Survey on breast cancer patients in China toward breast-conserving surgery
Objective: We sought to investigate attitudes toward breast‐conserving therapy (BCS) in early‐stage breast cancer (EBC) patients from P. R. China and assess the factors influencing their decision. Background: There exists geographical difference in decision to perform mastectomy or BCS for EBC patie...
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| Veröffentlicht in: | Psycho-oncology (Chichester, England) England), 2012-05, Vol.21 (5), p.488-495 |
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| container_title | Psycho-oncology (Chichester, England) |
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| creator | Zhang, Li Jiang, Ming Zhou, Yi Du, Xiao-bo Yao, Wen-xiu Yan, Xi Jiang, Yu Zou, Li-qun |
| description | Objective: We sought to investigate attitudes toward breast‐conserving therapy (BCS) in early‐stage breast cancer (EBC) patients from P. R. China and assess the factors influencing their decision.
Background: There exists geographical difference in decision to perform mastectomy or BCS for EBC patients. To date, there has been no report on attitudes toward BCS or factors influencing the surgical choice in mainland China.
Methods: A structured questionnaire was delivered to 1800 EBC patients. The questionnaire elicited information about general patients' characteristics, attitudes toward BCS, the roles of doctors and spouses, the levels of understanding of BCS, and the reasons for their preferences.
Results: Of 1590 participants, only 7.3% anticipated BCS and this was significantly associated with patient age, income, occupation, martial status, education, levels of self‐understanding of the disease, and doctors' and spouses' suggestions (P |
| doi_str_mv | 10.1002/pon.1922 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1151028937</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1008835069</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4532-b5dafda15e29880320e45539ecd7d1dba3c37e4f6ccdcbea5e0af4eadf3f39a73</originalsourceid><addsrcrecordid>eNqN0VtLwzAUwPEgivMGfgIp-OJLZy5N2zzK0E0RFa-PIU1OZ3VLZ9Ju7tubYVUQBJ9yHn784eQgtE9wn2BMj2e17RNB6RraIliImKSErK9mnsWCJqKHtr1_wThgkW6iHiWMUpyLLXRx17o5LKPaRoUD5ZtIK6vBRTPVVGAbH1U2GjxXVkVNvVDOdCzWtfXg5pUdR751Y3DLXbRRqomHve7dQQ9np_eDUXx5PTwfnFzGOuGMxgU3qjSKcKAizzGjGBLOmQBtMkNMoZhmGSRlqrXRBSgOWJUJKFOykgmVsR109NmdufqtBd_IaeU1TCbKQt16SQgnmOaC_YNihgXmnP-H4jxnHKci0MNf9KVunQ07BxX-leUZYT9B7WrvHZRy5qqpcsuAVjUqw9Xk6mqBHnTBtpiC-YZfZwog_gSLagLLP0Py5vqqC3a-8g28f3vlXmWasYzLp6uhfBw9hY3EraTsA5xtry0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1022038713</pqid></control><display><type>article</type><title>Survey on breast cancer patients in China toward breast-conserving surgery</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Zhang, Li ; Jiang, Ming ; Zhou, Yi ; Du, Xiao-bo ; Yao, Wen-xiu ; Yan, Xi ; Jiang, Yu ; Zou, Li-qun</creator><creatorcontrib>Zhang, Li ; Jiang, Ming ; Zhou, Yi ; Du, Xiao-bo ; Yao, Wen-xiu ; Yan, Xi ; Jiang, Yu ; Zou, Li-qun</creatorcontrib><description>Objective: We sought to investigate attitudes toward breast‐conserving therapy (BCS) in early‐stage breast cancer (EBC) patients from P. R. China and assess the factors influencing their decision.
Background: There exists geographical difference in decision to perform mastectomy or BCS for EBC patients. To date, there has been no report on attitudes toward BCS or factors influencing the surgical choice in mainland China.
