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Oncology

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.

 

Diagnosis

Breast cancer/Cancer Mammae

Subject area   

Treatment - Prophylatic radiotherapy 

Options

  • Radiotherapy
  • No Radiotherapy
     

Preparation sheet included  

Yes

Developed by

Danish Breast Cancer Cooperative (DBCG)  and Center of Shared Decision Making

Responsible for update 

Stine Rauff Søndergaard, MD, PhD student

Version

1

Date

2020

Scheduled update

Ongoing 

Access to DECISION HELPER ™

For any further questions, please contact Centre for Shared Decision Making: Charlotte Hald Fausbøll

 

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

APPFWU01V