Breast Cancer: Sharing the Decision / Edition 1

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Of all cancers, probably breast cancer is one of the most emotive. Inc reasingly patients with breast cancer are participating in the surgica l and/or medical decisions about their treatment. This involvement rai ses ethical issues about the rights of patients and their ability to g ive an informed consent, concerns about the process of communication b etween the medical staff and the patient, and also issues about the ps ychology of not only the woman with breast cancer, but also the doctor . This book addresses these issues relating to shared decision making and in particular those areas where a choice of treatment option invol ves some degree of risk/benefit analysis.

Disc. ethics, patient access to information, communication, psychiatric morbidity, treatment options, etc.

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Editorial Reviews

Noting that breast cancer patients do better in the long run when they are fully informed and have taken part in the decision making regarding treatment, specialists in the various treatment options highlight the issues that should be considered by the woman and the doctor. They also discuss general topics such as communication, ethics, access to information and shared decision making. Annotation c. Book News, Inc., Portland, OR (
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Product Details

  • ISBN-13: 9780192629678
  • Publisher: Oxford University Press, USA
  • Publication date: 5/28/1999
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 288
  • Product dimensions: 6.10 (w) x 9.10 (h) x 0.70 (d)

Meet the Author

University of Northumbria, Newcastle

The Royal Marsden NHS Trust-Institute of Cancer Research, London

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Table of Contents

1 Sharing the dilemma 1
2 Ethics and patient access to information 15
3 Clinical effectiveness and evidence-based practice 39
4 Communication, psychiatric morbidity, access to information, and decision-making 45
5 Approaches to shared decision-making 69
6 Shared decision-making: a summary and future issues 99
7 The breast care nurse 109
8 Decision-making in breast cancer screening 129
9 Decision-making for breast cancer predisposition gene testing 152
10 Breast cancer prevention using tamoxifen 165
11 Surgical treatment options 177
12 Early breast cancer - medical treatment options 186
13 Radiotherapy treatment 199
14 Resource organizations 219
References 227
Index 257
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