Influencing factors in treatment decision-making for breast cancer patients: a systematic review_Chinese Journal of Evidence-Based Medicine

Authors：

XIAO Lin , FANG Qinghong , LIN Jingjing , LIU Yawei ,  ZHANG Lili

School of Nursing, Southern Medical University, Guangzhou 510515, P. R. China;

Corresponding author：

ZHANG Lili, Email: zhanglili_gz@126.com

Keywords：

Breast cancer; Treatment decision-making; Influencing factor; Systematic review

DOI：

10.7507/1672-2531.202112014

Video：

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Objective To systematically review the influencing factors of breast cancer patients in treatment decision-making. Methods Web of Science, PubMed, EMbase, The Cochrane Library, JBI Evidence Synthesis, CINAHL, CNKI, WanFang Data, VIP and CBM databases were electronically searched to collect qualitative studies about the influencing factors of breast cancer patients in treatment decision-making from inception to October 2021. Two reviewers independently screened literature, extracted data and assessed the risk of bias of the included studies. Then, the results were combined using integrating methods. Results A total of 13 studies were included. Sixty-seven results were extracted, with 22 results retained after incorporation and removal of duplications. The 22 results were grouped according to their similarities to form 6 categories. These categories resulted in two synthesized findings: influencing factors of patient participation in treatment decision-making and integration results and influencing factors of patients' treatment options. Conclusion Breast cancer patient participation in treatment decisions is influenced not only by internal factors, but also by family and external situational factors. When patients choose treatment, they consider not only their personal values and preferences, but also the impact of treatment on their families and their expectations. The choice is also influenced by social and cultural aspects.

Citation： XIAO Lin, FANG Qinghong, LIN Jingjing, LIU Yawei, ZHANG Lili. Influencing factors in treatment decision-making for breast cancer patients: a systematic review. Chinese Journal of Evidence-Based Medicine, 2022, 22(4): 430-437. doi: 10.7507/1672-2531.202112014 Copy

