Effective methods for disclosing breast cancer diagnosis

Am J Surg. 2007 Oct;194(4):488-90. doi: 10.1016/j.amjsurg.2007.06.007.

Abstract

Background: The current study sought to determine effective methods for disclosing breast cancer diagnosis and to identify epidemiologic patterns in patient preference for method of information disclosure.

Methods: Surveys were sent to 691 breast cancer patients over 10 years. Questions evaluated the best methods for telling a woman of her diagnosis. The chi-square, Wilcoxon rank, and Mantel-Haenszel tests were used for statistical associations.

Results: Ninety percent of patients had no preference for which gender disclosed the diagnosis. Fifty-nine percent said they believe it is important to be asked how much information one would like to know when initially told the diagnosis. However, most (54%) were not asked when they were told. When asked if previous ideas about breast cancer influenced their concerns, 79% answered "yes" or "somewhat." However, only 10% knew "a great deal."

Conclusions: Patients have defined preferences about breast cancer diagnosis disclosure, making effective methods of diagnosis disclosure important to identify and practice.

MeSH terms

  • Breast Neoplasms / diagnosis*
  • Female
  • Humans
  • Middle Aged
  • Surveys and Questionnaires
  • Truth Disclosure*