The effect of being informed on receiving immediate breast reconstruction in breast cancer patients

K.M. de Ligt* (Corresponding Author), A.C.M. van Bommel, K. Schreuder, J.H. Maduro, M.T.F.D. Vrancken Peeters, M.A.M. Mureau, S. Siesling

*Corresponding author for this work

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Abstract

Introduction: In previous research from the NABON breast cancer audit, observed hospital variation in immediate breast reconstruction (IBR) rates in the Netherlands could not be fully explained by tumour, patient, and hospital factors. The process of information provision and decision-making may also contribute to the observed variation; the objective of the current study was to give insight in the underlying decision-making process for IBR and to determine the effect of being informed about IBR on receiving IBR.

Methods: A total of 502 patients with IBR and 716 without IBR treated at twenty-nine hospitals were invited to complete an online questionnaire on obtained information and decision-making regarding IBR. The effect of being informed about IBR on receiving IBR was determined by logistic regression analysis.

Results: Responses from five hundred and ten patients (n = 229 IBR, n = 281 without IBR) were analysed. Patients with IBR compared to patients without reconstruction showed a difference in patient, tumour, treatment (including radiotherapy), and hospital characteristics. Patients with IBR were more often informed about IBR as a treatment option (99% vs 73%), they discussed (dis)advantages more often with their physician (86% vs 68%), and they were more often involved in shared decision-making (91% vs 67%) compared to patients without IBR. Multivariate logistic regression analysis, corrected for confounders, showed that being informed about IBR increased the odds for receiving IBR fourteen times (p < 0.001).

Conclusions: The positive effect of being informed about IBR on receiving IBR stresses the importance of treatment information in the decision-making process for IBR.

Original languageEnglish
Pages (from-to)717-724
Number of pages8
JournalEuropean journal of surgical oncology
Volume44
Issue number5
DOIs
Publication statusPublished - 1 May 2018

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Mammaplasty
Breast Neoplasms
Decision Making
Logistic Models
Regression Analysis

Keywords

  • Breast cancer
  • Immediate breast reconstruction
  • Information provision
  • Patient information
  • Shared decision-making

Cite this

de Ligt, K. M., van Bommel, A. C. M., Schreuder, K., Maduro, J. H., Vrancken Peeters, M. T. F. D., Mureau, M. A. M., & Siesling, S. (2018). The effect of being informed on receiving immediate breast reconstruction in breast cancer patients. European journal of surgical oncology, 44(5), 717-724. https://doi.org/10.1016/j.ejso.2018.01.226
de Ligt, K.M. ; van Bommel, A.C.M. ; Schreuder, K. ; Maduro, J.H. ; Vrancken Peeters, M.T.F.D. ; Mureau, M.A.M. ; Siesling, S. / The effect of being informed on receiving immediate breast reconstruction in breast cancer patients. In: European journal of surgical oncology. 2018 ; Vol. 44, No. 5. pp. 717-724.
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abstract = "Introduction: In previous research from the NABON breast cancer audit, observed hospital variation in immediate breast reconstruction (IBR) rates in the Netherlands could not be fully explained by tumour, patient, and hospital factors. The process of information provision and decision-making may also contribute to the observed variation; the objective of the current study was to give insight in the underlying decision-making process for IBR and to determine the effect of being informed about IBR on receiving IBR.Methods: A total of 502 patients with IBR and 716 without IBR treated at twenty-nine hospitals were invited to complete an online questionnaire on obtained information and decision-making regarding IBR. The effect of being informed about IBR on receiving IBR was determined by logistic regression analysis.Results: Responses from five hundred and ten patients (n = 229 IBR, n = 281 without IBR) were analysed. Patients with IBR compared to patients without reconstruction showed a difference in patient, tumour, treatment (including radiotherapy), and hospital characteristics. Patients with IBR were more often informed about IBR as a treatment option (99{\%} vs 73{\%}), they discussed (dis)advantages more often with their physician (86{\%} vs 68{\%}), and they were more often involved in shared decision-making (91{\%} vs 67{\%}) compared to patients without IBR. Multivariate logistic regression analysis, corrected for confounders, showed that being informed about IBR increased the odds for receiving IBR fourteen times (p < 0.001).Conclusions: The positive effect of being informed about IBR on receiving IBR stresses the importance of treatment information in the decision-making process for IBR.",
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de Ligt, KM, van Bommel, ACM, Schreuder, K, Maduro, JH, Vrancken Peeters, MTFD, Mureau, MAM & Siesling, S 2018, 'The effect of being informed on receiving immediate breast reconstruction in breast cancer patients', European journal of surgical oncology, vol. 44, no. 5, pp. 717-724. https://doi.org/10.1016/j.ejso.2018.01.226