1.	Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, 2021, 71(3): 209-249.
2.	McAlpine K, Lewis KB, Trevena LJ, et al. What is the effectiveness of patient decision aids for cancer-related decisions. A systematic review subanalysis. JCO Clin Cancer Inform, 2018, 2: 1-13.
3.	Shay LA, Lafata JE. Where is the evidence. A systematic review of shared decision making and patient outcomes. Med Decis Making, 2015, 35(1): 114-131.
4.	Kehl KL, Landrum MB, Arora NK, et al. Association of actual and preferred decision roles with patient-reported quality of care: shared decision making in cancer care. JAMA Oncol, 2015, 1(1): 50-58.
5.	Tariman JD, Berry DL, Cochrane B, et al. Preferred and actual participation roles during health care decision making in persons with cancer: a systematic review. Ann Oncol, 2010, 21(6): 1145-1151.
6.	睢琪玉, 张锦欣, 苏靖雯, 等. 乳腺癌患者治疗决策参与体验的系统评价. 心理学进展, 2021, 11(4): 919-931.
7.	胡雁, 郝玉芳. 循证护理学. 北京: 人民卫生出版社, 2018: 157-164.
8.	The Joanna Briggs Institute. Joanna Briggs institute reviewers’ manual: 2016 edition. Australia: the Joanna Briggs Institute, 2016.
9.	Colvin CJ, Garside R, Wainwright M, et al. Applying GRADE-CERQual to qualitative evidence synthesis findings-paper 4: how to assess coherence. Implement Sci, 2018, 13(Suppl 1): 13.
10.	Husain LS, Collins K, Reed M, et al. Choices in cancer treatment: a qualitative study of the older women's (>70 years) perspective. Psychooncology, 2008, 17(4): 410-416.
11.	刘苏. 乳腺癌患者参与手术决策体验的质性研究. 湖州: 湖州师范学院, 2018.
12.	栗敏, 陈琳, 韩晶晶, 等. 可行保乳手术的乳腺癌患者选择单乳切除决策影响因素的质性研究. 中华现代护理杂志, 2020, 26(20): 2736-2740.
13.	Wang L, Geng X, Ji L, et al. Treatment decision-making, family influences, and cultural influences of Chinese breast cancer survivors: a qualitative study using an expressive writing method. Support Care Cancer, 2020, 28(7): 3259-3266.
14.	Xiong M, Stone TE, Turale S, et al. Women's experiences of making healthcare decisions about their breast cancer: A phenomenological study. Nurs Health Sci, 2016, 18(3): 314-320.
15.	郑红颖, 杨林宁, 尤婷婷, 等. 乳腺癌患者参与共享决策阻碍及促进因素的描述性质性研究. 中国护理管理, 2020, 20(10): 1492-1496.
16.	赵子韩, 强万敏, 王书蕊, 等. 乳腺癌患者术前决策体验的质性研究. 护士进修杂志, 2021, 36(16): 1531-1535.
17.	Giunta S, Laidsaar-Powell R, Huang L, et al. Considering the type and timing of breast reconstruction after mastectomy: Qualitative insights into women's decision-making. Eur J Oncol Nurs, 2021, 54: 102024.
18.	Sheppard VB, Adams IF, Lamdan R, et al. The role of patient-provider communication for black women making decisions about breast cancer treatment. Psychooncology, 2011, 20(12): 1309-1316.
19.	Rocque GB, Rasool A, Williams BR, et al. What is important when making treatment decisions in metastatic breast cancer. A qualitative analysis of decision-making in patients and oncologists. Oncologist, 2019, 24(10): 1313-1321.
20.	O'Brien MA, Ellis PM, Whelan TJ, et al. Physician-related facilitators and barriers to patient involvement in treatment decision making in early stage breast cancer: perspectives of physicians and patients. Health Expect, 2013, 16(4): 373-384.
21.	Lawhon VM, England RE, Wallace AS, et al. "It's important to me": A qualitative analysis on shared decision-making and patient preferences in older adults with early-stage breast cancer. Psychooncology, 2021, 30(2): 167-175.
22.	Hatton A, Heriot N, Zalcberg J, et al. Factors involved in treatment decision making for women diagnosed with ductal carcinoma in situ: A qualitative study. Breast, 2021, 60: 123-130.
23.	Fielding R, Lam W. Surgical treatment decision making in breast cancer among Chinese women: participation and satisfaction. Hong Kong Med J, 2007, 13(3): 171-180.
24.	Niranjan SJ, Wallace A, Williams BR, et al. Trust but verify: exploring the role of treatment-related information and patient-physician trust in shared decision making among patients with metastatic breast cancer. J Cancer Educ, 2020, 35(5): 885-892.
25.	Rutten LJ, Arora NK, Bakos AD, et al. Information needs and sources of information among cancer patients: a systematic review of research (1980-2003). Patient Educ Couns, 2005, 57(3): 250-261.
26.	Syrowatka A, Krömker D, Meguerditchian AN, et al. Features of computer-based decision aids: systematic review, thematic synthesis, and meta-analyses. J Med Internet Res, 2016, 18(1): e20.

1. Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, 2021, 71(3): 209-249.
2. McAlpine K, Lewis KB, Trevena LJ, et al. What is the effectiveness of patient decision aids for cancer-related decisions. A systematic review subanalysis. JCO Clin Cancer Inform, 2018, 2: 1-13.
3. Shay LA, Lafata JE. Where is the evidence. A systematic review of shared decision making and patient outcomes. Med Decis Making, 2015, 35(1): 114-131.
4. Kehl KL, Landrum MB, Arora NK, et al. Association of actual and preferred decision roles with patient-reported quality of care: shared decision making in cancer care. JAMA Oncol, 2015, 1(1): 50-58.
5. Tariman JD, Berry DL, Cochrane B, et al. Preferred and actual participation roles during health care decision making in persons with cancer: a systematic review. Ann Oncol, 2010, 21(6): 1145-1151.
6. 睢琪玉, 张锦欣, 苏靖雯, 等. 乳腺癌患者治疗决策参与体验的系统评价. 心理学进展, 2021, 11(4): 919-931.
7. 胡雁, 郝玉芳. 循证护理学. 北京: 人民卫生出版社, 2018: 157-164.
8. The Joanna Briggs Institute. Joanna Briggs institute reviewers’ manual: 2016 edition. Australia: the Joanna Briggs Institute, 2016.
9. Colvin CJ, Garside R, Wainwright M, et al. Applying GRADE-CERQual to qualitative evidence synthesis findings-paper 4: how to assess coherence. Implement Sci, 2018, 13(Suppl 1): 13.
10. Husain LS, Collins K, Reed M, et al. Choices in cancer treatment: a qualitative study of the older women's (>70 years) perspective. Psychooncology, 2008, 17(4): 410-416.
11. 刘苏. 乳腺癌患者参与手术决策体验的质性研究. 湖州: 湖州师范学院, 2018.
12. 栗敏, 陈琳, 韩晶晶, 等. 可行保乳手术的乳腺癌患者选择单乳切除决策影响因素的质性研究. 中华现代护理杂志, 2020, 26(20): 2736-2740.
13. Wang L, Geng X, Ji L, et al. Treatment decision-making, family influences, and cultural influences of Chinese breast cancer survivors: a qualitative study using an expressive writing method. Support Care Cancer, 2020, 28(7): 3259-3266.
14. Xiong M, Stone TE, Turale S, et al. Women's experiences of making healthcare decisions about their breast cancer: A phenomenological study. Nurs Health Sci, 2016, 18(3): 314-320.
15. 郑红颖, 杨林宁, 尤婷婷, 等. 乳腺癌患者参与共享决策阻碍及促进因素的描述性质性研究. 中国护理管理, 2020, 20(10): 1492-1496.
16. 赵子韩, 强万敏, 王书蕊, 等. 乳腺癌患者术前决策体验的质性研究. 护士进修杂志, 2021, 36(16): 1531-1535.
17. Giunta S, Laidsaar-Powell R, Huang L, et al. Considering the type and timing of breast reconstruction after mastectomy: Qualitative insights into women's decision-making. Eur J Oncol Nurs, 2021, 54: 102024.
18. Sheppard VB, Adams IF, Lamdan R, et al. The role of patient-provider communication for black women making decisions about breast cancer treatment. Psychooncology, 2011, 20(12): 1309-1316.
19. Rocque GB, Rasool A, Williams BR, et al. What is important when making treatment decisions in metastatic breast cancer. A qualitative analysis of decision-making in patients and oncologists. Oncologist, 2019, 24(10): 1313-1321.
20. O'Brien MA, Ellis PM, Whelan TJ, et al. Physician-related facilitators and barriers to patient involvement in treatment decision making in early stage breast cancer: perspectives of physicians and patients. Health Expect, 2013, 16(4): 373-384.
21. Lawhon VM, England RE, Wallace AS, et al. "It's important to me": A qualitative analysis on shared decision-making and patient preferences in older adults with early-stage breast cancer. Psychooncology, 2021, 30(2): 167-175.
22. Hatton A, Heriot N, Zalcberg J, et al. Factors involved in treatment decision making for women diagnosed with ductal carcinoma in situ: A qualitative study. Breast, 2021, 60: 123-130.
23. Fielding R, Lam W. Surgical treatment decision making in breast cancer among Chinese women: participation and satisfaction. Hong Kong Med J, 2007, 13(3): 171-180.
24. Niranjan SJ, Wallace A, Williams BR, et al. Trust but verify: exploring the role of treatment-related information and patient-physician trust in shared decision making among patients with metastatic breast cancer. J Cancer Educ, 2020, 35(5): 885-892.
25. Rutten LJ, Arora NK, Bakos AD, et al. Information needs and sources of information among cancer patients: a systematic review of research (1980-2003). Patient Educ Couns, 2005, 57(3): 250-261.
26. Syrowatka A, Krömker D, Meguerditchian AN, et al. Features of computer-based decision aids: systematic review, thematic synthesis, and meta-analyses. J Med Internet Res, 2016, 18(1): e20.

Chinese Journal of Evidence-Based Medicine

Influencing factors in treatment decision-making for breast cancer patients: a systematic review

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