- Title
- Women's experiences with deciding on neoadjuvant systemic therapy for operable breast cancer: a qualitative study
- Creator
- Herrmann, Anne; Hall, Alix; Zdenkowski, Nicholas
- Relation
- Asia‑Pacific Journal of Oncology Nursing Vol. 5, Issue 1, p. 68-76
- Publisher Link
- http://dx.doi.org/10.4103/apjon.apjon_60_17
- Publisher
- Wolters Kluwer Health
- Resource Type
- journal article
- Date
- 2018
- Description
- We explored, qualitatively, in a sample of Australian early-stage breast cancer patients eligible for neoadjuvant systemic therapy (NAST): (i) their understanding of the choice of having NAST; (ii) when and with whom the decision on NAST was made; and (iii) strategies used by patients to facilitate their decision on NAST.A sub-sample of patients participating in a larger intervention trial took part in this study. A total of 24 semi-structured phone interviews were analyzed using framework analysis.A number of women perceived they were not offered a treatment choice. Most patients reported that the decision on NAST was made during or shortly after the initial consultation with their doctor. Women facilitated decision-making by reducing deciding factors and "claiming" the decision. Most women reported that they made the final decision, although they did not feel actively involved in the decision-making process.When deciding on NAST, patient-centered care is not always delivered to patients. Clinicians should emphasize to patients that they have a treatment choice, explain the preference-sensitive nature of deciding on NAST and highlight that patients should be involved in this treatment decision. Providing patients with appropriate time and tailored take-home information might facilitate patient decision-making. Process-orientated research is needed to adequately examine patient involvement in complex treatment decisions.
- Subject
- breast cancer; doctor–patient‑communication; neoadjuvant systemic therapy; neoplasm; patient decision‑making; qualitative research; treatment choice
- Identifier
- http://hdl.handle.net/1959.13/1384274
- Identifier
- uon:32035
- Identifier
- ISSN:2347-5625
- Rights
- This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
- Language
- eng
- Full Text
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