Choosing the best breast cancer treatment option
According to published reports from the Institute of Medicine and the New England Journal of Medicine, roughly one-third of early-stage breast cancer patients undergo mastectomy even though breast conservation surgery with radiation therapy results in equal survival rates.
The findings, said Sheryl Mendlinger, an administrative manager at the Institute on Urban Health Research in the Bouvé College of Health Sciences at Northeastern University, suggest that patients lack knowledge or dont adequately participate in the decision-making process.
Her new report published in the January edition of The Breast Journal and co-authored by researchers at Harvard Medical School, Brigham and Womens Hospital and the Dana-Farber Cancer Institute outlines a model of knowledge acquisition in newly diagnosed breast cancer patients.
The report grew out of Mendlingers doctoral dissertation on how young women acquire knowledge about menstruation.
The goal is to gain a better understanding of the process that women go through when they are faced with breast cancer and have to deal with the shocking news and make important decisions in a relatively short period of time, Mendlinger explained. We really want to understand why more women would not choose a less radical surgery that is easier to recover from and has the same survival rate.
As the co-authors put it in the report, In order for a patient to adequately participate in the decision-making process, she must acquire new knowledge.
The paper highlights four types of knowledge acquisition: authoritative, technical, embodied and traditional.
Authoritative knowledge, Mendlinger said, is that which is provided by figures of authority, such as breast surgeons and medical oncologists. Technical knowledge, which is also acquired from health-care specialists, refers to an understanding of both clinical procedures and the health-care system. Embodied knowledge is gathered from observing friends, relatives or peers who have gone through similar experiences. Traditional knowledge is that which is transmitted between generations through rituals and history.
Mendlinger, a two-time breast cancer survivor, has relied on authoritative, technical and embodied knowledge to make her decisions.
The models effectiveness, she noted, is not limited to breast cancer patients. It could help anyone faced with any kind of health issue, Mendlinger explained.
She and her colleagues at Harvard Medical School and the Brigham are preparing to apply for a grant from National Institutes of Health to study how early-stage breast cancer patients make their decisions.
One of the important goals is to find out what role health-care providers play in the process and to develop education tools or materials for doctors and patients, Mendlinger said.
Provided by Northeastern University
- Breast cancer patients lack adequate fertility preservation advice Nov 07, 2011 | not rated yet | 0
- Breast cancer patients more satisfied when specialists share care management Dec 15, 2011 | not rated yet | 0
- 'Poor' knowledge about breast cancer and fertility Apr 04, 2011 | not rated yet | 0
- Early-stage breast cancer patients lack knowledge; may not receive treatment they prefer Jan 10, 2012 | not rated yet | 0
- Advanced post-mastectomy breast reconstruction improves women's psychosocial and sexual well-being Oct 24, 2011 | not rated yet | 0
- Motion perception revisited: High Phi effect challenges established motion perception assumptions Apr 23, 2013 | 3 / 5 (2) | 2
- Anything you can do I can do better: Neuromolecular foundations of the superiority illusion (Update) Apr 02, 2013 | 4.5 / 5 (11) | 5
- The visual system as economist: Neural resource allocation in visual adaptation Mar 30, 2013 | 5 / 5 (2) | 9
- Separate lives: Neuronal and organismal lifespans decoupled Mar 27, 2013 | 4.9 / 5 (8) | 0
- Sizing things up: The evolutionary neurobiology of scale invariance Feb 28, 2013 | 4.8 / 5 (10) | 14
Why is zone 1 in liver more prone to ischemic injury?
9 hours ago Hi, Is it because around central vein, there is only deoxygenated blood from the vein where as in the periphery there is hepatic artery. Also why...
How can there be villous adenoma in colon, if there are no villi there
May 22, 2013 As title suggest. Thanks :smile:
How can there be a term called "intestinal metaplasia" of stomach
May 21, 2013 Hello everyone, Ok Stomach's normal epithelium is simple columnar, now in intestinal type of adenocarcinoma of stomach it undergoes "intestinal...
Pressure-volume curve: Elastic Recoil Pressure don't make sense
May 18, 2013 From pressure-volume curve of the lung and chest wall (attached photo), I don't understand why would the elastic recoil pressure of the lung is...
If you became brain-dead, would you want them to pull the plug?
May 17, 2013 I'd want the rest of me to stay alive. Sure it's a lousy way to live but it beats being all-the-way dead. Maybe if I make it 20 years they'll...
MRI bill question
May 15, 2013 Dear PFers, The hospital gave us a $12k bill for one MRI (head with contrast). The people I talked to at the hospital tell me that they do not...
- More from Physics Forums - Medical Sciences
More news stories
Treating pediatric leukemia patients with a liposomal formulation of anthracycline-based chemotherapy at a more intense-than-standard dose during initial treatment may result in high survival rates without causing any added ...
Cancer 1 hour ago | not rated yet | 0
Scientists have uncovered a survival mechanism that occurs in breast cells that have just turned premalignant-cells on the cusp between normalcy and cancers-which may lead to new methods of stopping tumors.
Cancer 1 hour ago | not rated yet | 0 |
Frequent heartburn was positively associated with cancers of the throat and vocal cord among nonsmokers and nondrinkers, and the use of antacids, but not prescription medications, had a protective effect, according to data ...
Cancer 1 hour ago | not rated yet | 0
Aggressive forms of bladder cancer involve the protein PODXL – a discovery that could hold the key to improved treatment, according to researchers at Lund University, Uppsala University and KTH in Sweden.
Cancer 4 hours ago | 5 / 5 (1) | 0
A brief visual task can predict IQ, according to a new study. This surprisingly simple exercise measures the brain's unconscious ability to filter out visual movement. The study shows that individuals whose ...
1 hour ago | 4.7 / 5 (3) | 0 |
Gaucher disease causes debilitating and sometimes fatal neurodegeneration in early childhood. Recent studies have uncovered a link between the mutations responsible for Gaucher disease and an increased risk ...
1 hour ago | not rated yet | 0 |
As the human body fine-tunes its neurological wiring, nerve cells often must fix a faulty connection by amputating an axon—the "business end" of the neuron that sends electrical impulses to tissues or other ...
1 hour ago | 5 / 5 (1) | 0 |
A study by researchers at Henry Ford Hospital found "substantial evidence" that a regenerative process involving damaged nerve fibers in the spinal cord could hold the key to better functional recovery by most stroke victims.
1 hour ago | not rated yet | 0 |
A known difficulty in fighting influenza (flu) is the ability of the flu viruses to mutate and thus evade various medications that were previously found to be effective. Researchers at the Hebrew University of Jerusalem have ...
2 hours ago | not rated yet | 0 |
Spanish researchers have discovered that the daily clearance of neutrophils from the body stimulates the release of hematopoietic stem cells from the bone marrow into the bloodstream, according to a report published today ...
1 hour ago | not rated yet | 0