TY - JOUR
T1 - Association of clinical experiences with patient-reported outcomes among breast cancer surgery patients
T2 - Breast cancer quality care study
AU - Noh, Dong Young
AU - Nam, Seok Jin
AU - Ahn, Se Hyun
AU - Park, Byeong Woo
AU - Lee, Eun Sook
AU - Lee, Myung Kyung
AU - Kim, Soo Hyun
AU - Kim, Yoo Min
AU - Park, Sang Min
AU - Yun, Young Ho
N1 - Funding Information:
Acknowledgment This work was supported by National Cancer Center Grant 0410150-2 and 0710421-1
PY - 2008/3
Y1 - 2008/3
N2 - 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.
AB - 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.
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U2 - 10.1007/s11136-007-9299-9
DO - 10.1007/s11136-007-9299-9
M3 - Article
C2 - 18085429
AN - SCOPUS:39149098420
SN - 0962-9343
VL - 17
SP - 215
EP - 225
JO - Quality of Life Research
JF - Quality of Life Research
IS - 2
ER -
