Strengths and Limitations
breast cancer
BREAST CANCER
The strengths of our study are that it is, to our knowledge, the first large, randomized study conducted in a lower middle-income setting to study the impact of a novel intervention incorporating a decision aid that can be administered simply, without strain on medical resources, with the use of vernacular languages to facilitate patient understanding. We found reduced decisional conflict about the choice between breast-conserving surgery and mastectomy across socioeconomic and educational strata. The findings suggest that the Navya-PPT can be used to help patients with early breast cancer in this important decision-making process.The study also has limitations. Previous studies have shown counseling by female surgeons to influence decision in favor of breast-conserving surgery.