Zhang Li, Gao Jidong, Lin Dongcai, Xie Li, Wang Tianyu, Zou Liqun
National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital & Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen 518116, China.
Department of Medical Oncology, Cancer Center, West China Hospital of Sichuan University, Chengdu 610041, China.
Ann Transl Med. 2019 Jul;7(14):313. doi: 10.21037/atm.2019.06.43.
Breast cancer patients' understanding of therapies is a very important factor during their surgical treatment decision-making. To date, there has been no report in this area about Chinese patients. Aiming to evaluate the perception of breast conservation surgery (BCS) in Chinese breast cancer patients (CBCP) and explore influencing factors.
A self-structured questionnaire was distributed to 1,496 CBCPs, eliciting information on patients' age, religion, sexual history, occupation, education, whether they were pre- or postoperative, understanding of BCS and their means of gaining information.
A total of 1,324 (88.5%) patients completed the questionnaire. Only 2.42% of patients had more understanding of BCS. Patients' perception about BCS was associated with their age, religion, occupation, education background and whether they were postoperative or not (P<0.01). Surgeon was the most commonly way being used to obtain information (68.9%); however, this was not significant in affecting patients' perception [odds ratios (OR) =1.034; 95% confidence intervals (CI): 0.762-1.402]. Patients using books and/or internet to obtain information on BCS had better understanding (OR =1.665; 95% CI: 1.249-2.193), but only 20.2% patients used this way to search for information.
The study indicated that CBCP' perception of BCS was poor, they lacked access to information. Therefore, educating patients and making them master knowledge about BCS were a hard work in China.
乳腺癌患者对治疗方法的了解是其手术治疗决策过程中的一个非常重要的因素。迄今为止，该领域尚无关于中国患者的报道。旨在评估中国乳腺癌患者（CBCP）对保乳手术（BCS）的认知并探索影响因素。
向1496名CBCP发放自行编制的问卷，收集患者的年龄、宗教信仰、性史、职业、教育程度、是否为术前或术后患者、对BCS的了解情况以及获取信息的途径等信息。
共有1324名（88.5%）患者完成问卷。只有2.42%的患者对BCS有较多了解。患者对BCS的认知与年龄、宗教信仰、职业、教育背景以及是否为术后患者有关（P<0.01）。外科医生是最常用的获取信息的途径（68.9%）；然而，这对患者认知的影响并不显著[优势比（OR）=1.034；95%置信区间（CI）：0.762-1.402]。通过书籍和/或互联网获取BCS信息的患者了解程度更好（OR =1.665；95% CI：1.249-2.193），但只有20.2%的患者采用这种方式搜索信息。
研究表明，CBCP对BCS的认知较差，获取信息的途径有限。因此，在中国，对患者进行教育并使其掌握BCS知识是一项艰巨的工作。
