Association of clinical experiences with patient-reported outcomes among breast cancer surgery patients: Breast cancer quality care study

Dong Young Noh, Seok Jin Nam, Se Hyun Ahn, Byeong Woo Park, Eun Sook Lee, Myung Kyung Lee, Soo Hyun Kim, Yoo Min Kim, Sang Min Park, Young Ho Yun

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background: We aimed to clarify the association of breast cancer patients' clinical experiences with patient-reported outcomes (PRO) of satisfaction with care, choice of the same type of surgery again, and health-related quality of life (HRQOL). Methods: There were 2,403 (25.9%) of 9,283 eligible women who had undergone primary curative surgery for breast cancer in one of five selected hospitals between 1993 and 2002 who responded to a survey questionnaire including information about care experiences, satisfaction with care, and HRQOL. Results: Treatment satisfaction was independently associated with cancer recurrence, problems obtaining surgery, receiving adjuvant hormonal therapy, being involved in treatment decisions, having opinions reflected in treatment decisions, experiencing treatment toxicity, or being hospitalized for treatment toxicity (P <0.01). Breast-conserving surgery with radiotherapy, receiving adjuvant hormone therapy, being involved in treatment decisions, having opinion reflected in treatment decisions, having no treatment toxicity, and receiving regular follow-up care were associated with choosing the same treatment over again (P < 0.01). Good care experiences, except for regular follow-ups, were significantly associated with good HRQOL in most functioning subscales (P < 0.01). Conclusions: Our findings suggest that timely referral for treatment, reflection of the patient's opinions in treatment decisions, and prevention of treatment toxicity might be important to HRQOL.

Original languageEnglish
Pages (from-to)215-225
Number of pages11
JournalQuality of Life Research
Volume17
Issue number2
DOIs
Publication statusPublished - 2008 Mar 1

Fingerprint

Quality of Health Care
Breast Neoplasms
Therapeutics
Quality of Life
Patient Reported Outcome Measures
Aftercare
Adjuvant Radiotherapy
Segmental Mastectomy

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Cite this

Noh, Dong Young ; Nam, Seok Jin ; Ahn, Se Hyun ; Park, Byeong Woo ; Lee, Eun Sook ; Lee, Myung Kyung ; Kim, Soo Hyun ; Kim, Yoo Min ; Park, Sang Min ; Yun, Young Ho. / Association of clinical experiences with patient-reported outcomes among breast cancer surgery patients : Breast cancer quality care study. In: Quality of Life Research. 2008 ; Vol. 17, No. 2. pp. 215-225.
@article{0e8b97e1d0ca469c8ac46ac7af5c46d6,
title = "Association of clinical experiences with patient-reported outcomes among breast cancer surgery patients: Breast cancer quality care study",
abstract = "Background: We aimed to clarify the association of breast cancer patients' clinical experiences with patient-reported outcomes (PRO) of satisfaction with care, choice of the same type of surgery again, and health-related quality of life (HRQOL). Methods: There were 2,403 (25.9{\%}) of 9,283 eligible women who had undergone primary curative surgery for breast cancer in one of five selected hospitals between 1993 and 2002 who responded to a survey questionnaire including information about care experiences, satisfaction with care, and HRQOL. Results: Treatment satisfaction was independently associated with cancer recurrence, problems obtaining surgery, receiving adjuvant hormonal therapy, being involved in treatment decisions, having opinions reflected in treatment decisions, experiencing treatment toxicity, or being hospitalized for treatment toxicity (P <0.01). Breast-conserving surgery with radiotherapy, receiving adjuvant hormone therapy, being involved in treatment decisions, having opinion reflected in treatment decisions, having no treatment toxicity, and receiving regular follow-up care were associated with choosing the same treatment over again (P < 0.01). Good care experiences, except for regular follow-ups, were significantly associated with good HRQOL in most functioning subscales (P < 0.01). Conclusions: Our findings suggest that timely referral for treatment, reflection of the patient's opinions in treatment decisions, and prevention of treatment toxicity might be important to HRQOL.",
author = "Noh, {Dong Young} and Nam, {Seok Jin} and Ahn, {Se Hyun} and Park, {Byeong Woo} and Lee, {Eun Sook} and Lee, {Myung Kyung} and Kim, {Soo Hyun} and Kim, {Yoo Min} and Park, {Sang Min} and Yun, {Young Ho}",
year = "2008",
month = "3",
day = "1",
doi = "10.1007/s11136-007-9299-9",
language = "English",
volume = "17",
pages = "215--225",
journal = "Quality of Life Research",
issn = "0962-9343",
publisher = "Springer Netherlands",
number = "2",

