Table 3.
Decision-making around breast cancer treatment
| Treatment decision-making outcomes | Overall n = 70 | 65–74 years n = 27 | 75+ years n = 43 | p value |
|---|---|---|---|---|
| Role in treatment decisions | 0.90 | |||
| Patient made the final decision | 17 % (12) | 19 % (5) | 16 % (7) | |
| Decision shared with physician but not family | 34 % (24) | 37 % (10) | 33 % (14) | |
| Decision shared with physician and family | 41 % (29) | 41 % (11) | 42 % (18) | |
| Physician and family but not patient shared the decision | 2 % (1) | 0 | 2 % (1) | |
| Physician made the final decision | 6 % (4) | 3 % (1) | 7 % (3) | |
| Information received about breast cancer | ||||
| Adequate | 82 % (56 of 68) | 85 % (22 of 26) | 81 % (34 of 42) | 0.86 |
| Too much | 7 % (5 of 68) | 8 % (2 of 26) | 7 % (3 of 42) | |
| Too little | 10 % (7 of 68) | 8 % (2 of 26) | 12 % (5 of 42) | |
| Obtained information from other sources besides physicians | 44 % (30 of 68) | 62 % (16 of 26) | 33 % (14 of 42) | 0.02 |
| Perceived involvement in care | ||||
| Patient information seeking scale | 7.1 (±2.2) | 8.0 (±2.0) | 6.6 (±2.2) | 0.01 |
| Surgeon-initiated communication | 6.9 (±2.5) | 7.6 (±2.4) | 6.5 (±2.4) | 0.12 |
| Factors influencing treatment decisions (range 0–3, 3 = a lot, 0 = not at all, mean ± SD) | ||||
| Surgeon’s recommendations | 2.4 (±1.0) | 2.5 (±0.9) | 2.4 (±1.0) | 0.86 |
| Oncologist’s recommendation (n = 57) | 1.9 (±1.2) | 2.2 (±1.2) | 1.7 (±1.1) | 0.10 |
| Advice of family | 1.3 (±1.3) | 1.4 (±1.4) | 1.3 (±1.3) | 0.65 |
| Maintaining quality of life | 1.3 (±1.3) | 1.4 (±1.3) | 1.3 (±1.3) | 0.82 |
| Primary care physician’s recommendations | 1.2 (±1.3) | 1.2 (±1.3) | 1.3 (±1.3) | 0.74 |
| Health | 1.1 (±1.3) | 1.2 (±1.4) | 1.0 (±1.3) | 0.58 |
| Age | 1.0 (±1.2) | 1.1 (±1.1) | 0.9 (1.1) | 0.75 |
| Faith/religion | 0.6 (±1.2) | 0.7 (±1.2) | 0.6 (±1.2) | 0.90 |
| Advice of a friend | 0.5 (±0.9) | 0.6 (±1.0) | 0.4 (±0.8) | 0.46 |
| Transportation | 0.4 (±0.9) | 0.1 (±0.6) | 0.5 (±1.1) | 0.047 |
| Cost of treatment | 0.1 (±0.4) | 0.1 (±0.4) | 0.1 (±0.3) | 0.68 |
p values <0.05 are in bold