Shared decision making in breast cancer: National practice patterns of surgeons

Jane R. Schubart, Laura S. Dominici, Michelle Farnan, Tricia A. Kelly, Eric R. Manahan, E. Rahkshanda Rahman, J. Stanley Smith, Rena Kass

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: The purpose of this study was to assess national practices of surgeons who treat breast cancer in order to identify opportunities to improve patient education. Methods: In June 2012, the membership of the American Society of Breast Surgeons (ASBrS) (n = 2,818) was surveyed via email questionnaire to evaluate their current practice of shared decision making and informed consent for breast cancer patients. Results: A total of 737 members (26 %) responded, including 384 breast surgeons and 306 general surgeons, 13 midlevel providers, and 25 other specialists. It was found that 90 % of surgeons spent more than 30 min meeting with a new cancer patient, and of these, 30 % spent more than an hour. Surgeons who spent more than 1 h face-to-face with a new cancer patient reported higher levels of overall patient knowledge compared with those who spent less (mean = 3.80 vs. 3.64 of 5; p = 0.001). Also, 89 % of respondents reported using educational tools, of whom more than 90 % used written tools. In addition, 65 % of members stated an interest in a free online educational tool if available and indicated a preference for a flexible tool that could be used by the patient alone or with a nurse. Conclusions: While practice patterns may vary, our results reveal that one-third of surgeons spend at least 1 h in consultation with a new breast cancer patient. More time spent translated to a higher perceived patient understanding of their disease and treatment options. Although the majority of surgeons currently use written materials, there was clear support for a free online educational tool.

Original languageEnglish (US)
Pages (from-to)3323-3329
Number of pages7
JournalAnnals of Surgical Oncology
Volume20
Issue number10
DOIs
StatePublished - Oct 1 2013

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Decision Making
Breast Neoplasms
Patient Education
Surgeons
Informed Consent
Neoplasms
Breast
Referral and Consultation
Nurses

All Science Journal Classification (ASJC) codes

  • Surgery
  • Oncology

Cite this

Schubart, Jane R. ; Dominici, Laura S. ; Farnan, Michelle ; Kelly, Tricia A. ; Manahan, Eric R. ; Rahman, E. Rahkshanda ; Smith, J. Stanley ; Kass, Rena. / Shared decision making in breast cancer : National practice patterns of surgeons. In: Annals of Surgical Oncology. 2013 ; Vol. 20, No. 10. pp. 3323-3329.
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Schubart, JR, Dominici, LS, Farnan, M, Kelly, TA, Manahan, ER, Rahman, ER, Smith, JS & Kass, R 2013, 'Shared decision making in breast cancer: National practice patterns of surgeons', Annals of Surgical Oncology, vol. 20, no. 10, pp. 3323-3329. https://doi.org/10.1245/s10434-013-3112-5

Shared decision making in breast cancer : National practice patterns of surgeons. / Schubart, Jane R.; Dominici, Laura S.; Farnan, Michelle; Kelly, Tricia A.; Manahan, Eric R.; Rahman, E. Rahkshanda; Smith, J. Stanley; Kass, Rena.

In: Annals of Surgical Oncology, Vol. 20, No. 10, 01.10.2013, p. 3323-3329.

Research output: Contribution to journalArticle

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