title: Adjuvant chemotherapy for breast cancer patients: patients' expectations and physicians' attitudes.
abstract: OBJECTIVE
  Findings show that there is a certain degree of refusal on the part of breast cancer patients to undergo adjuvant therapy. Accordingly, the major goals of the study were, first, to learn more about the beliefs of breast cancer patients in regard to adjuvant therapy; second, to find out about the sources of the patients' beliefs; and third, to learn about the attitudes of oncologists concerning the same aspects of adjuvant therapy to which the patients' beliefs referred.
  
  
  METHODS
  The participants were 92 breast cancer patients (mean age 61.2) and 57 doctors of both genders specialized in oncology or affiliated domains. Both groups were administered questionnaires referring to goals of adjuvant treatment, the chances of attaining these goals, side effects, and difficulty of the treatment. Doctors were specifically asked about the views they thought proper to communicate to patients in regard to the mentioned issues. Patients were also asked about whether they had doubts about the treatment and sources of information.
  
  
  RESULTS
  The findings showed disparities between the views of patients and doctors in regard to goals, chances of attainment, side effects, and difficulty of treatment. Patients endorsed more goals than doctors and tended to assign to them lower chances of attainment. Doctors were divided in their views about whether to communicate the side effects and difficulties.
  
  
  CONCLUSIONS
  The results reveal the importance of outlining goals for patients undergoing adjuvant treatment and the disagreements between doctors about what should be communicated to patients, and highlight the complexity of providing to patients information that is both scientifically correct and emotionally helpful.
authors.affiliation: Oncology Institute, Barzilai Medical Center, affiliated to Ben-Gurion University of the Negev, Ashkelon, Israel.
authors.forename: Frida
authors.initials: F
authors.lastname: Barak
authors.affiliation: Leumit Health Fund, Ashdod, Israel.
authors.forename: Lev A
authors.initials: LA
authors.lastname: Ostrowsky
authors.affiliation: Psychooncology Research Center, Sheba Medical Center, Department of Psychology, Tel-Aviv University, Tel Hashomer, Israel.
authors.forename: Shulamith
authors.initials: S
authors.lastname: Kreitler
mesh_terms: D000368:Aged; D001291:Attitude of Health Personnel; D001943:Breast Neoplasms / Q000188:drug therapy / Q000523:psychology*; D017024:Chemotherapy, Adjuvant; D003142:Communication; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007557:Israel; D008875:Middle Aged; D010347:Patient Care Planning; D010817:Physician-Patient Relations; D010820:Physicians / Q000523:psychology*; D011795:Surveys and Questionnaires