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Cancer treatment decision-making among young adults with lung and colorectal cancer: a comparison with adults in middle age.


ABSTRACT: Our aim is to understand experiences with treatment decision-making among young adults with cancer.We studied patients with lung cancer or colorectal cancer in the Cancer Care Outcomes Research and Surveillance Consortium, a prospective cohort study. We identified 148 young adult patients aged 21-40 years who completed baseline interview questions about cancer treatment decision-making; each was propensity score matched to three middle adult patients aged 41-60 years, for a cohort of 592 patients. Patients were asked about decision-making preferences, family involvement in decision-making, and worries about treatment. An ordinal logistic regression model evaluated factors associated with more treatment worries.Young and middle-aged adults reported similar decision-making preferences (p?=?0.80) and roles relative to physicians (p?=?0.36). Although family involvement was similar in the age groups (p?=?0.21), young adults were more likely to have dependent children in the home (60% younger versus 28% middle-aged adults, p?

SUBMITTER: Mack JW 

PROVIDER: S-EPMC4775442 | biostudies-literature | 2016 Sep

REPOSITORIES: biostudies-literature

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Cancer treatment decision-making among young adults with lung and colorectal cancer: a comparison with adults in middle age.

Mack Jennifer W JW   Cronin Angel A   Fasciano Karen K   Block Susan D SD   Keating Nancy L NL  

Psycho-oncology 20150902 9


<h4>Objective</h4>Our aim is to understand experiences with treatment decision-making among young adults with cancer.<h4>Methods</h4>We studied patients with lung cancer or colorectal cancer in the Cancer Care Outcomes Research and Surveillance Consortium, a prospective cohort study. We identified 148 young adult patients aged 21-40 years who completed baseline interview questions about cancer treatment decision-making; each was propensity score matched to three middle adult patients aged 41-60   ...[more]

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