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What Factors Influence Women’s Perceptions of their Systemic Recurrence Risk after Breast Cancer Treatment?

Author

Listed:
  • Kamaria L. Lee
  • Nancy K. Janz
  • Brian J. Zikmund-Fisher
  • Reshma Jagsi
  • Lauren P. Wallner
  • Allison W. Kurian
  • Steven J. Katz
  • Paul Abrahamse
  • Sarah T. Hawley

Abstract

Background. Breast cancer patients’ misunderstanding of their systemic cancer recurrence risk has consequences on decision-making and quality of life. Little is known about how women derive their risk estimates. Methods. Using Los Angeles and Georgia’s SEER registries (2014–2015), a random sample of early-stage breast cancer patients was sent surveys about 2 to 3 months after surgery ( N = 3930; RR, 68%). We conducted an inductive thematic analysis of open-ended responses about why women chose their risk estimates in a uniquely large sub-sample ( N = 1,754). Clinician estimates of systemic recurrence risk were provided for patient sub-groups with DCIS and with low-, intermediate-, and high-risk invasive disease. Women’s perceived risk of systemic recurrence (0% to 100%) was categorized as overestimation, reasonably accurate estimation, or underestimation (0% for invasive disease) and was compared across identified factors and by clinical presentation. Results. Women identified 9 main factors related to their clinical experience (e.g., diagnosis and testing; treatment) and non-clinical beliefs (e.g., uncertainty; spirituality). Women who mentioned at least one clinical experience factor were significantly less likely to overestimate their risk (12% v. 43%, P

Suggested Citation

  • Kamaria L. Lee & Nancy K. Janz & Brian J. Zikmund-Fisher & Reshma Jagsi & Lauren P. Wallner & Allison W. Kurian & Steven J. Katz & Paul Abrahamse & Sarah T. Hawley, 2018. "What Factors Influence Women’s Perceptions of their Systemic Recurrence Risk after Breast Cancer Treatment?," Medical Decision Making, , vol. 38(1), pages 95-106, January.
    • Handle: RePEc:sae:medema:v:38:y:2018:i:1:p:95-106
    DOI: 10.1177/0272989X17724441
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    References listed on IDEAS

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