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You searched for +publisher:"McMaster University" +contributor:("Levine, Mark"). Showing records 1 – 2 of 2 total matches.

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McMaster University

1. Rana, Punam. CONTRALATERAL BREAST CANCER IN WOMEN WITH EARLY STAGE BREAST CANCER.

Degree: MS, 2015, McMaster University

Background: There is uncertainty about the lifetime risk of contralateral breast cancer (CBC) in a woman who is diagnosed with early stage breast cancer. Studies report a wide range of rates of CBC between 2% and 35%. Objectives: (i) To determine the risk of CBC in women with early stage breast cancer, and (ii) to evaluate the risk of CBC in women who undergo adjuvant systemic treatment and adjuvant radiation treatment. Methods: PubMed, Ovid MEDLINE, EMBASE, Healthstar, Cochrane Central Register for Controlled Trials were searched. Studies were included if participants had: unilateral invasive breast carcinoma; 5 years of median follow-up; a minimum of 100 participants. Randomized controlled trials were included for the meta-analysis. A random-effects meta-analysis was used to estimate the pooled rate of CBC. Results: 4571 articles were extracted out of which 22 randomized controlled trials were included in the final meta-analysis. The overall pooled rate of CBC was 0.36% per year, (95% CI, 0.32% - 0.41%). The rate of CBC in studies without adjuvant systemic treatment was higher than the rate without such treatment, 0.56% per year (95% CI, 0.40% to 0.77%) versus 0.35% per year (95% CI, 0.31% to 0.40%). The rate of CBC in studies with adjuvant radiation treatment was 0.26% per year (95% CI, 0.18% to 0.39%) which is similar to the rate in studies with radiation. Conclusions: The rate of CBC in women with early stage breast cancer is relatively low. This is important for breast cancer patients who are considering contralateral prophylactic mastectomy.

Thesis

Master of Science (MS)

The rate of contralateral breast cancer in women with early stage breast cancer is uncertain. In order to determine this rate, a systematic review and meta analysis was conducted. The rate of contralateral breast cancer in women with early stage breast cancer was found to be 0.36% per year. This rate appears to be constant for up to 10 years after the original breast cancer diagnosis. This data is important for women with breast cancer and their healthcare teams in order to make decisions about bilateral mastectomy.

Advisors/Committee Members: Levine, Mark, Health Research Methodology.

Subjects/Keywords: Breast Cancer; Contralateral

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Rana, P. (2015). CONTRALATERAL BREAST CANCER IN WOMEN WITH EARLY STAGE BREAST CANCER. (Masters Thesis). McMaster University. Retrieved from http://hdl.handle.net/11375/18515

Chicago Manual of Style (16th Edition):

Rana, Punam. “CONTRALATERAL BREAST CANCER IN WOMEN WITH EARLY STAGE BREAST CANCER.” 2015. Masters Thesis, McMaster University. Accessed March 18, 2019. http://hdl.handle.net/11375/18515.

MLA Handbook (7th Edition):

Rana, Punam. “CONTRALATERAL BREAST CANCER IN WOMEN WITH EARLY STAGE BREAST CANCER.” 2015. Web. 18 Mar 2019.

Vancouver:

Rana P. CONTRALATERAL BREAST CANCER IN WOMEN WITH EARLY STAGE BREAST CANCER. [Internet] [Masters thesis]. McMaster University; 2015. [cited 2019 Mar 18]. Available from: http://hdl.handle.net/11375/18515.

Council of Science Editors:

Rana P. CONTRALATERAL BREAST CANCER IN WOMEN WITH EARLY STAGE BREAST CANCER. [Masters Thesis]. McMaster University; 2015. Available from: http://hdl.handle.net/11375/18515


McMaster University

2. Kazemi, Ghazaleh. What are the outcomes of importance for patient education in breast cancer?.

Degree: MSc, 2018, McMaster University

Patient education is an important component of quality cancer care. However, there remains much debate about its effects, merits and limitations. The primary objective of this thesis was to identify outcomes of importance for patient education interventions in breast cancer. Through the process of this inquiry, a systematic review of all patient education assessment instruments, a literature review of patient education studies in chronic diseases and cancer, and ultimately a qualitative study using interpretive description was conducted. The systematic review of assessment instruments revealed a lack of psychometrically sound instruments developed to assess quality and efficacy of patient education materials. There was also a lack of consensus as to what aspects of materials should be appraised to constitute good quality. The review of patient education intervention studies in both chronic diseases and cancer identified a general lack of consensus on the intended effects of educational interventions. Multiple outcomes were used without consistency and in differing combinations in the literature making it difficult to compare relative efficacy of interventions. To discover what key stakeholders in the process of patient education in breast cancer (patients, physicians and nurses) would identify as outcomes of importance, a generic qualitative study using interpretive description was conducted. Five common themes to all groups with respect to outcomes of importance were discovered: improving knowledge, improving coping ability, providing an orientation to the cancer system, enabling shared decision making and impacting behaviour during cancer treatment. Despite the surprising variability and inconsistency of outcomes discovered in the patient education literature, this qualitative study demonstrated that patients, physicians and nurses generally agree on what constitute important outcomes and serves as a first step in the process of developing validated outcomes for patient education interventions in cancer.

Thesis

Master of Science (MSc)

This thesis explores what are considered important outcomes of patient education in breast cancer. Firstly, a systematic review of all instruments created to judge patient education materials was completed and showed a lack of valid instruments for use in judging quality or outcomes in patient education. Secondly, a review of patient education studies in chronic conditions and cancer revealed a paucity of consistent or recommended outcomes for patient education. Lastly, the major focus of this thesis was a qualitative study that used focus groups to discover what breast cancer patients, physicians and nurses identify as important outcomes of patient education interventions at the Juravinski Cancer Centre. It identified that patients, physicians and nurse have five common beliefs about important outcomes of education interventions: improving knowledge, improving coping ability, providing an orientation to the cancer system, enabling shared decision making and helping to direct…

Advisors/Committee Members: Reiter, Harold, Levine, Mark, Sinding, Christina, Health Science Education.

Subjects/Keywords: Patient education; Breast Cancer; Outcomes of patient education; Patient education assessment instruments

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Kazemi, G. (2018). What are the outcomes of importance for patient education in breast cancer?. (Masters Thesis). McMaster University. Retrieved from http://hdl.handle.net/11375/23719

Chicago Manual of Style (16th Edition):

Kazemi, Ghazaleh. “What are the outcomes of importance for patient education in breast cancer?.” 2018. Masters Thesis, McMaster University. Accessed March 18, 2019. http://hdl.handle.net/11375/23719.

MLA Handbook (7th Edition):

Kazemi, Ghazaleh. “What are the outcomes of importance for patient education in breast cancer?.” 2018. Web. 18 Mar 2019.

Vancouver:

Kazemi G. What are the outcomes of importance for patient education in breast cancer?. [Internet] [Masters thesis]. McMaster University; 2018. [cited 2019 Mar 18]. Available from: http://hdl.handle.net/11375/23719.

Council of Science Editors:

Kazemi G. What are the outcomes of importance for patient education in breast cancer?. [Masters Thesis]. McMaster University; 2018. Available from: http://hdl.handle.net/11375/23719

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