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乳腺癌患者对放射治疗的态度和看法:多学科护理团队的作用。

Attitudes and Perceptions Towards Radiation Therapy in Breast Cancer Patients: The Role of a Multidisciplinary Care Team.

机构信息

Department of Radiation Oncology, Virginia Commonwealth University Health System, Massey Cancer Center, 401 College St, Richmond, VA, 23298, USA.

Department of Health Behavior & Policy, Virginia Commonwealth University, 401 College St, Richmond, VA, 23298, USA.

出版信息

J Cancer Educ. 2021 Jun;36(3):639-645. doi: 10.1007/s13187-019-01677-1.

Abstract

Previous studies have shown that breast cancer patients' beliefs regarding radiation therapy (RT) are influenced by a multitude of factors encompassing demographic, socioeconomic, cultural, and healthcare-related domains. The association between consultation with a multidisciplinary care team and breast cancer patients' attitudes towards RT, however, remains understudied. Using survey and medical record data from 185 women with invasive, non-metastatic breast cancer who received breast conserving surgery, we aimed to characterize the relationship between the number and type of oncological specialties consulted and women's belief in RT's ability to decrease the likelihood of breast cancer recurrence. Using multivariable models, we found that compared to women who discussed RT with only one oncologist (medical, radiation, or surgical), women who discussed RT with all three oncologists were more likely to report increased agreement with RT's ability to reduce cancer recurrence. No single specialty of oncology, including radiation oncology, showed increased associations with women's beliefs regarding RT's efficacy. We conclude that women's beliefs in the ability of radiation therapy to reduce breast cancer recurrence are associated with an increased number of oncologic physicians consulted.

摘要

先前的研究表明,乳腺癌患者对放射治疗(RT)的信念受到多种因素的影响,包括人口统计学、社会经济学、文化和医疗保健相关领域。然而,多学科护理团队的咨询与乳腺癌患者对 RT 的态度之间的关系仍有待研究。我们使用了来自 185 名接受保乳手术的浸润性、非转移性乳腺癌女性的调查和医疗记录数据,旨在描述咨询的肿瘤学专业数量和类型与女性对 RT 降低乳腺癌复发可能性的能力的信念之间的关系。使用多变量模型,我们发现与仅与一名肿瘤学家(内科、放疗或外科)讨论 RT 的女性相比,与所有三名肿瘤学家讨论 RT 的女性更有可能报告增加对 RT 降低癌症复发能力的一致性。包括放疗科在内的任何单一肿瘤学专业都没有显示出与女性对 RT 疗效的信念之间有更强的关联。我们的结论是,女性对放射治疗降低乳腺癌复发能力的信念与咨询的肿瘤医生数量的增加有关。

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