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Information requirements of young women with breast cancer treated with mastectomy or breast conserving surgery: a systematic review

Information requirements of young women with breast cancer treated with mastectomy or breast conserving surgery: a systematic review
Information requirements of young women with breast cancer treated with mastectomy or breast conserving surgery: a systematic review
OBJECTIVES:Young women with breast cancer have poorer prognosis, greater lifetime risk of local recurrence, contralateral recurrence, and distant disease, regardless of surgery received. Here we systematically review published evidence relating to the information requirements and preferences of young women diagnosed with early-stage breast cancer offered a choice between mastectomy and Breast Conservation Surgery (BCS). Findings will inform the development of a surgical decision aid for young women.

METHODS:Eight databases were searched to identify research examining information requirements of young women facing breast oncological surgery treatment decisions (MESH headings). Twelve studies met the inclusion criteria. Data were extracted and summarised in a narrative synthesis.

RESULTS:Findings indicate that young women prefer greater and more detailed information regarding treatment side effects, sexuality, and body image. Younger age of diagnosis leads to an increased risk perception of developing a second breast cancer. Young women's choices are influenced by factors associated with family and career. Information is required in a continuum throughout the treatment experience and not only at diagnosis when treatment decisions are made. Young women show differing levels of participation preferences.

CONCLUSION:Young women find decision-making challenging when the characteristics of diagnosis provide a surgical choice between mastectomy and breast conservation surgery. Efforts should be made to provide information regarding sexuality, body image, reconstruction, fertility and likelihood of familial predisposition. Further research is needed to identify the specific level and information requirements of this young-onset group. The low number of studies indicate a need to design studies targeting specifically this age group of breast cancer patients.
breast cancer, young women, surgery, decision making
0960-9776
1-13
Recio-Saucedo, Alejandra
d05c4e43-3399-466d-99e0-01403a04b467
Gerty, Sue
bb09ed22-15f9-431a-a251-4e9ab551eac5
Foster, Claire
00786ac1-bd47-4aeb-a0e2-40e058695b73
Eccles, Diana
5b59bc73-11c9-4cf0-a9d5-7a8e523eee23
Cutress, Ramsey I.
68ae4f86-e8cf-411f-a335-cdba51797406
Recio-Saucedo, Alejandra
d05c4e43-3399-466d-99e0-01403a04b467
Gerty, Sue
bb09ed22-15f9-431a-a251-4e9ab551eac5
Foster, Claire
00786ac1-bd47-4aeb-a0e2-40e058695b73
Eccles, Diana
5b59bc73-11c9-4cf0-a9d5-7a8e523eee23
Cutress, Ramsey I.
68ae4f86-e8cf-411f-a335-cdba51797406

Recio-Saucedo, Alejandra, Gerty, Sue, Foster, Claire, Eccles, Diana and Cutress, Ramsey I. (2016) Information requirements of young women with breast cancer treated with mastectomy or breast conserving surgery: a systematic review. The Breast, 25, 1-13. (doi:10.1016/j.breast.2015.11.001). (PMID:26801410)

Record type: Article

Abstract

OBJECTIVES:Young women with breast cancer have poorer prognosis, greater lifetime risk of local recurrence, contralateral recurrence, and distant disease, regardless of surgery received. Here we systematically review published evidence relating to the information requirements and preferences of young women diagnosed with early-stage breast cancer offered a choice between mastectomy and Breast Conservation Surgery (BCS). Findings will inform the development of a surgical decision aid for young women.

METHODS:Eight databases were searched to identify research examining information requirements of young women facing breast oncological surgery treatment decisions (MESH headings). Twelve studies met the inclusion criteria. Data were extracted and summarised in a narrative synthesis.

RESULTS:Findings indicate that young women prefer greater and more detailed information regarding treatment side effects, sexuality, and body image. Younger age of diagnosis leads to an increased risk perception of developing a second breast cancer. Young women's choices are influenced by factors associated with family and career. Information is required in a continuum throughout the treatment experience and not only at diagnosis when treatment decisions are made. Young women show differing levels of participation preferences.

CONCLUSION:Young women find decision-making challenging when the characteristics of diagnosis provide a surgical choice between mastectomy and breast conservation surgery. Efforts should be made to provide information regarding sexuality, body image, reconstruction, fertility and likelihood of familial predisposition. Further research is needed to identify the specific level and information requirements of this young-onset group. The low number of studies indicate a need to design studies targeting specifically this age group of breast cancer patients.

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Accepted/In Press date: 2 November 2015
e-pub ahead of print date: 30 November 2015
Published date: February 2016
Keywords: breast cancer, young women, surgery, decision making
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 387046
URI: http://eprints.soton.ac.uk/id/eprint/387046
ISSN: 0960-9776
PURE UUID: d7aa519e-0f7e-4fff-b6f2-aa75ea2f31a0
ORCID for Alejandra Recio-Saucedo: ORCID iD orcid.org/0000-0003-2823-4573
ORCID for Claire Foster: ORCID iD orcid.org/0000-0002-4703-8378
ORCID for Diana Eccles: ORCID iD orcid.org/0000-0002-9935-3169

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Date deposited: 08 Feb 2016 10:21
Last modified: 15 Mar 2024 03:36

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Contributors

Author: Sue Gerty
Author: Claire Foster ORCID iD
Author: Diana Eccles ORCID iD

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