Email this article 
Cancer du sein chez la femme et prolongation de l’endocrinothérapie : étude de cas sur l’aide à la prise de décision
Abstract
Dans cette étude de cas, on a évalué l’accompagnement en soins décisionnels offert à une survivante du cancer du sein qui, après huit ans d’endocrinothérapie, s’est interrogée sur la prolongation du traitement sur dix ans. La survivante de 58 ans qui a subi une intervention chirurgicale et une chimiothérapie il y a huit ans s’inquiétait des effets secondaires de l’endocrinothérapie. Cet accompagnement inspiré du Modèle d’aide à la décision d’Ottawa (https://decisionaid.ohri.ca/francais/mado.html) a fait intervenir une infirmière en oncologie qui a utilisé le Guide personnel d’aide à la décision d’Ottawa. Si l’on en juge par le résultat de référence (2 sur 4), le réconfort apporté au moment de la prise de décision a amélioré l’accompagnement post-décisionnel (3 sur 4). La survivante se sentait plus sûre de sa décision, mais désirait un nouvel avis de son oncologue. Elle songeait à mettre fin à l’endocrinothérapie du fait qu’elle accordait plus d’importance à sa qualité de vie qu’au léger risque de récurrence du cancer. L’analyse de l’enregistrement audio avec l’outil d’analyse de l’aide à la décision a révélé la grande qualité de l’accompagnement (10/10). Les survivantes du cancer du sein qui s’interrogent sur la prolongation de l’endocrinothérapie pourraient profiter de l’accompagnement d’infirmières en oncologie pour prendre des décisions éclairées axées sur leurs valeurs.
Full Text:
PDFReferences
Arimori, N. (2006). Randomized controlled trial of decision aids for women considering prenatal testing: the effect of the Ottawa Personal Decision Guide on decisional conflict. Japan Journal of Nursing Science, 3(2), 119–130.
Buijs, C., de Vries, E.G.E., Mourits, M.J.E., Willemse, P.H.B. (2008). The influence of endocrine treatments for breast cancer on health-related quality of life. Cancer Treatment Review, 34. 640–655. https://doi.org/10.1016/j.ctrv.2008.04.001
Burnstein, H.J., Temin, S., Anderson, H., Buchholz, T.A., Davidson, N.E., Gelmon, K.E., … Griggs, J.J. (2014). Adjuvant endocrine therapy for women with hormone receptor-positive breast cancer: American society of clinical oncology clinical practice guideline focused update. Journal of Clinical Oncology, 32, 1–16. https://doi.org/10.1200/JCO.2013.54.2258
Butow, P., Juraskova, I., Chang, S., Lopez, A., Brown, R., & Bernhard, J. (2009). Shared decision making coding systems: How do they compare in the oncology context? Patient Education and Counseling, 78, 261–268. doi:10.1016/j.pec.2009.06.009
Davies, C., Pan, H., Godwin, J., Gray, R., Arriagada, R., Raina, V., … Peto, R. (2013). Long-term effects of continuing adjuvant tamoxifen to 10 years versus stopping at 5 years after diagnosis of estrogen receptor-positive breast cancer: ATLAS, a randomized trial. The Lancet, 381, 805–816. https://doi.org/10.1016/S0140-6736(12)61963-1
Erren, T.C., Grob, V.J., Koch, M.S., Erren, M., & Meyer-Rochow, V.B. (2012). What do we know 4 years after Nixon declared “war on cancer” on the origin, prevention and treatment of cancer. Journal of Cancer Education, 27, 597–600. https://doi.org/10:1007/s13187-012-0411-7
Faguy, K. (2013). Cancer survivors and quality of life. Radiation Therapist, 22(2), 185-203.
Feenstra, B., Lawson, M., Harrison, D., Boland, L., Stacey, D. (2015). Decision coaching using the Ottawa family decision guide with parents and their children: A field testing study. BioMedical Central Medical Informatics and Decision Making, 15(5). doi:10.1186/s1211-014-0126-2
Feldman-Stewart, D., Madarnas, Y., Mates, M., Tong, C., Grunfeld, E., Verma, S. Carolan, H., & Brundage, M. (2013). Information for decision making by post-menopausal women with hormone receptor early-stage breast cancer considering adjuvant endocrine therapy. Breast, 22(5), 919–25. https://doi.org/10.1016/j.breast.2013.04.020
Ferron Parayre, A., Labrecque, M., Rousseau, M., Turcotte, S., & Legare, F. (2013). Validation of SURE, a four item clinical checklist for detecting decisional conflict in patients. Medical Decision Making, 34, 1–9. https://doi.org/10.1177/0272989X13491463
Goss, P.E., Muss, H.B., Ingle, J.N., Whelan, T., & Wu, M. (2008). Extended adjuvant endocrine therapy in breast cancer: Current status and future direction. Clinical Breast Cancer, 8, 411–417. https://doi.org/10.3816/CCU.2008.n.003
Grant, M., De Rossi, S., & Sussman, J. (2015). Supporting models to transition breast cancer survivors to primary care: Formative evaluation of a Cancer Care Ontario initiative. American Society of Clinical Oncology. https://doi.org/10.1200/JOP.2015.003822
Groupe de recherche sur les outils d’aide à la décision pour les patients. (2016). Outils d’aide à la décision pour les patients. Consulté en ligne sur https://decisionaid.ohri.ca/francais/index.html (version anglaise : https://decisionaid.ohri.ca)
Grunfeld, E., Levine, M.N., Julian, J.A., Coyle, D., Szechtman, B., Mirsky, D., … Wood, M. (2006). Randomized trial of long-term follow-up for early-stage breast cancer: A comparison of family physician versus specialist care. Journal of Clinical Oncology, 24(6), 848–855. https://doi.org/10:1200/JCO.2005.03.2235
Guimond, P., Bunn, H., O’Connor, A.M., Jacobson, M.J., Tait, V.K., Drake, E., … Elmslie, T. (2003). Validation of a tool to assess health practitioners’ decision support and communication skills. Patient Education and Counseling, 50(3), 235–245. https://doi.org/10.1016/S0738-3991(03)00043-0
Harmer, V. (2008). Supporting patients during breast cancer care. Practice Nurse, 35(12), 21–26.
