| Why Taranaki women choose to have a mastectomy when suitable for breast conservation treatment. | |
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MedLine Citation:
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PMID: 19895515 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Breast conservation treatment (BCT) rate is recognized as a marker of surgical practice. An historically low BCT rate may reflect the requirement for Taranaki women to travel for adjuvant radiotherapy. The aim of this study was to determine the reasons Taranaki women with breast cancer choose mastectomy or BCT. METHODS: Prospective information, on all women presenting with breast cancer between May 2004 and December 2006, was collected on a standardized questionnaire. RESULTS: BCT was offered to 68% (140 of 206), but chosen by only 46% (n = 64) of suitable patients. If radiotherapy had been available locally, 23% (17 of 73) of patients who chose mastectomy would have instead opted for BCT. A quarter of each group of women thought they knew their surgeon's treatment preference and most chose this option. Fear of local recurrence and need for further surgery were significantly more important to those choosing mastectomy over BCT whereas what the surgeon was perceived to prefer was more important to those choosing BCT. CONCLUSION: The rate of BCT in Taranaki is low, despite it being offered by surgeons to the majority of patients. Local availability of radiotherapy may increase the BCT rate to a level more consistent with larger centres in New Zealand. Care must be taken to provide neutral patient guidance. |
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Authors:
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Susan J Gollop; Stephen M Kyle; Michael W Fancourt; William T C Gilkison; Damien A Mosquera |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: ANZ journal of surgery Volume: 79 ISSN: 1445-2197 ISO Abbreviation: ANZ J Surg Publication Date: 2009 Sep |
Date Detail:
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Created Date: 2009-11-09 Completed Date: 2010-01-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101086634 Medline TA: ANZ J Surg Country: Australia |
Other Details:
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Languages: eng Pagination: 604-9 Citation Subset: IM |
Affiliation:
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Department of Surgery, Taranaki Base Hospital, New Plymouth, New Zealand. susangollop@xtra.co.nz |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Breast Neoplasms / psychology, radiotherapy, surgery* Choice Behavior* Female Humans Mastectomy / psychology* Mastectomy, Segmental / psychology* Middle Aged Neoplasm Recurrence, Local / psychology New Zealand / ethnology Radiotherapy / psychology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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