|
From Policy To Patients And Back: Surgical Treatment Decision Making For Patients With Breast Cancer
Steven J. Katz and
Sarah T. Hawley
Persistent use of mastectomy for breast cancer has motivated concerns about overtreatment by surgeons and lack of patient involvement in decisions. However, recent studies suggest that patients perceive substantial involvement and that some patients prefer more invasive surgery, while other research suggests that surgical treatment choices might be poorly informed. Decision-making quality can be improved by increasing patients knowledge about treatments risks and benefits and by optimizing their involvement. The mastectomy story underscores the limitations of utilization measures as quality indicators. Strategies to improve patient outcomes should focus on tools to improve the quality of decision making and innovations in multispecialty practice.

What's this?
This article has been cited by other articles:

|
 |

|
 |
 
A. K. Alderman, S. T. Hawley, N. K. Janz, M. S. Mujahid, M. Morrow, A. S. Hamilton, J. J. Graff, and S. J. Katz
Racial and Ethnic Disparities in the Use of Postmastectomy Breast Reconstruction: Results From a Population- Based Study
J. Clin. Oncol.,
November 10, 2009;
27(32):
5325 - 5330.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Morrow, R. Jagsi, A. K. Alderman, J. J. Griggs, S. T. Hawley, A. S. Hamilton, J. J. Graff, and S. J. Katz
Surgeon Recommendations and Receipt of Mastectomy for Treatment of Breast Cancer
JAMA,
October 14, 2009;
302(14):
1551 - 1556.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. T. Hawley, J. J. Griggs, A. S. Hamilton, J. J. Graff, N. K. Janz, M. Morrow, R. Jagsi, B. Salem, and S. J. Katz
Decision Involvement and Receipt of Mastectomy Among Racially and Ethnically Diverse Breast Cancer Patients
J Natl Cancer Inst,
October 7, 2009;
101(19):
1337 - 1347.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
L. E. McCahill, A. Privette, T. James, J. Sheehey-Jones, J. Ratliff, D. Majercik, D. N. Krag, M. Stanley, and S. Harlow
Quality Measures for Breast Cancer Surgery: Initial Validation of Feasibility and Assessment of Variation Among Surgeons
Arch Surg,
May 1, 2009;
144(5):
455 - 462.
[Abstract]
[Full Text]
[PDF]
|
 |
|
|