Methods: A structured questionnaire was delivered to 1800 EBC patients. The questionnaire elicited information about general patients' characteristics, attitudes toward BCS, the roles of doctors and spouses, the levels of understanding of BCS, and the reasons for their preferences.
Results: Of 1590 participants, only 7.3% anticipated BCS and this was significantly associated with patient age, income, occupation, martial status, education, levels of self‐understanding of the disease, and doctors' and spouses' suggestions (P<0.05). Approximately 70% of doctors (71.0%) and 40% spouses (39.6%) advised patients not to conserve their breasts. Although the percentage of patients endorsing BCS was higher than that of those opposing it (43.7 vs 15.1%) and more patient believed BCS was beneficial for women (39.2%), even if given another opportunity, only 32.5% of patients preferred to choose it. Moreover, the level of understanding BCS among patients is low (well‐known: less‐known: never‐heard, 2.3 vs 47.4 vs 13.3%).
Conclusions: These results suggested that Chinese EBC patients lack accurate and comprehensive understanding of BCS. More efforts are needed to educate breast cancer patients in mainland China toward BCS. Copyright © 2011 John Wiley & Sons, Ltd.</description><identifier>ISSN: 1057-9249</identifier><identifier>EISSN: 1099-1611</identifier><identifier>DOI: 10.1002/pon.1922</identifier><identifier>PMID: 21322089</identifier><identifier>CODEN: POJCEE</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Adult ; Aged ; attitude ; Attitudes ; Breast cancer ; Breast Neoplasms - psychology ; Breast Neoplasms - surgery ; breast-conserving surgery (BCS) ; China ; Data Collection ; Decision Making ; Doctors ; early-stage breast cancer (EBC) ; factors ; Female ; Health behavior ; Health Knowledge, Attitudes, Practice - ethnology ; Humans ; Mastectomy ; Mastectomy, Segmental - psychology ; Middle Aged ; Neoplasm Staging ; Oncology ; Psychological aspects ; Spouses ; Surgery</subject><ispartof>Psycho-oncology (Chichester, England), 2012-05, Vol.21 (5), p.488-495</ispartof><rights>Copyright © 2011 John Wiley & Sons, Ltd.</rights><rights>Copyright John Wiley and Sons, Limited May 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4532-b5dafda15e29880320e45539ecd7d1dba3c37e4f6ccdcbea5e0af4eadf3f39a73</citedby><cites>FETCH-LOGICAL-c4532-b5dafda15e29880320e45539ecd7d1dba3c37e4f6ccdcbea5e0af4eadf3f39a73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpon.1922$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpon.1922$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,30999,31000,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21322089$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Li</creatorcontrib><creatorcontrib>Jiang, Ming</creatorcontrib><creatorcontrib>Zhou, Yi</creatorcontrib><creatorcontrib>Du, Xiao-bo</creatorcontrib><creatorcontrib>Yao, Wen-xiu</creatorcontrib><creatorcontrib>Yan, Xi</creatorcontrib><creatorcontrib>Jiang, Yu</creatorcontrib><creatorcontrib>Zou, Li-qun</creatorcontrib><title>Survey on breast cancer patients in China toward breast-conserving surgery</title><title>Psycho-oncology (Chichester, England)</title><addtitle>Psycho-Oncology</addtitle><description>Objective: We sought to investigate attitudes toward breast‐conserving therapy (BCS) in early‐stage breast cancer (EBC) patients from P. R. China and assess the factors influencing their decision.
Background: There exists geographical difference in decision to perform mastectomy or BCS for EBC patients. To date, there has been no report on attitudes toward BCS or factors influencing the surgical choice in mainland China.
Methods: A structured questionnaire was delivered to 1800 EBC patients. The questionnaire elicited information about general patients' characteristics, attitudes toward BCS, the roles of doctors and spouses, the levels of understanding of BCS, and the reasons for their preferences.
