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. 1995 Aug;41:1314–1320.

Who provides follow-up care for patients with early breast cancer?

A Worster 1, M L Wood 1, I R McWhinney 1, M J Bass 1
PMCID: PMC2146335  PMID: 7580380

Abstract

OBJECTIVE: To assess how often family physicians are involved in posttreatment care of their stage I breast cancer patients and to identify factors associated with family physicians providing follow-up care. DESIGN: A retrospective cohort study with a 5-year follow up by chart review. PARTICIPANTS: All cases of breast cancer seen at the London Regional Cancer Centre between 1982 and 1987 were reviewed to identify 183 stage I cancer patients alive at 5 years. MAIN OUTCOME MEASURES: Whether a physician (other than an oncologist) was involved in the follow-up care of patients, and whether the physician was a family physician or a surgeon. RESULTS: Follow-up care during the 5-year postoperative period was provided in most cases by oncologists alone (66.7%); family physicians and surgeons were involved in 17.5% and 15.8% of cases, respectively. Surgeons became involved in follow-up care much earlier (12 months) than family physicians did (23 months) (P = 0.01) and were more likely to provide care for patients who received radiation treatment (P = 0.04) and for patients who lived in London (P = 0.004). Most malignant breast lesions (77.5%) were discovered by patients themselves (P = 0.0001). CONCLUSIONS: Currently, family physicians are infrequently involved in follow-up care of their patients with early breast cancer.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Chittoor S. R., Swain S. M. Adjuvant therapy in early breast cancer. Am Fam Physician. 1991 Aug;44(2):453–462. [PubMed] [Google Scholar]
  2. Haines A., Booroff A. Terminal care at home: perspective from general practice. Br Med J (Clin Res Ed) 1986 Apr 19;292(6527):1051–1053. doi: 10.1136/bmj.292.6527.1051. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Harris J. R., Recht A., Connolly J., Cady B., Come S., Henderson I. C., Koufman C., Love S., Schnitt S., Osteen R. Conservative surgery and radiotherapy for early breast cancer. Cancer. 1990 Sep 15;66(6 Suppl):1427–1438. doi: 10.1002/1097-0142(19900915)66:14+<1427::aid-cncr2820661420>3.0.co;2-w. [DOI] [PubMed] [Google Scholar]
  4. Kinne D. W. Surgical management of stage I and stage II breast cancer. Cancer. 1990 Sep 15;66(6 Suppl):1373–1377. doi: 10.1002/1097-0142(19900915)66:14+<1373::aid-cncr2820661412>3.0.co;2-0. [DOI] [PubMed] [Google Scholar]
  5. Long D., Williams P. Primary care provider needs in breast cancer. Cancer. 1989 Dec 15;64(12 Suppl):2692–2693. doi: 10.1002/1097-0142(19891215)64:2+<2692::aid-cncr2820641414>3.0.co;2-m. [DOI] [PubMed] [Google Scholar]
  6. Loomer L., Brockschmidt J. K., Muss H. B., Saylor G. Postoperative follow-up of patients with early breast cancer. Patterns of care among clinical oncologists and a review of the literature. Cancer. 1991 Jan 1;67(1):55–60. doi: 10.1002/1097-0142(19910101)67:1<55::aid-cncr2820670111>3.0.co;2-n. [DOI] [PubMed] [Google Scholar]
  7. Schoen R. T., Vender R. J. Mechanisms of nonsteroidal anti-inflammatory drug-induced gastric damage. Am J Med. 1989 Apr;86(4):449–458. doi: 10.1016/0002-9343(89)90344-6. [DOI] [PubMed] [Google Scholar]
  8. Still A. W., Todd C. J. Role ambiguity in general practice: the care of patients dying at home. Soc Sci Med. 1986;23(5):519–525. doi: 10.1016/0277-9536(86)90012-2. [DOI] [PubMed] [Google Scholar]
  9. Valente C. M., Campbell J. L. Cancer risk reduction: a focus on physicians. Md Med J. 1985 Jan;34(1):67–70. [PubMed] [Google Scholar]
  10. Vetter G. A comparison of naproxen and diclofenac sodium in the treatment of osteoarthritis in elderly patients. Br J Clin Pract. 1985 Jul;39(7):276–281. [PubMed] [Google Scholar]
  11. Wertheimer M. D. Against minimalism in breast cancer follow-up. JAMA. 1991 Jan 16;265(3):396–397. [PubMed] [Google Scholar]
  12. Williams J. G., Engler C. A double-glind comparative trial of naproxen and indomethacin in sports injuries. Rheumatol Rehabil. 1977 Nov;16(4):265–269. doi: 10.1093/rheumatology/16.4.265. [DOI] [PubMed] [Google Scholar]
  13. Williams P. A., Williams M. Barriers and incentives for primary-care physicians in cancer prevention and detection. Cancer. 1987 Oct 15;60(8 Suppl):1970–1978. doi: 10.1002/1097-0142(19901015)60:8+<1970::aid-cncr2820601508>3.0.co;2-m. [DOI] [PubMed] [Google Scholar]
  14. Wood M. L. Communication between cancer specialists and family doctors. Can Fam Physician. 1993 Jan;39:49–57. [PMC free article] [PubMed] [Google Scholar]

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