ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2010
Accuracy of perceived risk of recurrence among patients with early-stage breast cancer.
Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 30 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
30 citing papers in PubMed, 53 citations in OpenAlex.
- Trial
- External validation of a data-driven algorithm to identify breast cancer recurrences from administrative healthcare data.Breast (Edinburgh, Scotland) · 2026Article
- The Early Cost-Effectiveness of a Novel Scalp Cooling Device to Alleviate Chemotherapy-Induced Alopecia in Patients with Early Breast Cancer.ClinicoEconomics and outcomes research : CEOR · 2026Article
- Fear of cancer recurrence in long-term post-menopausal breast cancer women: evidence from the French national VICAN survey.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Patient perceptions around the use of clinico-pathologic and genomic tools in the management of early breast cancer.Breast cancer research and treatment · 2025Article
- Relations between recurrence risk perceptions and fear of cancer recurrence in breast cancer survivors.Breast cancer research and treatment · 2022Article
- Accuracy of Perceived Breast Cancer Risk in Black and White Women with an Elevated Risk.Ethnicity & disease · 2022Article
- Gaps in Care and Support for Patients With Advanced Breast Cancer: A Report From the Advanced Breast Cancer Global Alliance.JCO global oncology · 2021Article
- Attitudes and Perceptions Towards Radiation Therapy in Breast Cancer Patients: The Role of a Multidisciplinary Care Team.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021Article
- Therapeutic Targeting of Minimal Residual Disease to Prevent Late Recurrence in Hormone-Receptor Positive Breast Cancer: Challenges and New Approaches.Frontiers in oncology · 2021Review
- What and how are students taught about communicating risks to patients? Analysis of a medical curriculum.PloS one · 2020Observational
- Revision of the fear of cancer recurrence cognitive and emotional model by Lee-Jones et al with women with breast cancer.Cancer reports (Hoboken, N.J.) · 2019Observational
- What does risk of future cancer mean to breast cancer patients?Breast cancer research and treatment · 2019Article
- The relationship between psychological states and health perception in individuals at risk for cardiovascular disease.Psychology research and behavior management · 2019Article
- Development and validation of a new predictive model for breast cancer survival in New Zealand and comparison to the Nottingham prognostic index.BMC cancer · 2018Article
- Interventions are needed to support patient-provider decision-making for DCIS: a scoping review.Breast cancer research and treatment · 2018Article
- What Factors Influence Women's Perceptions of their Systemic Recurrence Risk after Breast Cancer Treatment?Medical decision making : an international journal of the Society for Medical Decision Making · 2018Article
- Motivations for contralateral prophylactic mastectomy as a function of socioeconomic status.BMC women's health · 2017Article
- Recurrence risk perception and quality of life following treatment of breast cancer.Breast cancer research and treatment · 2017Article
- The impact of doctor-patient communication on patients' perceptions of their risk of breast cancer recurrence.Breast cancer research and treatment · 2017Article
Corrections and comments
- Erratum issued
Authors and funding
9 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundAccurate breast cancer recurrence risk perceptions might motivate health-promoting behaviors and alleviate undue anxiety. Although a few studies have examined early-stage breast cancer survivors' perceived risk of recurrence, none have assessed the accuracy of survivors' perceived risk of recurrence.
methodsFirst primary ductal carcinoma in situ and early-invasive breast cancer survivors reported their perceived risk of recurrence during 6- and 12-month postsurgery interviews. We estimated the patients' 10-year risk of recurrence from published clinical trials, and for early-invasive breast cancer patients, risk of distant recurrence was based on their breast cancer-specific mortality calculated using Adjuvant! Online. Patients' perceived risk was compared with their calculated risk and categorized as "Accurate," "Underestimated," "Overestimated," and "Uncertain." Multinomial logit marginal effect models were fitted using Accurate as the reference.
resultsOnly 17% of 531 patients accurately perceived their risk at 6 months, most of whom inaccurately perceived their risk at 12 months (P = 0.0143). Patients who were nonwhite [odds ratio (OR), 1.70; 95% confidence interval (95% CI), 1.12-2.56] and received radiation therapy (OR, 2.01; 95% CI, 1.07-3.77) were more likely to underestimate their risk. Patients with ductal carcinoma in situ (OR, 1.76; 95% CI, 1.11-2.79), [corrected] lower social support (OR, 0.71; 95% CI, 0.53-0.95), and anxiety (OR, 1.58; 95% CI, 1.01-2.47) were more likely to overestimate their risk.
conclusionFew breast cancer survivors accurately perceived their risk of recurrence. IMPACT: The accuracy of perceived risk may be increased by better physician-patient communications about their prognosis, provision of social support, and treatment for coexisting anxiety.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.