Results: Of 1590 participants, only 7.3% anticipated BCS and this was significantly associated with patient age, income, occupation, martial status, education, levels of self‐understanding of the disease, and doctors' and spouses' suggestions (P<0.05). Approximately 70% of doctors (71.0%) and 40% spouses (39.6%) advised patients not to conserve their breasts. Although the percentage of patients endorsing BCS was higher than that of those opposing it (43.7 vs 15.1%) and more patient believed BCS was beneficial for women (39.2%), even if given another opportunity, only 32.5% of patients preferred to choose it. Moreover, the level of understanding BCS among patients is low (well‐known: less‐known: never‐heard, 2.3 vs 47.4 vs 13.3%).
Conclusions: These results suggested that Chinese EBC patients lack accurate and comprehensive understanding of BCS. More efforts are needed to educate breast cancer patients in mainland China toward BCS. Copyright © 2011 John Wiley & Sons, Ltd.</description><subject>Adult</subject><subject>Aged</subject><subject>attitude</subject><subject>Attitudes</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - psychology</subject><subject>Breast Neoplasms - surgery</subject><subject>breast-conserving surgery (BCS)</subject><subject>China</subject><subject>Data Collection</subject><subject>Decision Making</subject><subject>Doctors</subject><subject>early-stage breast cancer (EBC)</subject><subject>factors</subject><subject>Female</subject><subject>Health behavior</subject><subject>Health Knowledge, Attitudes, Practice - ethnology</subject><subject>Humans</subject><subject>Mastectomy</subject><subject>Mastectomy, Segmental - psychology</subject><subject>Middle Aged</subject><subject>Neoplasm Staging</subject><subject>Oncology</subject><subject>Psychological aspects</subject><subject>Spouses</subject><subject>Surgery</subject><issn>1057-9249</issn><issn>1099-1611</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqN0VtLwzAUwPEgivMGfgIp-OJLZy5N2zzK0E0RFa-PIU1OZ3VLZ9Ju7tubYVUQBJ9yHn784eQgtE9wn2BMj2e17RNB6RraIliImKSErK9mnsWCJqKHtr1_wThgkW6iHiWMUpyLLXRx17o5LKPaRoUD5ZtIK6vBRTPVVGAbH1U2GjxXVkVNvVDOdCzWtfXg5pUdR751Y3DLXbRRqomHve7dQQ9np_eDUXx5PTwfnFzGOuGMxgU3qjSKcKAizzGjGBLOmQBtMkNMoZhmGSRlqrXRBSgOWJUJKFOykgmVsR109NmdufqtBd_IaeU1TCbKQt16SQgnmOaC_YNihgXmnP-H4jxnHKci0MNf9KVunQ07BxX-leUZYT9B7WrvHZRy5qqpcsuAVjUqw9Xk6mqBHnTBtpiC-YZfZwog_gSLagLLP0Py5vqqC3a-8g28f3vlXmWasYzLp6uhfBw9hY3EraTsA5xtry0</recordid><startdate>201205</startdate><enddate>201205</enddate><creator>Zhang, Li</creator><creator>Jiang, Ming</creator><creator>Zhou, Yi</creator><creator>Du, Xiao-bo</creator><creator>Yao, Wen-xiu</creator><creator>Yan, Xi</creator><creator>Jiang, Yu</creator><creator>Zou, Li-qun</creator><general>John Wiley & Sons, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201205</creationdate><title>Survey on breast cancer patients in China toward breast-conserving surgery</title><author>Zhang, Li ; Jiang, Ming ; Zhou, Yi ; Du, Xiao-bo ; Yao, Wen-xiu ; Yan, Xi ; Jiang, Yu ; Zou, Li-qun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4532-b5dafda15e29880320e45539ecd7d1dba3c37e4f6ccdcbea5e0af4eadf3f39a73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Aged</topic><topic>attitude</topic><topic>Attitudes</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - psychology</topic><topic>Breast Neoplasms - surgery</topic><topic>breast-conserving surgery (BCS)</topic><topic>China</topic><topic>Data Collection</topic><topic>Decision Making</topic><topic>Doctors</topic><topic>early-stage breast cancer (EBC)</topic><topic>factors</topic><topic>Female</topic><topic>Health behavior</topic><topic>Health Knowledge, Attitudes, Practice - ethnology</topic><topic>Humans</topic><topic>Mastectomy</topic><topic>Mastectomy, Segmental - psychology</topic><topic>Middle Aged</topic><topic>Neoplasm