13 research outputs found
Shared decision-making about treatments for early breast cancer : preferences of older patients and clinicians
This thesis describes the
preferences of both older patients with breast cancer and clinicians to
optimize the current care of this patient group. The significant increase in
the number of breast cancer patients above the age of 65 years necessitates
insight into their preferences. Decision-making regarding treatment of early
breast cancer is often difficult as decisions need to be made between two
surgical options and about the addition of systemic therapy. Like younger
patients, older patients are faced with these difficult decisions (together
with their clinician). However, treatments for early breast cancer differ
substantially between younger and older patients, which possibly can be
explained by the preferences of older patients or their clinicians. Currently,
little is known about the preferences of older patients, while this knowledge
is particularly of great value.
To assess how the current care of older patients and the
treatment-decision-making process with this patient group can be optimised, we
explore the preferences and motivations of older patients with early breast
cancer; if and how their preferences for treatment and participation in
decision-making differ from those of younger patients; and the treatment
preferences of breast cancer specialists with regard to treatment of older
patients. LUMC / Geneeskund
Patients’ perceptions of conservative treatment for a small abdominal aortic aneurysm
Vascular Surger
Small but significant socioeconomic inequalities in axillary staging and treatment of breast cancer in the Netherlands
Background: The use of sentinel node biopsy (SNB), lymph node dissection, breast-conserving surgery, radiotherapy, chemotherapy and hormonal treatment for breast cancer was evaluated in relation to socioeconomic status (SES) in the Netherlands, where access to care was assumed to be equal. Methods: Female breast cancer patients diagnosed between 1994 and 2008 were selected from the nationwide population-based Netherlands Cancer Registry (N=176 505). Socioeconomic status was assessed based on income, employment and education at postal code level. Multivariable models included age, year of diagnosis and stage. Results: Sentinal node biopsy was less often applied in high-SES patients (multivariable analyses, ≤49 years: odds ratio (OR) 0.70 (95% CI: 0.56-0.89); 50-75 years: 0.85 (0.73-0.99)). Additionally, lymph node dissection was less common in low-SES patients aged ≥76 years (OR 1.34 (0.95-1.89)). Socioeconomic status-related differences in treatment were only significant in the age group 50-75 years. High-SES women with stage T1-2 were more likely to undergo breast-conserving surgery (radiotherapy) (OR 1.15 (1.09-1.22) and OR 1.16 (1.09-1.22), respectively). Chemotherapy use among node-positive patients was higher in the high-SES group, but was not significant in multivariable analysis. Hormonal therapy was not related to SES. Conclusion: Small but significant differences were observed in the use of SNB, lymph node dissection and breast-conserving surgery according to SES in Dutch breast cancer patients despite assumed equal access to health care
Shared decision-making about treatments for early breast cancer : preferences of older patients and clinicians
This thesis describes the
preferences of both older patients with breast cancer and clinicians to
optimize the current care of this patient group. The significant increase in
the number of breast cancer patients above the age of 65 years necessitates
insight into their preferences. Decision-making regarding treatment of early
breast cancer is often difficult as decisions need to be made between two
surgical options and about the addition of systemic therapy. Like younger
patients, older patients are faced with these difficult decisions (together
with their clinician). However, treatments for early breast cancer differ
substantially between younger and older patients, which possibly can be
explained by the preferences of older patients or their clinicians. Currently,
little is known about the preferences of older patients, while this knowledge
is particularly of great value.
To assess how the current care of older patients and the
treatment-decision-making process with this patient group can be optimised, we
explore the preferences and motivations of older patients with early breast
cancer; if and how their preferences for treatment and participation in
decision-making differ from those of younger patients; and the treatment
preferences of breast cancer specialists with regard to treatment of older
patients. </p
Patient-related factors associated with treatment and outcome
Analysis and support of clinical decision makin
Treatment recommendations for older women with breast cancer: A survey among surgical, radiation and medical oncologists
Surgical oncolog
Patients’ perceptions of conservative treatment for a small abdominal aortic aneurysm
FSW - Self-regulation models for health behavior and psychopathology - ou
Preferred and Perceived Participation of Younger and Older Patients in Decision Making About Treatment for Early Breast Cancer: A Prospective Study
Surgical oncolog
Patients' preferences for surgical and adjuvant systemic treatment in early breast cancer: A systematic review
Analysis and support of clinical decision makin
Older Patients' Preferences for Surgical Treatment in Early Breast Cancer: a Systematic Review
Pathophysiology, epidemiology and therapy of agein