A decision aid for the surgical treatment of early breast cancer was evaluated in a randomized controlled trial. The decision aid, a tape and workbook, includes explicit presentation of probabilities, photographs and graphics, and a values clarification exercise. Community surgeons were randomized to use the decision aid or a control pamphlet. Patients completed a questionnaire prior to using the decision aid, after reviewing it but prior to surgery, and 6 months after enrollment. There was no difference in anxiety, knowledge, or decisional regret across the 2 groups. There was a nonsignificant trend toward lower decisional conflict in the decision aid group. A subgroup of women who were initially leaning toward mastectomy or were unsure had lower decisional conflict. Although the decision aid had minimal impact on the main study outcomes, a subgroup may have benefited. Such subgroups should be identified, and appropriate decision support interventions should be developed and evaluated.<\/p>\n","protected":false},"excerpt":{"rendered":"
A decision aid for the surgical treatment of early breast cancer was evaluated in a randomized controlled trial. The decision aid, a tape and workbook, includes explicit presentation of probabilities, photographs and graphics, and a values clarification exercise. Community surgeons were randomized to use the decision aid or a control pamphlet. Patients completed a questionnaire […]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[21],"migration-helper-qa-sample-set":[],"class_list":["post-3854","journal_article","type-journal_article","status-publish","hentry","topic-women-or-gender-based-research"],"acf":{"citation":"Goel V, Sawka CA, Thiel EC, Gort EH, O'Connor AM. Med Decis Making<\/em>. 2001; 21(1):1-6.","source_url":"http:\/\/mdm.sagepub.com\/content\/21\/1\/1.long","ices_scientist":[1253],"site":[6735],"research_program":[],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"72B8751C-8583-4C57-9A11-BF2C999D265F","sitecore_item_name":"Randomized-trial-of-a-patient-decision-aid-for-choice-of-surgical-treatment-for-breast-cancer","sitecore_field_values":"{\n \"Title\": \"Randomized trial of a patient decision aid for choice of surgical treatment for breast cancer\",\n \"Short title\": \"Randomized trial of a patient decision\",\n \"Citation\": \"