PSYCHOLOGICAL EFFECTS OF BEING OFFERED CHOICE OF SURGERY FOR BREAST-CANCER
PSYCHOLOGICAL EFFECTS OF BEING OFFERED CHOICE OF SURGERY FOR BREAST-CANCER
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DOI：
10.1136/bmj.309.6952.448
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发表时间：
1994-08-13
影响因子：
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通讯作者：
AHERN, RPA
中科院分区：
文献类型：
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作者：
FALLOWFIELD, LJ;HALL, A;AHERN, RPA
患者参与医疗保健决策的假定好处经常被强烈消费主义方法的支持者断言，但很少有数据支持。例如，支持者认为，选择手术的机会可以防止与乳腺癌相关的心理疾病。研究的结果是模棱两可的，尽管这些研究通常基于小样本，随访时间短，对发病率的评估很少。我们报告了一项为期三年的前瞻性研究的心理数据，该研究将接受外科医生尽可能提供选择的妇女与接受外科医生倾向于乳房切除术或保乳手术的妇女进行了比较。
The putative benefits of patients participating in decision making in health care are frequently asserted by the proponents of a strong consumerist approach but are supported by few data. The proponents argue, for example, that an opportunity to choose surgery prevents the psychological morbidity associated with breast cancer. Results from studies are equivocal, although the studies are often based on small samples with short follow up and minimal assessment of morbidity.* RF 1-3* We report psychological data from a prospective study covering three years which compared women treated by surgeons who offered choice whenever possible with women treated by surgeons who favoured either mastectomy or breast conserving surgery.