Joseph-Williams, N., Elwyn, G., & Edwards, A. (2014). Knowledge is not power for patients: A systematic review and thematic synthesis of patient-reported barriers and facilitators to shared decision making. Patient Education & Counseling, 94(3), 291–309.
Khatcheressian, J.L., Hurley, P., Bantug, E., Esserman, L.J., Grunfeld, E., Halberg, F., … Davidson, N.E. (2013). Breast cancer follow-up and management after primary treatment: American Society of Clinical Oncology clinical practice guideline update. Journal of Clinical Oncology, 31(7), 961–965. https://doi.org/10.1200/JCO.2012.45.9859
Legare, F., Kearing, S., Clay, K., Gagnon, S., D’Amours, D., & Rousseau, M. (2010). Are you SURE? Canadian Family Physician, 56, 308–314.
Legare, F., Stacey, D., Turcotte, S., Cossi, M.J., Kryworuchko, J., Graham, I.D., … Donner-Banzhoff, N. (2014). Interventions for improving the adoption of shared decision making by healthcare professionals (Review). The Cochrane Database of Systematic Reviews, (9), 1–166.
Morgan, M.A. (2009). Cancer survivorship: history, quality of life issues, and evolving multidisciplinary approach to implementation of cancer survivorship care plans. Oncology Nursing Forum, 36(4), 429–436. https://doi.org/10.1188/09.ONF429-436
O’Connor, A.M., Jacobson, M.J., & Stacey, D. (2002). An evidence-based approach to managing women’s decisional conflict. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 31(5). 570–581. https://doi.org/10.1111/j.1552-6909.2002.tb00083.x
O’Connor, A.M., & Legare, F. (2008). SURE test for clinical practice. Retrieved from: https://decisionaid.ohri.ca/eval_dcs.html
O’Connor, A.M., Legare, F., & Stacey, D. (2003). Risk communication in practice: The contribution of decision aids. British Medical Journal, 327, 736–740. https://doi.org/10.1136/bmj.327.7417.736
Ruston, M., Morash, R., Larocque, G., Liska, C., Stocia, L., DeGrasse, C., & Segal, R. (2015). Wellness beyond cancer program: Building an effective survivorship program. Current Oncology, 22(6), 419–434. https://doi.org/10.3747co.22.2786
Saarimaki, A., & Stacey, D. (2013). Are you using effective tools to support patients facing rough cancer-related decisions? Canadian Oncology Nursing Journal Special Feature, 137–140.
Stacey, D., Higuchi, K.A.S., Menard, P., Davies, B., Graham, I.D., & O’Connor, A.M. (2009). Integrating patient decision support in an undergraduate nursing curriculum: An implementation project. International Journal of Nursing Education Scholarship, 6(1), 1–18. https://doi.org/10.2202/1548-923X.1741
Stacey, D., Kryworuchko, J., Bennett, C., Murray, M.A., Mullan, S., & Legare, F. (2012). Decision coaching to prepare patients for making health decisions: A systematic review of decision coaching in trials of patient decision aids. Medical Decision Making, 32(3), E22–33. https://doi.org/10.1177/0272989X12443311
Stacey, D., Legare, F., Col., N.F., Bennett, C.L., Barry, M.J., Eden, K.B., … Wu, J.H.C. (2014). Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews, (1). CD001431. https://doi.org/10.1002/14651858.CD001431
Stacey, D., Murray, M.A., Legare, F., Dunn, S., Menard, P., & O’Connor, A.M. (2008b). Decision coaching to support shared decision making: A framework, evidence, and implications for nursing practice, education, and policy. World Views on Evidenced-Based Nursing, 5(1), 25–35. https://doi.org/10.1111/j.1741-6787.2007.00108.x
Stacey, D, Taljaard, M., Drake, E.R., & O’Connor, A.M. (2008a). Audit and feedback using the brief decision support analysis tool (DSAT-10) to evaluate nurse-standardized patient encounters. Patient Education and Counseling, 73, 519–525. https://doi.org/10.1016/j.pec.2008.07.016
Sussman, J., Souter, L.H., Grunfeld, E., Howell, D., Gage, C., Keller-Olaman, S., et al. (2012). Models for care for cancer survivorship, Cancer Care Ontario Programs in Evidence-based Care Evidence Based Series, 26(1).
Yin, R.K. (2004). Case Study Methods, Complementary Methods for research in education. (3e éd.). Washington DC : American Educational Research Association.
Refbacks
- There are currently no refbacks.
