Survey on breast cancer patients in China toward breast-conserving surgery

Authors

  • Li Zhang,

    1. Department of Medical Oncology of Cancer Center, West China Hospital, Sichuan University, Chengdu, People's Republic of China
    Search for more papers by this author
    • Li Zhang, Ming Jiang and Yi Zhou contributed equally to this work.

  • Ming Jiang,

    1. Department of Medical Oncology of Cancer Center, West China Hospital, Sichuan University, Chengdu, People's Republic of China
    Search for more papers by this author
    • Li Zhang, Ming Jiang and Yi Zhou contributed equally to this work.

  • Yi Zhou,

    1. Department of Breast Surgery, Sichuan Provincial People's Hospital, Chengdu, People's Republic of China
    Search for more papers by this author
    • Li Zhang, Ming Jiang and Yi Zhou contributed equally to this work.

  • Xiao-bo Du,

    1. Department of Oncology, Mianyang Central Hospital, Mianyang, Sichuan, People's Republic of China
    Search for more papers by this author
  • Wen-xiu Yao,

    1. Department of Medical Oncology, Sichuan Cancer Hospital, Sichuan, People's Republic of China
    Search for more papers by this author
  • Xi Yan,

    1. Department of Medical Oncology of Cancer Center, West China Hospital, Sichuan University, Chengdu, People's Republic of China
    Search for more papers by this author
  • Yu Jiang,

    1. Department of Medical Oncology of Cancer Center, West China Hospital, Sichuan University, Chengdu, People's Republic of China
    2. State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, People's Republic of China
    Search for more papers by this author
  • Li-qun Zou

    Corresponding author
    1. Department of Medical Oncology of Cancer Center, West China Hospital, Sichuan University, Chengdu, People's Republic of China
    2. State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, People's Republic of China
    • State Key Laboratory of Biotherapy, Department of Medical Oncology of Cancer Center, West China Hospital, Sichuan University, Chengdu 610041, People's Republic of China
    Search for more papers by this author

Abstract

Objective: We sought to investigate attitudes toward breast-conserving therapy (BCS) in early-stage breast cancer (EBC) patients from P. R. China and assess the factors influencing their decision.

Background: There exists geographical difference in decision to perform mastectomy or BCS for EBC patients. To date, there has been no report on attitudes toward BCS or factors influencing the surgical choice in mainland China.

Methods: A structured questionnaire was delivered to 1800 EBC patients. The questionnaire elicited information about general patients' characteristics, attitudes toward BCS, the roles of doctors and spouses, the levels of understanding of BCS, and the reasons for their preferences.

Results: Of 1590 participants, only 7.3% anticipated BCS and this was significantly associated with patient age, income, occupation, martial status, education, levels of self-understanding of the disease, and doctors' and spouses' suggestions (P<0.05). Approximately 70% of doctors (71.0%) and 40% spouses (39.6%) advised patients not to conserve their breasts. Although the percentage of patients endorsing BCS was higher than that of those opposing it (43.7 vs 15.1%) and more patient believed BCS was beneficial for women (39.2%), even if given another opportunity, only 32.5% of patients preferred to choose it. Moreover, the level of understanding BCS among patients is low (well-known: less-known: never-heard, 2.3 vs 47.4 vs 13.3%).

Conclusions: These results suggested that Chinese EBC patients lack accurate and comprehensive understanding of BCS. More efforts are needed to educate breast cancer patients in mainland China toward BCS. Copyright © 2011 John Wiley & Sons, Ltd.

Ancillary