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Age and race/ethnicity differences in decisional conflict in women diagnosed with ductal carcinoma in situ.
Portugal, Cecilia; Farias, Albert J; Estrada, Erika L; Kawatkar, Aniket A.
Afiliación
  • Portugal C; Department of Research and Evaluation, Kaiser Permanente Southern California, 100 So. Los Robles, Second Floor, Pasadena, CA, 91101, USA. Cecilia.x.Portugal@kp.org.
  • Farias AJ; Department of Preventative Medicine, Keck School of Medicine of USC, 2001 N. Soto Street Health Sciences Campus, Los Angeles, CA, 90032, USA.
  • Estrada EL; Department of Research and Evaluation, Kaiser Permanente Southern California, 100 So. Los Robles, Second Floor, Pasadena, CA, 91101, USA.
  • Kawatkar AA; Department of Research and Evaluation, Kaiser Permanente Southern California, 100 So. Los Robles, Second Floor, Pasadena, CA, 91101, USA.
BMC Womens Health ; 24(1): 89, 2024 02 04.
Article en En | MEDLINE | ID: mdl-38311740
ABSTRACT

PURPOSE:

Women diagnosed with ductal carcinoma in situ (DCIS) face confusion and uncertainty about treatment options. The objective of this study was to determine whether there are differences in decisional conflict about treatment by age and race/ethnicity.

METHODS:

A cross-sectional survey was conducted of women (age ≥ 18) diagnosed with DCIS enrolled at Kaiser Permanente of Southern California. The Decisional Conflict Scale (DCS) measured personal perceptions of decision uncertainty, values clarity, and effective decision-making. We used a multivariable regression to study whether age, race, and ethnicity were associated with patient-reported DCS.

RESULTS:

45% (N = 1395) of women who received the online survey, participated. The mean age was 56 (± 9.6) years, the majority were white. Compared to women younger than 50, women aged 60-69 reported lower overall DCS scores (-5.4; 95% CI -1.5 to -9.3). Women > 70 had lower values clarity scores (-9.0; 95% CI -2.8 to -15.2) about their treatment compared to women aged 50-59 and 60-69 (-7.1; 95% CI -2.9 to -11.3 and - 7.2; 95% CI -2.9 to -11.5) and likewise, lower effective decision-making scores (-5.4; 95% CI -1.7 to -9.2 and - 5.2; 95% CI -1.4 to -9.0) compared to women < 50. Compared to whites, blacks reported lower decision conflict (-4.4; 95% CI 0.04 to -8.8) and lower informed decision (-5.2; 95% CI -0.18 to -10.3) about DCIS treatment.

CONCLUSION:

Younger women reported higher decisional conflict about DCIS treatment, compared to older women (> 70). Age based tailored discussions about treatment options, health education, and supportive decision-making interventions/tools may reduce decision conflict in future DCIS patients. TRADE REGISTRATION The IRB number is 10678.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Carcinoma Intraductal no Infiltrante / Toma de Decisiones Tipo de estudio: Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Aged / Female / Humans / Middle aged Idioma: En Revista: BMC Womens Health Asunto de la revista: SAUDE DA MULHER Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Carcinoma Intraductal no Infiltrante / Toma de Decisiones Tipo de estudio: Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Aged / Female / Humans / Middle aged Idioma: En Revista: BMC Womens Health Asunto de la revista: SAUDE DA MULHER Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido