Should women be followed intensively after breast cancer treatment? | |||
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Problem: | Women treated for breast cancer are followed-up for monitoring treatment effectiveness and for detecting recurrences at an early stage, but the frequency of follow-up is under discussion. | Background: | Women treated for breast cancer are followed up for monitoring treatment effectiveness and for detecting recurrences at an early stage. Follow-up includes clinical and test examinations like routine haematological and liver function tests, tumour markers, chest X-ray, mammography, bone and liver scans. There is variability in the frequency of medical visits and the tests performed. |
Option: | Intensive follow-up. | ||
Comparison: | Non-intensive follow-up. | ||
Main outcomes: | 1. 10-year mortality due to breast cancer. 2. 5-year mortality due to breast cancer. 3. 5 (or 10)-year breast cancer specific survival. 4. 10-year breast cancer recurrences (loco-regional and distant separately). 5. 5-year breast cancer recurrences (logo-regional and distant separately). 6. Quality of life of breast cancer patients 2 (or 5) years after diagnosis. 7. Patient satisfaction with follow-up. | ||
Setting: | Breast cancer centres/other healthcare services. | ||
Perspective: | Population. |