Staging</topic><topic>Oncology</topic><topic>Psychological aspects</topic><topic>Spouses</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Li</creatorcontrib><creatorcontrib>Jiang, Ming</creatorcontrib><creatorcontrib>Zhou, Yi</creatorcontrib><creatorcontrib>Du, Xiao-bo</creatorcontrib><creatorcontrib>Yao, Wen-xiu</creatorcontrib><creatorcontrib>Yan, Xi</creatorcontrib><creatorcontrib>Jiang, Yu</creatorcontrib><creatorcontrib>Zou, Li-qun</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Psycho-oncology (Chichester, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Li</au><au>Jiang, Ming</au><au>Zhou, Yi</au><au>Du, Xiao-bo</au><au>Yao, Wen-xiu</au><au>Yan, Xi</au><au>Jiang, Yu</au><au>Zou, Li-qun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Survey on breast cancer patients in China toward breast-conserving surgery</atitle><jtitle>Psycho-oncology (Chichester, England)</jtitle><addtitle>Psycho-Oncology</addtitle><date>2012-05</date><risdate>2012</risdate><volume>21</volume><issue>5</issue><spage>488</spage><epage>495</epage><pages>488-495</pages><issn>1057-9249</issn><eissn>1099-1611</eissn><coden>POJCEE</coden><abstract>Objective: We sought to investigate attitudes toward breast‐conserving therapy (BCS) in early‐stage breast cancer (EBC) patients from P. R. China and assess the factors influencing their decision.
Background: There exists geographical difference in decision to perform mastectomy or BCS for EBC patients. To date, there has been no report on attitudes toward BCS or factors influencing the surgical choice in mainland China.
Methods: A structured questionnaire was delivered to 1800 EBC patients. The questionnaire elicited information about general patients' characteristics, attitudes toward BCS, the roles of doctors and spouses, the levels of understanding of BCS, and the reasons for their preferences.
Results: Of 1590 participants, only 7.3% anticipated BCS and this was significantly associated with patient age, income, occupation, martial status, education, levels of self‐understanding of the disease, and doctors' and spouses' suggestions (P<0.05). Approximately 70% of doctors (71.0%) and 40% spouses (39.6%) advised patients not to conserve their breasts. Although the percentage of patients endorsing BCS was higher than that of those opposing it (43.7 vs 15.1%) and more patient believed BCS was beneficial for women (39.2%), even if given another opportunity, only 32.5% of patients preferred to choose it. Moreover, the level of understanding BCS among patients is low (well‐known: less‐known: never‐heard, 2.3 vs 47.4 vs 13.3%).
Conclusions: These results suggested that Chinese EBC patients lack accurate and comprehensive understanding of BCS. More efforts are needed to educate breast cancer patients in mainland China toward BCS. Copyright © 2011 John Wiley & Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>21322089</pmid><doi>10.1002/pon.1922</doi><tpages>8</tpages></addata></record> |
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| ispartof | Psycho-oncology (Chichester, England), 2012-05, Vol.21 (5), p.488-495 |
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| source | MEDLINE; Access via Wiley Online Library; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Adult Aged attitude Attitudes Breast cancer Breast Neoplasms - psychology Breast Neoplasms - surgery breast-conserving surgery (BCS) China Data Collection Decision Making Doctors early-stage breast cancer (EBC) factors Female Health behavior Health Knowledge, Attitudes, Practice - ethnology Humans Mastectomy Mastectomy, Segmental - psychology Middle Aged Neoplasm Staging Oncology Psychological aspects Spouses Surgery |
| title | Survey on breast cancer patients in China toward breast-conserving surgery |
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