Juraskova Ilona, Bonner Carissa
Breast Cancer Res. 2013;15(5):106. doi: 10.1186/bcr3479.
The article by Korfage and colleagues in this issue of Breast Cancer Research highlights the importance of enabling women to make informed choices about breast cancer chemoprevention. Decision aids have the potential to improve knowledge and decision-making in this context, but they do not guarantee increased uptake of chemoprevention amongst high-risk women if this option is inconsistent with women’s values. Important avenues for further research in this area include evaluating: decision aids with explicit values clarification exercises and with comparison between chemoprevention and nonpharmacological options to reduce breast cancer risk, the influence of mediating factors such as anxiety and risk perception, and the role of clinicians and family members in decision-making.
科尔法奇及其同事在本期《乳腺癌研究》上发表的文章强调了让女性能够就乳腺癌化学预防做出明智选择的重要性。在这种情况下,决策辅助工具有可能提高知识水平并改善决策,但如果这种选择与女性的价值观不一致,它们并不能保证高危女性更多地接受化学预防。该领域进一步研究的重要途径包括评估:带有明确价值观澄清练习以及化学预防与降低乳腺癌风险的非药物选择之间比较的决策辅助工具、焦虑和风险认知等中介因素的影响,以及临床医生和家庭成员在决策中的作用。