The possibility of prophylactic radiotherapy after breast-conserving surgery for early-stage breast cancer
After breast-conserving surgery for breast cancer, radiotherapy is offered to lower the risk of cancer recurrence. Radiotherapy may cause pain and skin reaction in the breast or chest area, fatigue or late side effects by damages to lung or cardiac tissue. Considering these well-known side effects of irradiation, involving patients in the decision on whether to receive irradiation therefore seems appropriate and in line with modern health care prioritizing patient engagement.
This Decision Helper is developed in cooperation with the Danish Breast Cancer cooperative Group for a national, randomized study, the DBCG RT SDM trial. In this trial, physicians are randomized to either continue as usual or practice shared decision making supported by this Decision Helper.
Breast cancer/Cancer Mammae
Treatment - Prophylatic radiotherapy
- No Radiotherapy
Preparation sheet included
Danish Breast Cancer Cooperative (DBCG) and Center of Shared Decision Making
Responsible for update
Stine Rauff Søndergaard, MD, PhD student
Access to DECISION HELPER ™
For any further questions, please contact Centre for Shared Decision Making: Maybritt Brunsgaard Klausen, firstname.lastname@example.org
Users logged into a regional network can access the draft decision aid (pdf).
Based on IPDAS criteria (International Patient Decision Aid Standards) this decision aid (and/or supporting materials) meets:
Six of six qualifying criteria are met
This Patient Decision Aid meets the IPDAS qualifying criteria to be defined as a Patient Decision Aid
Six of six certifying criteria are met
Certifying criteria lower the risk of making a biased decision
Twenty of twenty quality criteria are met
Quality criteria that strengthen the quality of the Patient Decision Aid
Only applicable criteria are included in the assessment