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ABSTRACT: Purpose
The aims of the Advocate-BREAST project are to study and improve the breast cancer (BC) patient experience through education and patient-centered research.Methods
In December 2021, an electronic REDCap survey was circulated to 6,918 BC survivors (stage 0-4) enrolled in the Mayo Clinic Breast Disease Registry. The questionnaire asked about satisfaction with BC care delivery, and education and support receive(d) regarding BC linked concerns. Patients also ranked Quality Improvement (QI) proposals.Results
The survey received 2,437 responses. 18% had Ductal Carcinoma in Situ, 81% had early breast cancer (EBC), i.e. stage 1-3, and 2% had metastatic breast cancer (MBC). Mean age was 64 (SD 11.8), and mean time since diagnosis was 93 months (SD 70.2). 69.3% of patients received all care at Mayo Clinic. The overall experience of care was good (> 90%). The main severe symptoms recalled in year 1 were alopecia, eyebrow/eyelash thinning, hot flashes, sexual dysfunction, and cognitive issues. The main concerns recalled were fear of BC recurrence/spread; loved ones coping; fear of dying, and emotional health. Patients were most dissatisfied with information regarding sexual dysfunction, eyebrow/eyelash thinning, peripheral neuropathy, and on side effects of immunotherapy/targeted therapies. Top ranking QI projects were: i) Lifetime access to concise educational resources; ii) Holistic support programs for MBC and iii) Wellness Programs for EBC and MBC.Conclusions
Patients with early and advanced BC desire psychological support, concise educational resources, and holistic care.Implications
Focused research and QI initiatives in these areas will improve the BC patient experience.
SUBMITTER: O'Sullivan CC
PROVIDER: S-EPMC11308547 | biostudies-literature | 2024 Aug
REPOSITORIES: biostudies-literature
O'Sullivan Ciara C CC Larson Nicole L NL Vierkant Robert A RA Smith Mary Lou ML Chauhan Cynthia C Couch Fergus J FJ Olson Janet E JE Loprinzi Charles L CL Ruddy Kathryn J KJ
Archives of public health = Archives belges de sante publique 20240807 1
<h4>Purpose</h4>The aims of the Advocate-BREAST project are to study and improve the breast cancer (BC) patient experience through education and patient-centered research.<h4>Methods</h4>In December 2021, an electronic REDCap survey was circulated to 6,918 BC survivors (stage 0-4) enrolled in the Mayo Clinic Breast Disease Registry. The questionnaire asked about satisfaction with BC care delivery, and education and support receive(d) regarding BC linked concerns. Patients also ranked Quality Imp ...[more]