PMID- 24813584
OWN - NLM
STAT- MEDLINE
DCOM- 20161020
LR  - 20211203
IS  - 1369-7625 (Electronic)
IS  - 1369-6513 (Print)
IS  - 1369-6513 (Linking)
VI  - 18
IP  - 6
DP  - 2015 Dec
TI  - Measuring the quality of surgical decisions for Latina breast cancer patients.
PG  - 2389-400
LID - 10.1111/hex.12207 [doi]
AB  - BACKGROUND: A high-quality decision for breast cancer surgery requires that 
      patients are well informed, meaningfully involved in decision making, and receive 
      treatments that match their goals. There is little in the existing literature 
      that examines a comprehensive measure of decision quality for Latina breast 
      cancer patients. OBJECTIVE: To examine the quality of surgical decisions among 
      Latina breast cancer survivors and explore factors associated with decision 
      quality and decision regret. DESIGN: Cross-sectional mailed survey. MAIN OUTCOME 
      MEASURES: English and certified Spanish translations of Breast Cancer Surgery 
      Decision Quality Instrument (BCS-DQI), Short Acculturation Scale for Hispanics 
      (SASH) and decision regret. PARTICIPANTS AND SETTING: Ninety-seven breast cancer 
      survivors of Hispanic or Spanish descent identified through the cancer registry 
      from Orange or San Diego Counties in California. RESULTS: The 97 respondents were 
      on average 55.7 years old, 39.1% had high school diploma or more education, and 
      62.9% had low acculturation (SASH scores < 2.99). The average knowledge score was 
      48.2%, the average decision process score was 67.5%, and many (77.3%) received 
      treatments that matched their goals. In multivariable models, there were no 
      significant associations with education, age, acculturation and any aspect of 
      decision quality or decision regret in this sample. Respondents who had higher 
      decision process scores, indicating more involvement in decision making, had 
      significantly lower decision regret. CONCLUSIONS: The BCS-DQI may require some 
      adaptation for Latina populations to improve acceptability. The different aspects 
      of decision quality, including knowledge, decision process and concordance, did 
      not vary by level of acculturation.
CI  - (c) 2014 John Wiley & Sons Ltd.
FAU - Sepucha, Karen
AU  - Sepucha K
AD  - Health Decision Sciences Center, Department of General Medicine, Massachusetts 
      General Hospital, Boston, MA, USA.
FAU - Feibelmann, Sandra
AU  - Feibelmann S
AD  - Health Decision Sciences Center, Department of General Medicine, Massachusetts 
      General Hospital, Boston, MA, USA.
FAU - Chang, Yuchiao
AU  - Chang Y
AD  - Department of General Medicine, Massachusetts General Hospital, Boston, MA, USA.
FAU - Hewitt, Sarah
AU  - Hewitt S
AD  - Health Decision Sciences Center, Department of General Medicine, Massachusetts 
      General Hospital, Boston, MA, USA.
FAU - Ziogas, Argyrios
AU  - Ziogas A
AD  - Department of Epidemiology, School of Medicine, University of California Irvine, 
      Irvine, CA, USA.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20140512
PL  - England
TA  - Health Expect
JT  - Health expectations : an international journal of public participation in health 
      care and health policy
JID - 9815926
SB  - IM
MH  - Adult
MH  - Aged
MH  - Breast Neoplasms/psychology/*surgery
MH  - California
MH  - Cross-Sectional Studies
MH  - *Decision Making
MH  - Female
MH  - *Health Knowledge, Attitudes, Practice
MH  - *Hispanic or Latino
MH  - Humans
MH  - *Mastectomy
MH  - Middle Aged
MH  - Patient Participation
MH  - Quality of Health Care
PMC - PMC5810630
OTO - NOTNLM
OT  - decision quality
OT  - shared decision making
EDAT- 2014/05/13 06:00
MHDA- 2016/10/21 06:00
PMCR- 2015/12/01
CRDT- 2014/05/13 06:00
PHST- 2014/04/11 00:00 [accepted]
PHST- 2014/05/13 06:00 [entrez]
PHST- 2014/05/13 06:00 [pubmed]
PHST- 2016/10/21 06:00 [medline]
PHST- 2015/12/01 00:00 [pmc-release]
AID - HEX12207 [pii]
AID - 10.1111/hex.12207 [doi]
PST - ppublish
SO  - Health Expect. 2015 Dec;18(6):2389-400. doi: 10.1111/hex.12207. Epub 2014 May 12.