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Development and Evaluation of Different Versions of the Decision Board for Early Breast Cancer

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Annual rept. 1 Oct 2001-30 Sep 2002

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Women with breast cancer have increasingly indicated a desire for more information about their disease and the need to be involved in making decisions about their care. We have developed two decision aids called Decision Boards DB to help clinicians inform patients about their treatment options. One DB involves the surgical decision between mastectomy and lumpectomy plus radiation DECIDE-S the other involves the decision between chemotherapy options for the treatment of node-negative and early node-positive breast cancer DECIDE-C. The objectives of this study are to i develop computer based versions of both the DB for the surgical treatment of breast cancer and the DB for chemotherapy for node-negative and early node-positive breast cancer and ii to compare the relative effectiveness of the computer- based versions and paper versions with the standard versions of the DB for women with early breast cancer. In the fourth year, there were a number of key accomplishments. We extended the eligibility criteria to include node-positive patients in - the DECIDE-C trial revised the DECIDE-C and DECIDE-S take-home versions conducted an extensive revision of the DECIDE-C computer-based version and revised the DECIDE-S computer-based version. We have accrued 25 patients to the DECIDE-C study and expect to start the DECIDE-S study on November 15, 2002.

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  • Medicine and Medical Research

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