Decision Aids for Decision Making about Locally Advance Breast Cancer: A Systematic Review

Locally advanced breast cancer (LABC) is a subset of breast cancer with locoregional progression without distant metastasis. The multimodality treatment (surgery, chemotherapy, radiotherapy, hormonal and targeted therapy if required) could significantly improve results in this specific group of pati...

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Autores: Maes Carballo, Marta, Martín-Díaz, M., García. García, Manuel, Reinoso Hermida, Ayla, Mignini, L., Teixeira-Arcaya, R.P., Khan, K.S., Bueno-Cavanillas, A.
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Servizo Galego de Saúde (SERGAS)
Repositorio:RUNA. Repositorio da Consellería de Sanidade e Sergas
OAI Identifier:oai:runa.sergas.gal:20.500.11940/21311
Acceso en línea:https://portalcientifico.sergas.gal//documentos/63df0a9a6fdec82c4e7df19f
http://hdl.handle.net/20.500.11940/21311
Access Level:acceso abierto
Palabra clave:AS Ourense
HP Verín
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spelling Decision Aids for Decision Making about Locally Advance Breast Cancer: A Systematic ReviewMaes Carballo, MartaMartín-Díaz, M.García. García, ManuelReinoso Hermida, AylaMignini, L.Teixeira-Arcaya, R.P.Khan, K.S.Bueno-Cavanillas, A.AS OurenseHP VerínAS OurenseCHUOAS OurenseCHUOLocally advanced breast cancer (LABC) is a subset of breast cancer with locoregional progression without distant metastasis. The multimodality treatment (surgery, chemotherapy, radiotherapy, hormonal and targeted therapy if required) could significantly improve results in this specific group of patients. The complex and multiple options of treatment with similar mortality rates but different outcomes depending on the patient's desires, preferences and social environment require aid to facilitate the individual patient's decisions (e.g. Decision Aids (DAs) targeting patients considering primary or adjuvant treatment in LABC). In this context, DAs have been proven fundamental to help patients and clinicians share and agree on the best value option. The current systematic review aimed to evaluate the existing DAs related to these patients with LABC and identify current status and possible improvement areas (possible scarcity and heterogeneity of instruments, the status of their development, explanation of their purpose,?). No previous systematic reviews have been published on this topic. Following Prospero registration no: CRD42021286173, studies about LABC DAs were identified, without data or language restrictions, through a systematic search of bibliographic databases in December 2021. Quality was assessed using Qualsyst criteria (range 0.0-1.0). The quality of the 17 selected studies ranged from 0.46 to 0.95. Of them, 14/17 (82%) were DAs about treatment, only one (6%) about diagnosis, and 2/17 (12%) about the employment of DAs. No screening or follow-up DAs were retrieved. Twelve (70.6%) DAs were online tools. They varied broadly regarding their characteristics and purposes. Most of the studies focused on developing and testing different DAs (5/17; 29.4%) and their impact (7/17; 41.2%). Only 4/17 (23.5%) analysed their implementation and cost. These instruments have proven to improve patient's knowledge and decision-making, decrease patient anxiety, and patients tend to undergo treatment. However, nowadays, there is still a need for further research and consensus on methodology to develop practical DAs.2023info:eu-repo/semantics/articlehttps://portalcientifico.sergas.gal//documentos/63df0a9a6fdec82c4e7df19fhttp://hdl.handle.net/20.500.11940/21311reponame:RUNA. Repositorio da Consellería de Sanidade e Sergasinstname:Servizo Galego de Saúde (SERGAS)Ingléshttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:runa.sergas.gal:20.500.11940/213112026-06-12T08:40:47Z
dc.title.none.fl_str_mv Decision Aids for Decision Making about Locally Advance Breast Cancer: A Systematic Review
title Decision Aids for Decision Making about Locally Advance Breast Cancer: A Systematic Review
spellingShingle Decision Aids for Decision Making about Locally Advance Breast Cancer: A Systematic Review
Maes Carballo, Marta
AS Ourense
HP Verín
AS Ourense
CHUO
AS Ourense
CHUO
title_short Decision Aids for Decision Making about Locally Advance Breast Cancer: A Systematic Review
title_full Decision Aids for Decision Making about Locally Advance Breast Cancer: A Systematic Review
title_fullStr Decision Aids for Decision Making about Locally Advance Breast Cancer: A Systematic Review
title_full_unstemmed Decision Aids for Decision Making about Locally Advance Breast Cancer: A Systematic Review
title_sort Decision Aids for Decision Making about Locally Advance Breast Cancer: A Systematic Review
dc.creator.none.fl_str_mv Maes Carballo, Marta
Martín-Díaz, M.
