{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T07:21:58Z","timestamp":1791184918214,"version":"4.1.0"},"reference-count":61,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2013,6,7]],"date-time":"2013-06-07T00:00:00Z","timestamp":1370563200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"French Ministry of Research"},{"DOI":"10.13039\/501100006364","name":"French National Cancer Institute","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006364","id-type":"DOI","asserted-by":"crossref"}]},{"name":"French Ministry of Health"},{"name":"Regional Council of Provence-Alpes-C\u00f4te d'Azur"},{"DOI":"10.13039\/501100004431","name":"Fondation de France","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004431","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective of this study is to investigate young breast cancer patients' preferred and actual involvement in decision\u2010making about surgery, chemotherapy, and adjuvant endocrine therapy (AET).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 442 women aged 18\u201340\u2009years at the time of the diagnosis participated in the region\u2010wide ELIPPSE40 cohort study (southeastern France). Logistic regression analyses were performed on various factors possibly affecting patients' preferred and perceived involvement in the decisions about their cancer treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The women's mean age was 36.8\u2009years at enrolment. Preference for a fully passive role in decision\u2010making was stated by 20.7% of them. It was favored by regular breast surveillance (<jats:italic>p<\/jats:italic>\u2009=\u20090.04) and positive experience of being informed about cancer diagnosis (<jats:italic>p<\/jats:italic>\u2009=\u20090.02). Patients' preferences were independently associated with their reported involvement in decision\u2010making about surgery (<jats:italic>p<\/jats:italic>\u2009=\u20090.01). A fully passive role in decision\u2010making about chemotherapy and AET was more likely to be reported by patients who perceived their involvement in decision\u2010making about surgery as having been fully passive (adjusted odds ratio\u2009=\u20094.8, CI95% [2.7\u20138.7], and adjusted odds ratio\u2009=\u20099.8, CI95% [3.3\u201329.2], respectively). This study shows a significant relationship between the use of antidepressants and involvement in decision\u2010making about surgery, and confirms the relationship between impaired quality of life (in the psychological domain) and a fully passive role in decisions about cancer treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients' involvement in decision\u2010making about chemotherapy and AET was strongly influenced by their experience of decision\u2010making about surgery, regardless of their tumor stage and history of breast or ovarian cancer. When decisions are being made about surgery, special attention should be paid to facilitating breast cancer patients' involvement in the decision\u2010making. Copyright \u00a9 2013 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.3316","type":"journal-article","created":{"date-parts":[[2013,6,8]],"date-time":"2013-06-08T02:13:16Z","timestamp":1370657596000},"page":"2546-2556","source":"Crossref","is-referenced-by-count":22,"title":["Young breast cancer patients' involvement in treatment decisions: the major role played by decision\u2010making about surgery"],"prefix":"10.1002","volume":"22","author":[{"given":"Val\u00e9rie","family":"Seror","sequence":"first","affiliation":[{"name":"INSERM UMR912 \u2018Economics and Social Sciences Applied to Health &amp; Analysis of Medical Information\u2019 (SESSTIM)  Marseille France"},{"name":"Aix\u2010Marseille University UMR_S912, IRD  Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00e9bastien","family":"Cortaredona","sequence":"additional","affiliation":[{"name":"INSERM UMR912 \u2018Economics and Social Sciences Applied to Health &amp; 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 Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camille","family":"Cluze","sequence":"additional","affiliation":[{"name":"INSERM UMR912 \u2018Economics and Social Sciences Applied to Health &amp; Analysis of Medical Information\u2019 (SESSTIM)  Marseille France"},{"name":"Aix\u2010Marseille University UMR_S912, IRD  Marseille France"},{"name":"ORS PACA Southeastern Regional Health Observatory  Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrice","family":"Viens","sequence":"additional","affiliation":[{"name":"Aix\u2010Marseille University UMR_S912, IRD  Marseille France"},{"name":"Institut Paoli\u2010Calmettes  Marseille France"},{"name":"INSERM UMR1068 \u2018Centre de Recherche en Canc\u00e9rologie de Marseille\u2019 (CRCM)  Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominique","family":"Rey","sequence":"additional","affiliation":[{"name":"INSERM UMR912 \u2018Economics and 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