期刊
HEALTH EXPECTATIONS
卷 22, 期 1, 页码 74-82出版社
WILEY
DOI: 10.1111/hex.12832
关键词
breast cancer; chemotherapy; decision making; gene expression profiling; internet research; sociology
类别
资金
- Wellcome Trust [104831/Z/14/Z.]
- Wellcome Trust [104831/Z/14/Z] Funding Source: Wellcome Trust
Background Genomic techniques are being developed within oncology and beginning to be experienced within routine cancer care. Little is known about how these tools feature in patients' experiences of treatment decision making. Objective This research explores the ways in which women interpret and discuss gene expression profiling for breast cancer treatment decision making, as articulated within online accounts. Design This study used a qualitative approach to analyse written exchanges focusing on gene expression profiling in the UK (Oncotype DX test). Accounts are taken from online forums hosted by two UK cancer charity websites, comprising 132 discussion threads from a total of seven forums. Authors qualitatively analysed the data and developed key themes drawing on existing literature from medical sociology. Findings Women used online spaces to share and discuss results of gene expression profiling. Women interpreted results in the context of indirect experience of cancer treatment, and sociocultural depictions of cancer and chemotherapy. Users largely represented the test positively, emphasizing its ability to personalize treatment pathways, though many also pointed to inherent uncertainties with regards the possibility of cancer recurrence. Discussion and Conclusions We highlight the complex contexts in which genomic techniques are experienced, with these shaped by personal biographies, online environments and pervasive cultural narratives of cancer and its treatment. We highlight tensions between the claims of genomic testing to aid treatment decision making and patient reflections on the capability of these techniques to resolve uncertainties surrounding treatment decisions.
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