原创力文档association of shared decision-making with type of breast cancer surgery a cross-sectional study协会共同决策类型的乳腺癌手术横断面研究.pdfVIP
- 1、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。。
- 2、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击 这里二次下载。
- 3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
- 4、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
- 5、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
- 6、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
- 7、VIP文档为合作方或网友上传，每下载1次， 网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档
查看更多
association of shared decision-making with type of breast cancer surgery a cross-sectional study协会共同决策类型的乳腺癌手术横断面研究
Lee et al. BMC Health Services Research 2010, 10:48
/1472-6963/10/48
RESEARCH ARTICLE Open Access
Association of shared decision-making with type
of breast cancer surgery: a cross-sectional study
1 2 3 4 5 6
Myung Kyung Lee , Dong Young Noh , Seok Jin Nam , Se Hyun Ahn , Byeong Woo Park , Eun Sook Lee ,
Young Ho Yun1*
Abstract
Background: Although some studies examined the association between shared decision-making (SDM) and type
of breast cancer surgery received, it is little known how treatment decisions might be shaped by the information
provided by physicians. The purpose of this study was to identify the associations between shared decision making
(SDM) and surgical treatment received.
Methods: Questionnaires on SDM were administered to 1,893 women undergoing primary curative surgery for
newly diagnosed stage 0-II localized breast cancer at five hospitals in Korea. Questions included being informed on
treatment options and the patient’s own opinion in decision-making.
Results: Patients more likely to undergo mastectomy were those whose opinions were respected in treatment
decisions (adjusted odds ratio, aOR), 1.40; 95% confidence interval (CI), 1.14-1.72) and who were informed on
chemotherapy (aOR, 2.57; CI, 2.20-3.01) or hormone therapy (aOR, 2.03; CI, 1.77-2.32). In contrast, patients less likely
to undergo mastectomy were those who were more informed on breast surgery options (aOR, 0.34; CI, 0.27-0.42).
In patients diagnosed with stage 0-IIa cancer, clinical factors and the provision of information on treatment by the
doctor were associated with treatment decisions. In patients diagnosed with stage IIb cancer, the patient’s opinion
was more respected in treatment decisions.
Conclusion: O
您可能关注的文档
- assessing the benefits of using mate-pairs to resolve repeats in de novo short-read prokaryotic assemblies评估使用mate-pairs解决重复的好处在新创短内容原核的组件.pdf
- assessing the contribution of the herpes simplex virus dna polymerase to spontaneous mutations评估的贡献的单纯疱疹病毒dna聚合酶自发突变.pdf
- assessing secondary attack rates among household contacts at the beginning of the influenza a (h1n1) pandemic in ontario, canada, april-june 2009 a prospective, observational study评估二次攻击率家庭接触者的甲型(h1n1)流感大流行在安大略省,加拿大,2009年4 - 6月前瞻性观察性研究.pdf
- assessing the adequacy of self-reported alcohol abuse measurement across time and ethnicity cross-cultural equivalence across hispanics and caucasians in 1992, non-equivalence in 2001–2002评估自我报告的充足率酗酒测量跨越时间和在1992年西班牙裔和白人种族跨文化对等,异在2001 - 2002年.pdf
- assessing the association of the hnf1a g319s variant with c-reactive protein in aboriginal canadians a population-based epidemiological study评估协会hnf1a g319s变体与c反应蛋白在加拿大土著以人群为基础的流行病学研究.pdf
- assessing the effectiveness and cost effectiveness of adaptive e-learning to improve dietary behaviour protocol for a systematic review评估自适应学习的有效性和成本效益改善饮食行为系统回顾的协议.pdf
- assessing the context of health care utilization in ecuador a spatial and multilevel analysis评估医疗利用的背景下,在厄瓜多尔一个空间和多层次分析.pdf
- assessing the druggability of protein-protein interactions by a supervised machine-learning method评估druggability蛋白质相互作用的一个监督机器学习方法.pdf
- assessing the contribution of prescribing in primary care by nurses and professionals allied to medicine a systematic review of literature评估的贡献在初级保健处方护士和专业人士联合医学文献的系统回顾.pdf
- assessing the efficiency and significance of methylated dna immunoprecipitation (medip) assays in using in vitro methylated genomic dna评估的效率和意义甲基化dna免疫沉淀反应(medip)化验使用体外基因组dna甲基化.pdf
- association of polymorphisms in survivin gene with the risk of hepatocellular carcinoma in chinese han population a case control study协会的生存素基因多态性与肝细胞癌的风险在中国汉族人群病例对照研究.pdf
- association of sicam-1 and mcp-1 with coronary artery calcification in families enriched for coronary heart disease or hypertension the nhlbi family heart studysicam-1 mcp-1协会与冠状动脉钙化在家庭丰富冠心病或高血压nhlbi家族心脏研究.pdf
- association of socioeconomic status with overall overweight and central obesity in men and women the french nutrition and health survey 2006协会的社会经济地位与超重和中央肥胖男性和女性的总体法国2006年营养和健康调查.pdf
- association of the beta-1 adrenergic receptor carboxyl terminal variants with left ventricular hypertrophy among diabetic and non-diabetic survivors of acute myocardial infarction协会的beta 1肾上腺素能受体羧基末端变异与左心室肥大在糖尿病和非糖尿病急性心肌梗死的幸存者.pdf
- association of socio-economic status with diabetes prevalence and utilization of diabetes care services协会的社会经济地位与糖尿病患病率和糖尿病护理服务的利用率.pdf
- association of the enos e298d polymorphism and the risk of myocardial infarction in the greek population协会以挪士e298d多态性和心肌梗死的风险在希腊人口.pdf
- association of the maoa promoter uvntr polymorphism with suicide attempts in patients with major depressive disorder协会的maoa发起人uvntr多态性与重度抑郁症患者的自杀企图.pdf
- association of the 4？g5？g polymorphism of plasminogen activator inhibitor-1 gene with sudden sensorineural hearing loss. a case control study协会4 g5 g纤溶酶原激活物inhibitor-1基因的多态性与突然的感音神经性听力损失。.pdf
- association of toll-interacting protein gene polymorphisms with atopic dermatitis协会toll-interacting蛋白基因多态性与特应性皮炎.pdf
- association of the rs1424954 polymorphism of the acvr2a gene with the risk of pre-eclampsia is not replicated in a finnish study population协会的rs1424954 acvr2a基因的多态性与先兆子痫的风险不是复制在芬兰的一项研究中.pdf
文档评论（0）