Using Tailored Messages to Target Overuse of Low-Value Breast Cancer Care in Older Women.

ABSTRACT:

Background

National recommendations allow for the omission of sentinel lymph node biopsy (SLNB) and post-lumpectomy radiotherapy in women ≥ 70 y/o with early-stage, hormone-receptor positive invasive breast cancer, but these therapies remain common. Previous work demonstrates an individual's maximizing-minimizing trait-an inherent preference for more or less medical care-may influence the preference for low-value care.

Materials and methods

We recruited an equal number of women ≥ 70 yrs who were maximizers, minimizers, or neutral based on a validated measure between September 2020 and November 2020. Participants were presented a hypothetical breast cancer diagnosis before randomization to one of three follow-up messages: maximizer-tailored, minimizer-tailored, or neutral. Ta

SUBMITTER: Dossett LA 

PROVIDER: S-EPMC8734932 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature