Supportive Care in Cancer

, Volume 15, Issue 7, pp 841–847

Ways to obtain a breast cancer diagnosis, consistency of information, patient satisfaction, and the presence of relatives

  • Henning Brake
  • Heike Saßmann
  • Dorothee Noeres
  • Mechthild Neises
  • Siegfried Geyer
Original Article

Abstract

Goals of work

What physicians told breast cancer patients about their diagnosis, who informed them, and how this information was conveyed were examined in this study. Finally, the relatives’ role in this communication process was considered.

Materials and methods

Women with primary breast cancer (N = 222) below the age of 70 were interviewed after surgery and after they were informed about their diagnosis.

Main results

One hundred twenty-one women consulted their primary gynecologist first, then they were referred to a radiologist, and finally to the secondary care gynecologist. Forty-seven women omitted the radiologist and only five went directly to the hospital for treatment. In most cases (N = 199), the general practitioner was not involved. Receiving inconsistent information was associated with patient dissatisfaction. This also applies to women who received their diagnosis on the phone. Women awaiting a worse diagnosis were more likely to be accompanied by another person.

Conclusions

Future studies should focus on the possible involvement of family doctors and relatives during the diagnostic process. Giving inconsistent information should be avoided.

Keywords

Cancer diagnosis Information Consistency Health care utilization Relatives Patient’s satisfaction 

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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Henning Brake
    • 1
  • Heike Saßmann
    • 2
  • Dorothee Noeres
    • 1
  • Mechthild Neises
    • 3
  • Siegfried Geyer
    • 1
  1. 1.Medical Sociology UnitHannover Medical SchoolHannoverGermany
  2. 2.Medical Psychology UnitHannover Medical SchoolHannoverGermany
  3. 3.Psychosomatic Gynaecology UnitHannover Medical SchoolHannoverGermany

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