Evaluation of the adherence to follow-up care guidelines for women with breast cancer
Autor: | Joost M. Klaase, Sabine Siesling, I. Grandjean, W.J. Schoevers, H. de Vries, A.B.G. Kwast |
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Přispěvatelé: | Faculty of Behavioural, Management and Social Sciences |
Jazyk: | angličtina |
Rok vydání: | 2012 |
Předmět: |
Pediatrics
medicine.medical_specialty medicine.medical_treatment IR-77991 MEDLINE Breast Neoplasms Breast cancer medicine Influencing factors Mammography Humans Registries Netherlands Retrospective Studies Analysis of Variance Chi-Square Distribution medicine.diagnostic_test Oncology (nursing) business.industry Follow-up Guideline adherence Retrospective cohort study METIS-287258 General Medicine Guideline Middle Aged medicine.disease Cancer registry Radiation therapy Family medicine Linear Models Female business Chi-squared distribution Follow-Up Studies |
Zdroj: | European journal of oncology nursing, 16(3), 281-285. Elsevier |
ISSN: | 1462-3889 |
DOI: | 10.1016/j.ejon.2011.07.004 |
Popis: | Purpose: To evaluate adherence with follow-up criteria as suggested by the national guideline for breast cancer patients. Method: Patients diagnosed with breast cancer in 2003 in two hospitals were identified from the Netherlands Cancer Registry (n = 198). Compliance with the guideline was assessed retrospectively by extracting follow-up care data from patient files for a period of five years. Results: Follow-up data were available for 196 patients. In the first year of follow-up, fewer consultations were performed compared to guideline standards. In the second through the fifth year of follow-up, more consultations were performed, with nearly double the number of consultations in the third until the fifth year compared to the guideline (p < 0.05). This excess usage was mainly associated with the fact that women had received radiotherapy (p < 0.01). Physical examinations were performed during 97 percent of consultations. Mammograms were performed slightly less often than suggested. Conclusions: Among women receiving follow-up care after breast cancer, more consultations were provided compared to the guideline recommendations. Mammograms were performed slightly less often than recommended. With regard to the performance of physical examinations, the guideline was followed. |
Databáze: | OpenAIRE |
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