Role of the Family in Treatment Decision-Making for Women with Breast Cancer: a Study from China.
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BACKGROUND: To describe family involvement in decision making for treatment in China. METHODS: A cross-sectional study was conducted with women diagnosed with breast cancer and their nominated family members. RESULTS: A total of 180 patients and their designated 180 family members participated. Most participants (>90%) thought that family should be involved in cancer TDM. Family members who were most engaged in TDM were more likely to be young, children of the patient, employed and first-degree relatives. The characteristics of breast cancer patients whose families made treatment decisions were as follows: the patient was older, the TNM stage was IV, and the level of education was relatively low. Most respondents stated that family involvement was helpful and did not hamper patient autonomy or complicate the cancer TDM process. CONCLUSIONS: Patients and family caregivers expect and value family involvement in cancer TDM. Several factors influence the TDM process, including age, education level and cancer stage. PRACTICE: The TDM process heavily involves family members. This should be taken into consideration by medical staff during counseling to identify the best treatment.