Comparison of breast cancer patient satisfaction with follow-up in primary care versus specialist care: results from a randomized controlled trial.
BACKGROUND: Routine follow-up of breast cancer patients in specialist clinics is standard practice in most countries. Follow-up involves regularly scheduled breast cancer check-ups during the disease-free period. The aims of follow-up are to detect breast cancer recurrence and to provide psychosocia...
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| Materiálatiipa: | Journal article |
| Giella: | English |
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1999
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| _version_ | 1826301931172134912 |
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| author | Grunfeld, E Fitzpatrick, R Mant, D Yudkin, P Adewuyi-Dalton, R Stewart, J Cole, D Vessey, M |
| author_facet | Grunfeld, E Fitzpatrick, R Mant, D Yudkin, P Adewuyi-Dalton, R Stewart, J Cole, D Vessey, M |
| author_sort | Grunfeld, E |
| collection | OXFORD |
| description | BACKGROUND: Routine follow-up of breast cancer patients in specialist clinics is standard practice in most countries. Follow-up involves regularly scheduled breast cancer check-ups during the disease-free period. The aims of follow-up are to detect breast cancer recurrence and to provide psychosocial support to the patient; however, little is known about patients' views on breast cancer follow-up. AIM: To assess the effect on patient satisfaction of transferring primary responsibility for follow-up of women with breast cancer in remission from hospital outpatient clinics to general practice. METHOD: Randomized controlled trial with 18 months' follow-up in which women received routine follow-up either in hospital outpatient clinics or from their own general practitioner. Two hundred and ninety-six women with breast cancer in remission receiving regular follow-up care at two district general hospitals in England were included in the study. Patient satisfaction was measured by means of a self-administered questionnaire supplied three times during the 18-month study period. RESULTS: The general practice group selected responses indicating greater satisfaction than did the hospital group on virtually every question. Furthermore, in the general practice group there was a significant increase in satisfaction over baseline; a similar significant increase in satisfaction over baseline was not found in the hospital group. CONCLUSION: Patients with breast cancer were more satisfied with follow-up in general practice than in hospital outpatient departments. When discussing follow-up with breast cancer patients, they should be provided with complete and accurate information about the goals, expectations, and limitations of the follow-up programme so that they can make an informed choice. |
| first_indexed | 2024-03-07T05:39:50Z |
| format | Journal article |
| id | oxford-uuid:e52f49ef-0ad7-4d9a-8c9f-6dd5c7d48adf |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T05:39:50Z |
| publishDate | 1999 |
| record_format | dspace |
| spelling | oxford-uuid:e52f49ef-0ad7-4d9a-8c9f-6dd5c7d48adf2022-03-27T10:22:08ZComparison of breast cancer patient satisfaction with follow-up in primary care versus specialist care: results from a randomized controlled trial.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:e52f49ef-0ad7-4d9a-8c9f-6dd5c7d48adfEnglishSymplectic Elements at Oxford1999Grunfeld, EFitzpatrick, RMant, DYudkin, PAdewuyi-Dalton, RStewart, JCole, DVessey, MBACKGROUND: Routine follow-up of breast cancer patients in specialist clinics is standard practice in most countries. Follow-up involves regularly scheduled breast cancer check-ups during the disease-free period. The aims of follow-up are to detect breast cancer recurrence and to provide psychosocial support to the patient; however, little is known about patients' views on breast cancer follow-up. AIM: To assess the effect on patient satisfaction of transferring primary responsibility for follow-up of women with breast cancer in remission from hospital outpatient clinics to general practice. METHOD: Randomized controlled trial with 18 months' follow-up in which women received routine follow-up either in hospital outpatient clinics or from their own general practitioner. Two hundred and ninety-six women with breast cancer in remission receiving regular follow-up care at two district general hospitals in England were included in the study. Patient satisfaction was measured by means of a self-administered questionnaire supplied three times during the 18-month study period. RESULTS: The general practice group selected responses indicating greater satisfaction than did the hospital group on virtually every question. Furthermore, in the general practice group there was a significant increase in satisfaction over baseline; a similar significant increase in satisfaction over baseline was not found in the hospital group. CONCLUSION: Patients with breast cancer were more satisfied with follow-up in general practice than in hospital outpatient departments. When discussing follow-up with breast cancer patients, they should be provided with complete and accurate information about the goals, expectations, and limitations of the follow-up programme so that they can make an informed choice. |
| spellingShingle | Grunfeld, E Fitzpatrick, R Mant, D Yudkin, P Adewuyi-Dalton, R Stewart, J Cole, D Vessey, M Comparison of breast cancer patient satisfaction with follow-up in primary care versus specialist care: results from a randomized controlled trial. |
| title | Comparison of breast cancer patient satisfaction with follow-up in primary care versus specialist care: results from a randomized controlled trial. |
| title_full | Comparison of breast cancer patient satisfaction with follow-up in primary care versus specialist care: results from a randomized controlled trial. |
| title_fullStr | Comparison of breast cancer patient satisfaction with follow-up in primary care versus specialist care: results from a randomized controlled trial. |
| title_full_unstemmed | Comparison of breast cancer patient satisfaction with follow-up in primary care versus specialist care: results from a randomized controlled trial. |
| title_short | Comparison of breast cancer patient satisfaction with follow-up in primary care versus specialist care: results from a randomized controlled trial. |
| title_sort | comparison of breast cancer patient satisfaction with follow up in primary care versus specialist care results from a randomized controlled trial |
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