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Patient-led breast cancer follow up
Authors:D. Chapman  E. Cox  P.D. Britton  G.C. Wishart
Affiliation:1. Department of Oncology, Ospedale San Carlo, Potenza;2. Department of Oncology, Ospedale Santa Chiara, Trento;3. Department of Oncology, Az. Osp. Treviglio-Caravaggio, Treviglio;4. Department of Oncology, Istituto Europeo di Oncologia, Milan;5. Department of Oncology, Ospedale Civile, Rho;6. Department of Oncology, Ospedale Sant''Anna, Como;7. Department of Oncology, Az. Osp. G. Rummo, Benevento;8. Department of Oncology, Ospedale Civile, Camposampiero;9. Department of Oncology, Ospedale Infermi, Rimini;10. Department of Oncology, Ospedale Valduce, Como;11. Department of Oncology, Ospedale S. Carlo Borromeo, Milan;12. Department of Oncology, Casa di Cura San Carlo, Paderno Dugnano;13. Department of Oncology, Ospedale degli Infermi, Biella;14. Department of Oncology, Casa di Cura IGEA, Milan;15. Department of Oncology, Az. Osp. Ospedali Riuniti Villa Sofia-Cervello, Palermo;16. Department of Oncology, Istituto Nazionale dei Tumori, Napoli, Italy;17. Department of Surgery, St Louis University Hospital, St Louis, USA;18. Department of Oncology, Ospedali Riuniti, Bergamo;19. Department of Oncology, IRCCS Arcispedale S. Maria Nuova, Reggio Emilia;20. Department of Oncology, Fondazione Poliambulanza, Brescia;21. Department of Oncology, IRCCS Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy;1. Clinical Epidemiology and Biostatistics Unit, Instituto de Investigación Biomédica de A Coruña (INIBIC), Complexo Hospitalario Universitario de A Coruña (CHUAC), SERGAS, Universidade da Coruña, A Coruña;2. Clinical Epidemiology Research Group, Department of Health Sciences, Universidade da Coruña (UDC), Ferrol, Spain;1. Department of Obstetrics and Gynaecology, Queen Mary Hospital, the University of Hong Kong, Hong Kong, People’s Republic of China;2. Department of Pathology, Queen Mary Hospital, the University of Hong Kong, Hong Kong, People’s Republic of China;1. Department of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Guangzhou;2. Department of Neurology, Medical School, Nanchang University, Nanchang;3. Department of Epidemiology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Guangzhou, China
Abstract:The audit aimed to assess patient satisfaction and GP workload following the introduction of patient-led breast cancer follow up (PLFU), comprising regular mammographic surveillance and easy access self-referral to the breast clinic if required. A questionnaire was sent to 217 patients at low risk of recurrence or death following breast cancer treatment and to 302 GPs. From 217 patients there were 130 respondents (60%) and of these 126 (97%) patients had a clear idea of how to contact the breast unit, and only 5 of 130 patients (4%) required a breast clinic appointment. All 106 respondents (100%) were satisfied with the process to contact the breast unit. Only 10 of 277 GP respondents (3.6%) referred a patient on PLFU back to the breast unit during the study period. PLFU has been well received by patients following breast cancer treatment with little increase in GP workload.
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