Decisional preferences and satisfaction with short-course radiation for breast cancer.

• DOI: 10.1200/jco.2018.36.30_suppl.193
• Publication Date: 2018-09-25T17:18:28Z
• Authors: Matthew Culbert; Gregory Bidermann; Audrey S. Wallace
• Keywords: 03 medical and health sciences; 0302 clinical medicine; 3. Good health

193 Background: Limited literature exists regarding preferences and decisional satisfaction for women who choose accelerated partial breast irradiation (APBI) in lieu of 6-7 weeks radiation. This analysis provides long-term patient reported outcomes treated with APBI at one institution. Methods: Records primarily balloon-based (2005-2013) were reviewed after IRB approval. Women recurrent disease or poor prognosis second primary cancer excluded. Assessment factors important to the patient, as well regret treatment choices (Decisional Regret Satisfaction Scales) captured via mail telephone. Results: In 141 met inclusion criteria, 83 participated. Median age diagnosis was 62 years (SD = 9), median time from RT survey completion 102 months 8). Histology pre-invasive, (25%), invasive (52%), combined invasive/pre-invasive (23%). The majority had estrogen/progesterone receptor positive disease. Factors that decision making included convenience, physician recommendation, financial considerations, novelty treatment, desire avoid mastectomy, recovery time. (48%) convenience be single most factor. Provider recommendation factor 20% women. Most agreed their choice right (96%) felt adequately informed (90%). (92% 90% respectively) consistent personal values best them personally. Decisional high (95%). Overall high: 84% 10% being totally somewhat satisfied respectively. (90%) stated they would make same again. Conclusions: remains almost a decade short course Practitioners should consider part shared when determining type duration radiation conservation therapy.