How can we best respect patient autonomy in breast cancer treatment decisions?

Author:

Martinez Kathryn A1,Kurian Allison W2,Hawley Sarah T13,Jagsi Reshma4

Affiliation:

1. VA Center for Clinical Management Research, 2800 Plymouth Road, Building 16, 3rd Floor, Ann Arbor, MI 48105, USA

2. Stanford University School of Medicine, 291 Campus Dr, Stanford, CA 94305, USA

3. Division of General Medicine, University of Michigan, 2800 Plymouth Road, Building 16, Room 430W, Ann Arbor MI, 48105, USA

4. Department of Radiation Oncology, University of Michigan, 1500 E Medical Center Dr, Ann Arbor, MI 48109, USA

Abstract

SUMMARY  Helping patients to maximize their autonomy in breast cancer decision-making is an important aspect of patient-centered care. Shared decision-making is a strategy that aims to maximize patient autonomy by integrating the values and preferences of the patient with the biomedical expertise of the physician. Application of this approach in breast cancer decision-making has not been uniform across cancer-specific interventions (e.g., surgery, chemotherapy), and in some circumstances may present challenges to evidence-based care delivery. Increasingly precise estimates of individual patients’ risk of recurrence and commensurate predicted benefit from certain therapies hold significant promise in helping patients exercise autonomous decision-making for their breast cancer care, yet will also likely complicate decision-making for certain subgroups of patients.

Publisher

Future Medicine Ltd

Subject

Radiology, Nuclear Medicine and imaging,Oncology

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