title: Association of clinical experiences with patient-reported outcomes among breast cancer surgery patients: breast cancer quality care study.
abstract: BACKGROUND
  We aimed to clarify the association of breast cancer patients' clinical experiences with patient-reported outcomes (PRO) of satisfaction with care, choice of the same type of surgery again, and health-related quality of life (HRQOL).
  
  
  METHODS
  There were 2,403 (25.9%) of 9,283 eligible women who had undergone primary curative surgery for breast cancer in one of five selected hospitals between 1993 and 2002 who responded to a survey questionnaire including information about care experiences, satisfaction with care, and HRQOL.
  
  
  RESULTS
  Treatment satisfaction was independently associated with cancer recurrence, problems obtaining surgery, receiving adjuvant hormonal therapy, being involved in treatment decisions, having opinions reflected in treatment decisions, experiencing treatment toxicity, or being hospitalized for treatment toxicity (P <0.01). Breast-conserving surgery with radiotherapy, receiving adjuvant hormone therapy, being involved in treatment decisions, having opinion reflected in treatment decisions, having no treatment toxicity, and receiving regular follow-up care were associated with choosing the same treatment over again (P < 0.01). Good care experiences, except for regular follow-ups, were significantly associated with good HRQOL in most functioning subscales (P < 0.01).
  
  
  CONCLUSIONS
  Our findings suggest that timely referral for treatment, reflection of the patient's opinions in treatment decisions, and prevention of treatment toxicity might be important to HRQOL.
authors: Department of Surgery, Seoul National University Hospital, Seoul, Korea.
authors: Dong Young
authors: DY
authors: Noh
authors: Seok Jin
authors: SJ
authors: Nam
authors: Se Hyun
authors: SH
authors: Ahn
authors: Byeong Woo
authors: BW
authors: Park
authors: Eun Sook
authors: ES
authors: Lee
authors: Myung Kyung
authors: MK
authors: Lee
authors: Soo Hyun
authors: SH
authors: Kim
authors: Yoo Min
authors: YM
authors: Kim
authors: Sang Min
authors: SM
authors: Park
authors: Young Ho
authors: YH
authors: Yun
mesh_terms: D001943:Breast Neoplasms / Q000601:surgery*; D003430:Cross-Sectional Studies; D005260:Female; D006306:Health Surveys; D006801:Humans; D008408:Mastectomy / Q000523:psychology*; D008875:Middle Aged; D010358:Patient Participation; D017060:Patient Satisfaction; D011788:Quality of Life; D011795:Surveys and Questionnaires; D017741:Survivors