Citation

Brands-Appeldoorn ATPM, Maaskant-Braat AJG, Tjan-Heijnen VCG, Roumen RMH (2019) Does a New Information Structure about Cosmetic Outcome of Breast-Conserving Treatment Result in a Better Informed Patient? Outcome of a Comparative Case Study. Int J Cancer Clin Res 6:109. doi.org/10.23937/2378-3419/1410109

Copyright

© 2019 Brands-Appeldoorn ATPM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

ORIGINAL ARTICLE | OPEN ACCESSDOI: 10.23937/2378-3419/1410109

Does a New Information Structure about Cosmetic Outcome of Breast-Conserving Treatment Result in a Better Informed Patient? Outcome of a Comparative Case Study

ATPM Brands-Appeldoorn, MSc1*, AJG Maaskant-Braat, MD, PhD1, VCG Tjan-Heijnen, MD, PhD2 and RMH Roumen, MD, PhD1,2

1Department of Surgery, Máxima Medical Center, The Netherlands

2Division of Medical Oncology, GROW - School for Oncology and Developmental Biology, Maastricht, The Netherlands

Abstract

Background

To investigate whether the implementation of additional modern information tools about cosmetic outcome of breast-conserving treatment (BCT) could improve patient satisfaction.

Methods

A comparative case study compared data of two cross-sectional studies. The historical group (HG) was treated in 2013, the implementation group (IG) in 2016. The HG received a questionnaire, which resulted in implementation of the following items in our practice, expansion of the BCT brochure and photo book, incorporation of the Harvard and Numeric Rating scale. The IG received the same questionnaire, with the addition of nine more questions concerning specific implementation aspects.

Results

The HG contained 76 patients (age 41-86), versus 57 in the IG (age 40-84). Although additional information tools were implemented, no significant enhancement of IG patient satisfaction could be demonstrated. Nevertheless, the need for information appeared significantly greater (p < 0.001) in the IG.

Conclusion

The need for information about cosmesis was greater in the IG, possibly due to increased attention paid by professionals. Furthermore, it is difficult to improve an information program concerning cosmetic consequences of BCT, despite the implementation of better tools. Professionals should focus on individual cosmetic outcome information during the entire treatment and follow up process of BCT.