Evidence map›Paper›PMID 31883052›Full record

ArticleJournal of patient-reported outcomes2019

Expectations of breast-conserving therapy: a qualitative study.

Sarah Fuzesi, Karima Becetti, Anne F Klassen, Mary L Gemignani, Andrea L Pusic

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of patient-reported outcomes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05196269 (Comparing Decision on Match of Expectations and Aesthetics Using a Conventional Versus a Cloud-based Healthcare Platform Approach in Breast Cancer Patients Proposed for Locoregional Treatment), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 46% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

NCT05196269 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

Comparing Decision on Match of Expectations and Aesthetics Using a Conventional Versus a Cloud-based Healthcare Platform Approach in Breast Cancer Patients Proposed for Locoregional Treatment: A Prospective Randomized Trial

TypeinterventionalSponsorFundacao ChampalimaudRan2023 to 2026Enrolled1,030ConditionsBreast CancerArmsArtificial Intelligence and Digital Health Arm
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Patient-Reported Outcomes and Experiences Assessment in Women with Breast Cancer: Portuguese Case Study.International journal of environmental research and public health · 2023
    Article
  5. Article
  6. Surgeons' Perspective of Decision Making in Recurrent Diverticulitis: A Qualitative Analysis.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022
    Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 2 countries.

Sarah FuzesiDepartment of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA. sarah.fuzesi@gmail.com.ORCID http://orcid.org/0000-0002-2275-0350
Karima BecettiHospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
Anne F KlassenDepartment of Pediatrics, McMaster University, 1280 Main Street W, Hamilton, ON, L8S 4L8, Canada.
Mary L GemignaniDepartment of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.
Andrea L PusicDana-Farber/Brigham and Women's Cancer Center, Boston, MA, 02115, USA.
Dana-Farber Brigham Cancer Center · USHospital for Special Surgery · USMcMaster University · CAMemorial Sloan Kettering Cancer Center · USSaint Barnabas Medical Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Agency for Healthcare Research and Quality (US) T32HS00066AHRQ HHS T32 HS000066NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundEarly-stage breast cancer is often treated with breast-conserving therapy (BCT), including lumpectomy with radiation therapy. Patients' expectations of BCT remain largely unknown. Expectations affect perceptions of treatment-related experiences and health-related quality of life (HR-QOL) outcomes. Our primary aim was to describe expectations of BCT among patients with early breast cancer through qualitative methods. Our secondary aim was to inform preoperative patient education and improve the patient experience through knowledge.

methodsWe used a grounded-theory approach to investigate a convenience sample of 22 women with stage I and II breast cancer who were treated with BCT at a single hospital in New York City between May and August 2016. Semi-structured interviews were conducted in person and by telephone. Open-ended questions covered participants' expectations of treatment experiences and outcomes. Data was analyzed in a line-by-line approach to identify emergent themes related to patient expectations. Interviews continued until no new themes emerged.

resultsAnalysis of data identified the following themes related to patient expectations of BCT: experience of cancer care, recovery, appearance, and HR-QOL. Despite preoperative informed consent and teaching, participants expressed few expectations preoperatively, owing to a lack of knowledge about the process of care. Lack of expectations preoperatively was compensated with available care and resources postoperatively.

conclusionsPatients in our sample had a surprisingly limited understanding of what to expect during treatment with BCT. Despite available information and preoperative teaching, patients have a clear knowledge gap regarding BCT. These findings suggest patients often undergo cancer treatment with trust rather than complete understanding of the process. This data may be used to enhance preoperative discussions aimed at preparing patients for surgery and treatment.

Indexed as

Breast cancerBreast-conserving therapyExpectationsHealth-related quality of lifePatient-reported measurePreoperative education

Identifiers

PMID31883052
PMCPMC6934637
OpenAlexW2997272332

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.