The factors involved in surgical decision-making in younger women diagnosed with breast cancer in Aotearoa New Zealand: A qualitative analysis

Author:

Blackmore Tania1ORCID,Norman Kimberley1,Burrett Vanessa2,Scarlet Jenni2,Campbell Ian2,Lawrenson Ross1

Affiliation:

1. University of Waikato, New Zealand

2. Te Whatu Ora – Health New Zealand Waikato, New Zealand

Abstract

Women diagnosed with breast cancer must make important surgical decisions. The decision-making process for younger women is complex, with this group more likely to have an advanced diagnosis and life-stage considerations that can impact on treatment. This study investigated the decision-making process of women aged <50 years who had undergone breast cancer surgery within the preceding 12 months in Aotearoa New Zealand. Twelve women participated in semi-structured qualitative interviews to explore the factors that influenced treatment decisions. Thematic analysis resulted in three themes. Fear was the main concept identified as the primary influence on initial decision-making. Good quality shared decision-making between patient and clinician was found to provide essential support during the diagnosis to treatment period. In addition, women expressed a need for multi-modal presentation of medical information and more material reflecting younger women. These findings inform provision for younger women making surgical decisions when diagnosed with breast cancer.

Funder

Health Research Council of New Zealand

Publisher

SAGE Publications

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