Table 3a.
Patient (n = 14), % | Provider (n = 15), % | 95% CI of the difference | |
---|---|---|---|
Surgery fact* | |||
Patients who have lumpectomy live as long as those who have mastectomy | 43 | 73 | −65 to 4 |
Waiting 4 weeks to make a treatment decision does not affect survival | 14 | 53 | −70 to −8 |
The chance of cancer coming back in the treated breast is slightly higher after lumpectomy and radiation | 36 | 27 | −25 to 43 |
If 100 women have lumpectomy and radiation, 5–15 will have cancer come back in 10 years | 29 | 27 | −31 to 35 |
Most women are candidates for both types of treatment and have a choice | 36 | 27 | −25 to 43 |
Some who have lumpectomy will need more than one operation for margins | 7 | 27 | −46 to 7 |
If cancer comes back in the breast after lumpectomy, it is usually treated with mastectomy | 29 | 27 | −31 to 34 |
If 100 women have mastectomy, 2–10 will have cancer come back in 10 years | 21 | 13 | −19 to 36 |
Radiation involves treatment 5 days a week for 5–6 weeks | 21 | 13 | −36 to 19 |
Side effects of radiation include fatigue and cosmetic changes to the breast | 7 | 13 | −16 to 28 |
Breast reconstruction is an option that can be done at the time of the mastectomy or later | 29 | 7 | −5 to 49 |
Most women are very satisfied with the way their breast looks after lumpectomy | 14 | 0 | −33 to 4 |
Serious problems caused by radiation are rare | 7 | 0 | −6 to 21 |
Surgery goal* | |||
Minimize the chance of cancer coming back in the treated breast | 100 | 93 | −21 to 6 |
Be able to say you did everything possible | 64 | 79 | −19 to 47 |
Keep the breast | 7 | 71 | −92 to −37 |
Avoid side effects and complications of radiation therapy | 0 | 21 | −43 to 0 |
Do what your doctors think is best | 86 | 14 | −97 to −46 |
Remove the entire breast to gain peace of mind | 14 | 14 | −26 to 26 |
Avoid the hassle of radiation therapy | 0 | 7 | −21 to 6 |
Avoid breast reconstruction | 14 | 0 | −4 to 33 |
Bold print denotes statistically significant difference, P < 0.05.
CI, confidence interval.
*Shortened from the original wording.