treatment preferences in breast cancer

Many younger women prefer active involvement in treatment decision making; this is particularly the case for women with a higher level of education.49 Clinicians should offer detailed information about treatment options and seek women’s preferences.

A diagnosis of breast cancer prompts concerns about the future and survival, and fear of death and dying.50-52 Consideration of the needs of children and family is important for young women, and there is some evidence to suggest that women with dependants may be more willing to assume risks in treatments for even small potential increases in life expectancy.53 Other important issues of concern may include fertility,54 body image,55,56 career and finances.47 These issues should be identified and addressed by clinicians when providing information and discussing treatment options.
Women appear more likely to perceive greater participation in and control over decision making when clinicians encourage and facilitate their involvement.49