A survey of breast cancer physicians regarding patient involvement in breast cancer treatment decisions

Grace Clarke Hillyer, Dawn L. Hershman, Lawrence H. Kushi, Lois Lamerato, Christine B. Ambrosone, Dana H. Bovbjerg, Jeanne S. Mandelblatt, Sargam Rana, Alfred I. Neugut

Research output: Contribution to journalArticle

6 Scopus citations


Purpose: Shared breast cancer treatment decision-making between patients and physicians increases patient treatment satisfaction and compliance and is influenced by physician-related factors. Attitudes and behaviors about patient involvement in breast cancer treatment decisions and treatment-related communication were assessed by specialty among breast cancer physicians of women enrolled in the Breast Cancer Quality of Care Study (BQUAL). Results: Of 275 BQUAL physicians identified, 50.0% responded to the survey. Most physicians spend 46-60min with the patient during the initial consult visit and 51.5% report that the treatment decision is made in one visit. Oncologists spend more time with new breast cancer patients during the initial consult (p=0.021), and find it more difficult to handle their own feelings than breast surgeons (p=<0.001). Conclusion: Breast surgeons and oncologists share similar attitudes and behaviors related to patient involvement in treatment decision-making, yet oncologists report more difficulty managing their own feelings during the decision-making process.

Original languageEnglish (US)
Pages (from-to)548-554
Number of pages7
Issue number4
StatePublished - Aug 2013
Externally publishedYes



  • Breast cancer
  • Patient participation
  • Physician survey
  • Treatment decision-making

ASJC Scopus subject areas

  • Surgery

Cite this

Hillyer, G. C., Hershman, D. L., Kushi, L. H., Lamerato, L., Ambrosone, C. B., Bovbjerg, D. H., Mandelblatt, J. S., Rana, S., & Neugut, A. I. (2013). A survey of breast cancer physicians regarding patient involvement in breast cancer treatment decisions. Breast, 22(4), 548-554. https://doi.org/10.1016/j.breast.2012.10.001