Patient-Centered Communication for Discussing Oncotype DX Testing. - PubMed - NCBI
Cancer Invest. 2016 May 27;34(5):205-12. doi: 10.3109/07357907.2016.1172637. Epub 2016 Apr 28.
Patient-Centered Communication for Discussing Oncotype DX Testing.
Roberts MC1,2,
Bryson A3,
Weinberger M1,4,
Dusetzina SB1,2,5,
Dinan MA6,7,
Reeder-Hayes KE2,
Wheeler SB1,2.
Abstract
Oncotype DX testing (ODX), a tumor gene expression test, may improve breast cancer care, however, communicating results remains challenging. We identified patient-centered communication strategies/gaps for discussing ODX results. We applied a patient-centered communication framework to analyze qualitative interviews with oncologists about how they communicate about ODX with patients, using template analysis in Atlas.ti. Overall, providers discussed four patient-centered communication domains: exchanging information, assessing uncertainty, making decisions and cross-cutting themes. Providers did not report discussing emotional aspects of managing uncertainty, assessing decision-making preferences, and evaluating decisions. A patient-centered approach may be a model for communicating about tumor gene expression tests. KEYWORDS:
Breast cancer; Communication; Patient-centered communication; Qualitative methods; Tumor gene profiling
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