Intensive vs Clinical Follow-up After Treatment of Primary Breast Cancer: 10-Year Update of a Randomized Trial

Palli, Domenico; Russo, Antonio; Saieva, Calogero; Ciatto, Stefano; Turco, Marco Rosselli Del; Distante, V.; Pacini, P

doi:10.1001/jama.281.17.1586

Cited by 157 publications

(103 citation statements)

References 4 publications

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“…This finding stresses the point that patients need to be educated about the effectiveness of follow-up examinations. It is now generally accepted that routine surveillance for the early detection of breast cancer recurrence at distant sites does not improve survival (GIVIO Investigators, 1994;Rosselli et al, 1994;Joseph et al, 1998;Palli et al, 1999). The fact that patients expected to have more chance of survival by performing more tests and detect metastases at an early stage means that they lack information on the primary goals of followup.…”

Section: Discussionmentioning

confidence: 99%

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Patient's needs and preferences in routine follow-up after treatment for breast cancer

et al. 2004

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The purpose of the study was to analyse the needs of women who participated in a routine follow-up programme after treatment for primary breast cancer. A cross-sectional survey was conducted using a postal questionnaire among women without any sign of relapse during the routine follow-up period. The questionnaire was sent 2 -4 years after primary surgical treatment. Most important to patients was information on long-term effects of treatment and prognosis, discussion of prevention of breast cancer and hereditary factors and changes in the untreated breast. Patients preferred additional investigations (such as X-ray and blood tests) to be part of routine follow-up visits. Less satisfaction with interpersonal aspects and higher scores on the Hospital Anxiety and Depression Scale (HADS) scale were related to stronger preferences for additional investigation. Receiving adjuvant hormonal or radiotherapy was related to a preference for a more intensive follow-up schedule. There were no significant differences between patients treated with mastectomy compared to treated with breast-conserving therapy. During routine follow-up after a diagnosis of breast cancer, not all patients needed all types of information. When introducing alternative follow-up schedules, individual patients' information needs and preferences should be identified early and incorporated into the follow-up routine care, to target resources and maximise the likelihood that positive patient outcomes will result.

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Section: Discussionmentioning

confidence: 99%

“…These follow-up visits are time consuming and expensive for both the patient and the physician. Moreover, the effect of follow-up on overall survival rates remains highly questionable (GIVIO Investigators, 1994;Palli et al, 1999;te Boekhorst et al, 2001;Jacobs et al, 2001).…”

mentioning

confidence: 99%

Patient's needs and preferences in routine follow-up after treatment for breast cancer

et al. 2004

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“…This suggests that patients wrongly believe that finding distant metastases at an early stage will improve their prognosis, while in fact research shows that detecting metastases at an early stage will not increase survival and will decrease quality of life [22][23][24][25][26] . This preference and expectation did not differ between the groups, so it was not influenced by written information or information given by nurse practitioners that patients in group B received.…”

Section: Needs and Preferences; Contentmentioning

confidence: 99%

Patients’ needs and preferences in routine follow-up for early breast cancer; an evaluation of the changing role of the nurse practitioner

Hezewijk¹,

Ranke²,

Nes³

et al. 2011

European Journal of Surgical Oncology (EJSO)

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, et al.. Patients' needs and preferences in routine follow-up for early breast cancer; an evaluation of the changing role of the nurse practitioner. EJSO -European Journal of Surgical Oncology, WB Saunders, 2011, 37 (9) This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. M A N U S C R I P T A C C E P T E D ACCEPTED MANUSCRIPT

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“…Although annual mammograms have shown to improve patient outcome 3 , no improvement is found for increased frequency or intensity of follow-up [4][5][6][7][8] . The second aim of follow-up, psychosocial support, has also been questioned.…”

Section: Introductionmentioning

confidence: 99%

Professionals’ opinion on follow-up in breast cancer patients; perceived purpose and influence of patients’ risk factors

Hezewijk

Hille

Scholten

et al. 2011

European Journal of Surgical Oncology (EJSO)

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This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Design: A 29-item questionnaire on professionals' demographics, current practice, opinion on the current guideline, preferences in frequency and duration of tailored followup, and the purpose and perceived effects of follow-up was sent to 633 Dutch professionals.Results: The current national guideline is followed by 81% of respondents. All different specialists are involved in follow-up. Sixty-nine percent of respondents' report nurse practitioners to be involved in follow-up. When asked for tailored follow-up, professionals indicate more factors for increased follow-up (age<40 years, pT3-4 tumour, pN2-3, treatment related morbidity, and psychosocial support), than for reduced schedules (age >70 years and DCIS histology). Alternative forms of follow-up are not endorsed by >90% of respondents. Detection of a new primary tumour of the breast is considered the most important purpose of follow-up (98%), 57% still indicates detecting metastases as a goal.Conclusions: Professionals tend towards longer and more intensive follow-up than the current guideline for a large group of patients. Limitations and developments in follow-up need to be considered to facilitate alternative follow-up strategies.3

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Intensive vs Clinical Follow-up After Treatment of Primary Breast Cancer: 10-Year Update of a Randomized Trial

Cited by 157 publications

References 4 publications

Patient's needs and preferences in routine follow-up after treatment for breast cancer

Patient's needs and preferences in routine follow-up after treatment for breast cancer

Patients’ needs and preferences in routine follow-up for early breast cancer; an evaluation of the changing role of the nurse practitioner

Professionals’ opinion on follow-up in breast cancer patients; perceived purpose and influence of patients’ risk factors

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