Decision regret in breast cancer patients after adjuvant radiotherapy

• Verfasst von: Köksal, Mümtaz [VerfasserIn]
• Verfasst von: Hoppe, Clara [VerfasserIn]
• Verfasst von: Schröder, Anna-Katharina [VerfasserIn]
• Verfasst von: Scafa, Davide [VerfasserIn]
• Verfasst von: Koch, David [VerfasserIn]
• Verfasst von: Sarria, Gustavo R. [VerfasserIn]
• Verfasst von: Leitzen, Christina [VerfasserIn]
• Verfasst von: Abramian, Alina [VerfasserIn]
• Verfasst von: Kaiser, Christina [VerfasserIn]
• Verfasst von: Faridi, Andree [VerfasserIn]
• Verfasst von: Henkenberens, Christoph [VerfasserIn]
• Verfasst von: Schmeel, Leonard C. [VerfasserIn]
• Verfasst von: Giordano, Frank Anton [VerfasserIn]
• Titel: Decision regret in breast cancer patients after adjuvant radiotherapy
• Verf.angabe: Mümtaz Köksal, Clara Hoppe, Anna-Katharina Schröder, Davide Scafa, David Koch, Gustavo R. Sarria, Christina Leitzen, Alina Abramian, Christina Kaiser, Andree Faridi, Christoph Henkenberens, Leonard C. Schmeel, Frank A. Giordano
• E-Jahr: 2023
• Jahr: April 2023
• Umfang: 9 S.
• Illustrationen: Illustrationen
• Fussnoten: Online veröffentlicht: 1. Februar 2023, Artikelversion: 7. Februar 2023 ; Gesehen am 21.03.2024
• Titel Quelle: Enthalten in: The breast
• Ort Quelle: Amsterdam [u.a.] : Elsevier, 1992
• Jahr Quelle: 2023
• Band/Heft Quelle: 68(2023) vom: Apr., Seite 133-141
• ISSN Quelle: 1532-3080
• DOI: doi:10.1016/j.breast.2023.01.014
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Breast cancer
• Sach-SW: Decision regret
• Sach-SW: Mental health
• Sach-SW: Physical health
• Sach-SW: Quality of life
• Sach-SW: Radiotherapy
• K10plus-PPN: 1883983738

Abstract

Purpose - Breast cancer patients often engage in shared decision-making to select an individualized treatment regimen from multiple options. However, dissatisfaction with treatment outcomes can lead to decision regret. We evaluated decision regret and physical and psychological well-being among breast cancer patients who underwent adjuvant radiotherapy and explored their associations with patient, tumor, treatment, and symptom characteristics. - Methods - This cross-sectional study involved retrospectively obtaining clinical data and data collected through interviews carried out as part of regular long-term medical aftercare. Decision regret regarding the radiotherapy was assessed using the Ottawa Decision Regret Scale, physical and psychological well-being were assessed using the PROMIS Global Health-10 questionnaire, and patients were asked about their treatment outcomes and symptoms. The questionnaire was administered 14 months to 4 years after completion of radiotherapy. - Results - Of the 172 included breast cancer patients, only 13.9% expressed high decision regret, with most patients expressing little or no decision regret. More decision regret was associated with volumetric modulated arc therapy, chest wall irradiation, use of docetaxel as a chemotherapy agent, lymphangiosis carcinomatosa, new heart disease after radiotherapy, and lower psychological well-being. - Conclusion - Although most patients reported little or no decision regret, we identified several patient, treatment, and symptom characteristics associated with more decision regret. Our findings suggest that psychological well-being influences patients’ satisfaction with therapy decisions, implying that practitioners should pay special attention to maintaining psychological well-being during shared decision-making and ensuring that psychological assessment and treatment is provided after cancer therapy to deal with long-term effects of radiotherapy.