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

Authors
 Dong Young Noh  ;  Seok Jin Nam  ;  Se Hyun Ahn  ;  Byeong Woo Park  ;  Eun Sook Lee  ;  Myung Kyung Lee  ;  Soo Hyun Kim  ;  Yoo Min Kim  ;  Sang Min Park  ;  Young Ho Yun 
Citation
 QUALITY OF LIFE RESEARCH, Vol.17(2) : 215-225, 2008 
Journal Title
 QUALITY OF LIFE RESEARCH 
ISSN
 0962-9343 
Issue Date
2008
MeSH
Breast Neoplasms/surgery* ; Cross-Sectional Studies ; Female ; Health Surveys ; Humans ; Mastectomy/psychology* ; Middle Aged ; Patient Participation ; Patient Satisfaction* ; Quality of Life* ; Surveys and Questionnaires ; Survivors
Keywords
Breast cancer ; Cancer care ; Quality
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.
Full Text
http://link.springer.com/article/10.1007%2Fs11136-007-9299-9
DOI
10.1007/s11136-007-9299-9
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Byeong Woo(박병우) ORCID logo https://orcid.org/0000-0003-1353-2607
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/106697
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