The effect of being informed on receiving immediate breast reconstruction in breast cancer patients. / de Ligt, K.M. (Corresponding Author); van Bommel, A.C.M.; Schreuder, K.; Maduro, J.H.; Vrancken Peeters, M.T.F.D.; Mureau, M.A.M.; Siesling, S.

In: European journal of surgical oncology, Vol. 44, No. 5, 01.05.2018, p. 717-724.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - The effect of being informed on receiving immediate breast reconstruction in breast cancer patients

AU - de Ligt, K.M.

AU - van Bommel, A.C.M.

AU - Schreuder, K.

AU - Maduro, J.H.

AU - Vrancken Peeters, M.T.F.D.

AU - Mureau, M.A.M.

AU - Siesling, S.

PY - 2018/5/1

Y1 - 2018/5/1

N2 - Introduction: In previous research from the NABON breast cancer audit, observed hospital variation in immediate breast reconstruction (IBR) rates in the Netherlands could not be fully explained by tumour, patient, and hospital factors. The process of information provision and decision-making may also contribute to the observed variation; the objective of the current study was to give insight in the underlying decision-making process for IBR and to determine the effect of being informed about IBR on receiving IBR.Methods: A total of 502 patients with IBR and 716 without IBR treated at twenty-nine hospitals were invited to complete an online questionnaire on obtained information and decision-making regarding IBR. The effect of being informed about IBR on receiving IBR was determined by logistic regression analysis.Results: Responses from five hundred and ten patients (n = 229 IBR, n = 281 without IBR) were analysed. Patients with IBR compared to patients without reconstruction showed a difference in patient, tumour, treatment (including radiotherapy), and hospital characteristics. Patients with IBR were more often informed about IBR as a treatment option (99% vs 73%), they discussed (dis)advantages more often with their physician (86% vs 68%), and they were more often involved in shared decision-making (91% vs 67%) compared to patients without IBR. Multivariate logistic regression analysis, corrected for confounders, showed that being informed about IBR increased the odds for receiving IBR fourteen times (p < 0.001).Conclusions: The positive effect of being informed about IBR on receiving IBR stresses the importance of treatment information in the decision-making process for IBR.

AB - Introduction: In previous research from the NABON breast cancer audit, observed hospital variation in immediate breast reconstruction (IBR) rates in the Netherlands could not be fully explained by tumour, patient, and hospital factors. The process of information provision and decision-making may also contribute to the observed variation; the objective of the current study was to give insight in the underlying decision-making process for IBR and to determine the effect of being informed about IBR on receiving IBR.Methods: A total of 502 patients with IBR and 716 without IBR treated at twenty-nine hospitals were invited to complete an online questionnaire on obtained information and decision-making regarding IBR. The effect of being informed about IBR on receiving IBR was determined by logistic regression analysis.Results: Responses from five hundred and ten patients (n = 229 IBR, n = 281 without IBR) were analysed. Patients with IBR compared to patients without reconstruction showed a difference in patient, tumour, treatment (including radiotherapy), and hospital characteristics. Patients with IBR were more often informed about IBR as a treatment option (99% vs 73%), they discussed (dis)advantages more often with their physician (86% vs 68%), and they were more often involved in shared decision-making (91% vs 67%) compared to patients without IBR. Multivariate logistic regression analysis, corrected for confounders, showed that being informed about IBR increased the odds for receiving IBR fourteen times (p < 0.001).Conclusions: The positive effect of being informed about IBR on receiving IBR stresses the importance of treatment information in the decision-making process for IBR.

KW - Breast cancer

KW - Immediate breast reconstruction

KW - Information provision

KW - Patient information

KW - Shared decision-making

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de Ligt KM, van Bommel ACM, Schreuder K, Maduro JH, Vrancken Peeters MTFD, Mureau MAM et al. The effect of being informed on receiving immediate breast reconstruction in breast cancer patients. European journal of surgical oncology. 2018 May 1;44(5):717-724. https://doi.org/10.1016/j.ejso.2018.01.226