Taking responsibility for cancer treatment

J. M. Deadman, S. J. Leinster, R. G. Owens, M. E. Dewey and P. D. Slade

Social Science & Medicine, 2001, vol. 53, issue 5, 669-677

Abstract: One hundred and fourteen consecutive patients with early breast cancer were entered into a study on the psychological effects of involvement in treatment choice. All women were offered counselling throughout. One group of women (n=34), were advised to undergo mastectomy, due to the nature or position of the tumour. These women fared less well psychologically when compared on a battery of measures, before and after surgery, with women who were involved in choosing their own treatment (n=80). The latter group itself was randomly allocated into two groups for taking explicit responsibility for treatment choice, using a double-blind procedure. These were a Patient Decision Group (n=41) and a Surgeon Decision Group (n=39). Results support the hypothesis that over and above the benefits of receiving their preferred treatment, women can further benefit from taking explicit responsibility for their treatment choice.

Keywords: UK; Decision-making; Control; Breast; cancer (search for similar items in EconPapers)
Date: 2001
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