García. García, Manuel
Reinoso Hermida, Ayla
Mignini, L.
Teixeira-Arcaya, R.P.
Khan, K.S.
Bueno-Cavanillas, A.
author Maes Carballo, Marta
author_facet Maes Carballo, Marta
Martín-Díaz, M.
García. García, Manuel
Reinoso Hermida, Ayla
Mignini, L.
Teixeira-Arcaya, R.P.
Khan, K.S.
Bueno-Cavanillas, A.
author_role author
author2 Martín-Díaz, M.
García. García, Manuel
Reinoso Hermida, Ayla
Mignini, L.
Teixeira-Arcaya, R.P.
Khan, K.S.
Bueno-Cavanillas, A.
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv AS Ourense
HP Verín
AS Ourense
CHUO
AS Ourense
CHUO
topic AS Ourense
HP Verín
AS Ourense
CHUO
AS Ourense
CHUO
description Locally advanced breast cancer (LABC) is a subset of breast cancer with locoregional progression without distant metastasis. The multimodality treatment (surgery, chemotherapy, radiotherapy, hormonal and targeted therapy if required) could significantly improve results in this specific group of patients. The complex and multiple options of treatment with similar mortality rates but different outcomes depending on the patient's desires, preferences and social environment require aid to facilitate the individual patient's decisions (e.g. Decision Aids (DAs) targeting patients considering primary or adjuvant treatment in LABC). In this context, DAs have been proven fundamental to help patients and clinicians share and agree on the best value option. The current systematic review aimed to evaluate the existing DAs related to these patients with LABC and identify current status and possible improvement areas (possible scarcity and heterogeneity of instruments, the status of their development, explanation of their purpose,?). No previous systematic reviews have been published on this topic. Following Prospero registration no: CRD42021286173, studies about LABC DAs were identified, without data or language restrictions, through a systematic search of bibliographic databases in December 2021. Quality was assessed using Qualsyst criteria (range 0.0-1.0). The quality of the 17 selected studies ranged from 0.46 to 0.95. Of them, 14/17 (82%) were DAs about treatment, only one (6%) about diagnosis, and 2/17 (12%) about the employment of DAs. No screening or follow-up DAs were retrieved. Twelve (70.6%) DAs were online tools. They varied broadly regarding their characteristics and purposes. Most of the studies focused on developing and testing different DAs (5/17; 29.4%) and their impact (7/17; 41.2%). Only 4/17 (23.5%) analysed their implementation and cost. These instruments have proven to improve patient's knowledge and decision-making, decrease patient anxiety, and patients tend to undergo treatment. However, nowadays, there is still a need for further research and consensus on methodology to develop practical DAs.
publishDate 2023
dc.date.none.fl_str_mv 2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://portalcientifico.sergas.gal//documentos/63df0a9a6fdec82c4e7df19f
http://hdl.handle.net/20.500.11940/21311
url https://portalcientifico.sergas.gal//documentos/63df0a9a6fdec82c4e7df19f
http://hdl.handle.net/20.500.11940/21311
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv reponame:RUNA. Repositorio da Consellería de Sanidade e Sergas
instname:Servizo Galego de Saúde (SERGAS)
instname_str Servizo Galego de Saúde (SERGAS)
reponame_str RUNA. Repositorio da Consellería de Sanidade e Sergas
collection RUNA. Repositorio da Consellería de Sanidade e Sergas
repository.name.fl_str_mv
repository.mail.fl_str_mv
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