Next Article in Journal
Never too Old to Learn New Tricks: Surveying Canadian Health Care Professionals about Learning Needs in Caring for Older Adults with Cancer
Previous Article in Journal
Are Patient Education Materials about Cancer Screening More Effective When Co-Created with Patients? A Qualitative Interview Study and Randomized Controlled Trial
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
Current Oncology
Volume 26
Issue 2
10.3747/co.26.4689
curroncol-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles thumb_up
...
Endorse textsms
...
Comment
Current Oncology is published by MDPI from Volume 28 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Multimed Inc..
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

Patient Decision Aid for Contralateral Prophylactic Mastectomy for Use in the Consultation: A Feasibility Study

by
J.E. Squires
1,2,*,
D. Stacey
1,2,
M. Coughlin
1,
M. Greenough
2,
A. Roberts
3,4,
K. Dorrance
1,
M. Clemons
5,6,7,8,
J.M. Caudrelier
9,
I.D. Graham
1,8,
J. Zhang
10,11,
M. Demery Varin
1 and
A. Arnaout
3,4,5
1
Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada
2
School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada
3
Breast Surgical Oncology Unit, The Ottawa Hospital, Ottawa, ON, Canada
4
Department of Surgery, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
5
Cancer Therapeutics Program, The Ottawa Hospital Research Institute, Ottawa, ON
6
Department of Medicine, University of Ottawa, Ottawa, ON, Canada
7
Division of Medical Oncology, The Ottawa Hospital Cancer Centre, Ottawa, ON, Canada
8
Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada
9
Department of Radiation Medicine, The Ottawa Hospital, Ottawa, ON, Canada
10
Division of Plastic and Reconstructive Surgery, University of Ottawa, Ottawa, ON, Canada
11
Department of Plastic Surgery, The Ottawa Hospital, Ottawa, ON, Canada
 
add Show full affiliation list
 
remove Hide full affiliation list
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2019, 26(2), 137-148; https://doi.org/10.3747/co.26.4689
Submission received: 6 January 2019 / Revised: 5 February 2019 / Accepted: 5 March 2019 / Published: 1 April 2019

Abstract

Background: Rates of contralateral prophylactic mastectomy (CPM) continue to rise internationally despite evidence-based guidance strongly discouraging its use in most women with unilateral breast cancer. The purpose of the present study was to develop and assess the feasibility of a knowledge translation tool [a patient decision aid (DA)] designed to enhance evidence-informed shared decision-making about CPM. Methods: A consultation DA was developed using the Ottawa Patient Decision Aid Development eTraining in consultation with clinicians and knowledge translation experts. The final DA was then assessed for feasibility with health care professionals and patients across Canada. The assessment involved a survey completed online (health care professionals) or by telephone (patients). Survey data were analyzed using descriptive statistics for closed-ended questions and qualitative content analysis for open-ended questions. Results: The 51 participants who completed the survey included 39 health care professionals and 12 patients. The DA was acceptable; 88% of participants viewed it as having the right amount of information or slightly more or less information than they would like. Almost all participants (98%) felt that the DA would prepare patients to make better decisions. The aid was perceived to be usable, with 73% of participants stating that they would be willing to use or share the DA. Conclusions: The CPM patient DA developed for the present study was viewed by health care professionals and patients across Canada to be acceptable and usable during the clinical consultation. It holds promise as a knowledge translation tool to be used by clinicians in consultation with women who have unilateral breast cancer to enhance evidence-informed and shared decision-making with respect to undergoing CPM.
Keywords: contralateral prophylactic mastectomy; unilateral breast cancer; decision aids; shared decision-making; evidence-informed care contralateral prophylactic mastectomy; unilateral breast cancer; decision aids; shared decision-making; evidence-informed care

Share and Cite

MDPI and ACS Style

Squires, J.E.; Stacey, D.; Coughlin, M.; Greenough, M.; Roberts, A.; Dorrance, K.; Clemons, M.; Caudrelier, J.M.; Graham, I.D.; Zhang, J.; et al. Patient Decision Aid for Contralateral Prophylactic Mastectomy for Use in the Consultation: A Feasibility Study. Curr. Oncol. 2019, 26, 137-148. https://doi.org/10.3747/co.26.4689

AMA Style

Squires JE, Stacey D, Coughlin M, Greenough M, Roberts A, Dorrance K, Clemons M, Caudrelier JM, Graham ID, Zhang J, et al. Patient Decision Aid for Contralateral Prophylactic Mastectomy for Use in the Consultation: A Feasibility Study. Current Oncology. 2019; 26(2):137-148. https://doi.org/10.3747/co.26.4689

Chicago/Turabian Style

Squires, J.E., D. Stacey, M. Coughlin, M. Greenough, A. Roberts, K. Dorrance, M. Clemons, J.M. Caudrelier, I.D. Graham, J. Zhang, and et al. 2019. "Patient Decision Aid for Contralateral Prophylactic Mastectomy for Use in the Consultation: A Feasibility Study" Current Oncology 26, no. 2: 137-148. https://doi.org/10.3747/co.26.4689

APA Style

Squires, J. E., Stacey, D., Coughlin, M., Greenough, M., Roberts, A., Dorrance, K., Clemons, M., Caudrelier, J. M., Graham, I. D., Zhang, J., Varin, M. D., & Arnaout, A. (2019). Patient Decision Aid for Contralateral Prophylactic Mastectomy for Use in the Consultation: A Feasibility Study. Current Oncology, 26(2), 137-148. https://doi.org/10.3747/co.26.4689

Article Metrics

Back to TopTop