P < 0.01). CONCLUSIONS: Our findings suggest that timely referral for treatment, reflection of the patient's opinions in treatment decisions, and prevention of treatment toxicity might be important to HRQOL.
ISSN
0962-9343 (Print)
Language
English
URI
http://hdl.handle.net/10371/62848
DOI
https://doi.org/10.1007/s11136-007-9299-9
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College of Medicine/School of Medicine (의과대학/대학원)Surgery (외과학전공)Journal Papers (저널논문_외과학전공)
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