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15.03.2016 | Ausgabe 1/2018

Journal of Cancer Education 1/2018

Breast Cancer Patients’ Preferences for Adjuvant Radiotherapy Post Lumpectomy: Whole Breast Irradiation vs. Partial Breast Irradiation—Single Institutional Study

Zeitschrift:
Journal of Cancer Education > Ausgabe 1/2018
Autoren:
Katija Bonin, Merrylee McGuffin, Roseanna Presutti, Tamara Harth, Aruz Mesci, Deb Feldman-Stewart, Edward Chow, Lisa Di Prospero, Danny Vesprini, Eileen Rakovitch, Justin Lee, Lawrence Paszat, Mary Doherty, Hany Soliman, Ida Ackerman, Xingshan Cao, Alex Kiss, Ewa Szumacher
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1007/​s13187-016-1016-3) contains supplementary material, which is available to authorized users.

Abstract

This study was conducted to elucidate patients with early breast cancer preference for standard whole breast irradiation (WBI) or partial breast irradiation (PBI) following lumpectomy, as well as identify important factors for patients when making their treatment decisions. Based on relevant literature and ASTRO consensus statement guidelines, an educational tool and questionnaire were developed. Consenting, eligible women reviewed the educational tool and completed the trade-off questionnaire. Descriptive statistics were calculated, as well as chi-squares and a logistic regression model. Of the 90 patients who completed the study, 62 % preferred WBI, 30 % preferred PBI, 4 % required more information, and 3 % had no preferences. Of the patients who chose WBI, 58 % preferred hypofractionated RT, whereas 25 % preferred the conventional RT regimen. The majority of patients rated recurrence rate [WBI = 55/55 (100 %), PBI = 26/26 (100 %)] and survival [WBI = 54/55 (98 %), PBI = 26/26 (100 %)] as important factors contributing to their choice of treatment preference. Financial factors [WBI = 21/55 (38 %), PBI = 14/26 (53 %)] and convenience [WBI = 36/54 (67 %), PBI = 18/26 (69 %)] were rated as important less frequently. Significantly, more patients who preferred WBI also rated standard method of treatment as important when compared to patients who preferred PBI [WBI = 52/54 (96 %), PBI = 16/26 (61 %), χ 2 = 16.63, p = 0.001]. The majority of patients with early breast cancer who were surveyed for this study preferred WBI as an adjuvant treatment post lumpectomy, yet there was a sizeable minority who preferred PBI. This was associated with the importance patients place on standard treatment. These results will help medical professionals treat patients according to patient values.

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Online Resource 1 (DOCX 232 kb)
13187_2016_1016_MOESM1_ESM.docx
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