title: Satisfaction with treatment decision-making and treatment regret among Latinas and non-Latina whites with DCIS.
abstract: OBJECTIVE
  To examine differences in treatment decision-making participation, satisfaction, and regret among Latinas and non-Latina whites with DCIS.
  
  
  METHODS
  Survey of Latina and non-Latina white women diagnosed with DCIS. We assessed women's preferences for involvement in decision-making, primary treatment decision maker, and participatory decision-making. We examined primary outcomes of satisfaction with treatment decision-making and treatment regret by ethnic-language group.
  
  
  RESULTS
  Among 745 participants (349 Latinas, 396 white) Spanish-speaking Latinas (SSL) had the highest mean preference for involvement in decision-making score and the lowest mean participatory decision-making score and were more likely to defer their final treatment decision to their physicians than English-speaking Latinas or whites (26%, 13%, 18%, p<0.05). SSLs reported lower satisfaction with treatment decision-making (OR 0.4; CI 95%, 0.2-0.8) and expressed more regret than whites (OR 6.2; CI 95%, 3.0-12.4). More participatory decision-making increased the odds of satisfaction (OR 1.5; CI 95%, 1.3-1.8) and decreased the odds of treatment regret (OR 0.8; CI 95%, 0.7-1.0), independent of ethnicity-language.
  
  
  CONCLUSIONS
  Language barriers impede the establishment of decision-making partnerships between Latinas and their physicians, and result in less satisfaction with the decision-making process and more treatment regret.
  
  
  CONCLUSIONS
  Use of professional interpreters may address communication-related disparities for these women.
authors.affiliation: Department of Medicine, University of California San Francisco, San Francisco, USA; Medical Effectiveness Research Center for Diverse Populations, University of California San Francisco, San Francisco, USA; Center for Aging in Diverse Communities, University of California San Francisco, San Francisco, USA.
authors.forename: Mónica E
authors.initials: ME
authors.lastname: López
authors.affiliation: Department of Medicine, University of California San Francisco, San Francisco, USA; Medical Effectiveness Research Center for Diverse Populations, University of California San Francisco, San Francisco, USA; Center for Aging in Diverse Communities, University of California San Francisco, San Francisco, USA; UCSF Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, USA.
authors.forename: Celia P
authors.initials: CP
authors.lastname: Kaplan
authors.affiliation: Department of Medicine, University of California San Francisco, San Francisco, USA; Medical Effectiveness Research Center for Diverse Populations, University of California San Francisco, San Francisco, USA; Center for Aging in Diverse Communities, University of California San Francisco, San Francisco, USA; UCSF Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, USA.
authors.forename: Anna M
authors.initials: AM
authors.lastname: Nápoles
authors.affiliation: Department of Surgery, Duke University, Durham, USA.
authors.forename: E Shelley
authors.initials: ES
authors.lastname: Hwang
authors.affiliation: Department of Medicine, University of California San Francisco, San Francisco, USA.
authors.forename: Jennifer C
authors.initials: JC
authors.lastname: Livaudais
authors.affiliation: Department of Medicine, University of California San Francisco, San Francisco, USA; Medical Effectiveness Research Center for Diverse Populations, University of California San Francisco, San Francisco, USA; UCSF Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, USA. Electronic address: leah.karliner@ucsf.edu.
authors.forename: Leah S
authors.initials: LS
authors.lastname: Karliner
mesh_terms: D000293:Adolescent; D000328:Adult; D001943:Breast Neoplasms / Q000208:ethnology / Q000628:therapy*; D002140:California; D002285:Carcinoma, Intraductal, Noninfiltrating / Q000208:ethnology / Q000628:therapy*; D003142:Communication; D003657:Decision Making; D004644:Emotions; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D007802:Language; D008875:Middle Aged; D010358:Patient Participation; D017060:Patient Satisfaction; D010549:Personal Satisfaction; D010817:Physician-Patient Relations; D012959:Socioeconomic Factors; D016896:Treatment Outcome; D044465:White People / Q000523:psychology* / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Decision-making; Doctor–patient communication; Ductal carcinoma in situ; Health disparities; Language barriers; Latina health