}

Association of clinical experiences with patient-reported outcomes among breast cancer surgery patients : Breast cancer quality care study. / Noh, Dong Young; Nam, Seok Jin; Ahn, Se Hyun; Park, Byeong Woo; Lee, Eun Sook; Lee, Myung Kyung; Kim, Soo Hyun; Kim, Yoo Min; Park, Sang Min; Yun, Young Ho.

In: Quality of Life Research, Vol. 17, No. 2, 01.03.2008, p. 215-225.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Association of clinical experiences with patient-reported outcomes among breast cancer surgery patients

T2 - Breast cancer quality care study

AU - Noh, Dong Young

AU - Nam, Seok Jin

AU - Ahn, Se Hyun

AU - Park, Byeong Woo

AU - Lee, Eun Sook

AU - Lee, Myung Kyung

AU - Kim, Soo Hyun

AU - Kim, Yoo Min

AU - Park, Sang Min

AU - Yun, Young Ho

PY - 2008/3/1

Y1 - 2008/3/1

N2 - Background: We aimed to clarify the association of breast cancer patients' clinical experiences with patient-reported outcomes (PRO) of satisfaction with care, choice of the same type of surgery again, and health-related quality of life (HRQOL). Methods: There were 2,403 (25.9%) of 9,283 eligible women who had undergone primary curative surgery for breast cancer in one of five selected hospitals between 1993 and 2002 who responded to a survey questionnaire including information about care experiences, satisfaction with care, and HRQOL. Results: Treatment satisfaction was independently associated with cancer recurrence, problems obtaining surgery, receiving adjuvant hormonal therapy, being involved in treatment decisions, having opinions reflected in treatment decisions, experiencing treatment toxicity, or being hospitalized for treatment toxicity (P <0.01). Breast-conserving surgery with radiotherapy, receiving adjuvant hormone therapy, being involved in treatment decisions, having opinion reflected in treatment decisions, having no treatment toxicity, and receiving regular follow-up care were associated with choosing the same treatment over again (P < 0.01). Good care experiences, except for regular follow-ups, were significantly associated with good HRQOL in most functioning subscales (P < 0.01). Conclusions: Our findings suggest that timely referral for treatment, reflection of the patient's opinions in treatment decisions, and prevention of treatment toxicity might be important to HRQOL.

AB - Background: We aimed to clarify the association of breast cancer patients' clinical experiences with patient-reported outcomes (PRO) of satisfaction with care, choice of the same type of surgery again, and health-related quality of life (HRQOL). Methods: There were 2,403 (25.9%) of 9,283 eligible women who had undergone primary curative surgery for breast cancer in one of five selected hospitals between 1993 and 2002 who responded to a survey questionnaire including information about care experiences, satisfaction with care, and HRQOL. Results: Treatment satisfaction was independently associated with cancer recurrence, problems obtaining surgery, receiving adjuvant hormonal therapy, being involved in treatment decisions, having opinions reflected in treatment decisions, experiencing treatment toxicity, or being hospitalized for treatment toxicity (P <0.01). Breast-conserving surgery with radiotherapy, receiving adjuvant hormone therapy, being involved in treatment decisions, having opinion reflected in treatment decisions, having no treatment toxicity, and receiving regular follow-up care were associated with choosing the same treatment over again (P < 0.01). Good care experiences, except for regular follow-ups, were significantly associated with good HRQOL in most functioning subscales (P < 0.01). Conclusions: Our findings suggest that timely referral for treatment, reflection of the patient's opinions in treatment decisions, and prevention of treatment toxicity might be important to HRQOL.

UR - http://www.scopus.com/inward/record.url?scp=39149098420&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=39149098420&partnerID=8YFLogxK

U2 - 10.1007/s11136-007-9299-9

DO - 10.1007/s11136-007-9299-9

M3 - Article

C2 - 18085429

AN - SCOPUS:39149098420

VL - 17

SP - 215

EP - 225

JO - Quality of Life Research

JF - Quality of Life Research

SN - 0962-9343

IS - 2

ER -