Draeger, Teresa and Voelkel, Vinzenz and Schreuder, Kay and Veltman, Jeroen and Dassen, Anneriet and Strobbe, Luc and Heijmans, Harald J. and Koelemij, Ron and Groothuis-Oudshoorn, Catharina G. M. and Siesling, Sabine (2022) Adherence to the Dutch Breast Cancer Guidelines for Surveillance in Breast Cancer Survivors: Real-World Data from a Pooled Multicenter Analysis. ONCOLOGIST, 27 (10). E766-E773. ISSN 1083-7159, 1549-490X
Full text not available from this repository. (Request a copy)Abstract
Background Regular follow-up after treatment for breast cancer is crucial to detect potential recurrences and second contralateral breast cancer in an early stage. However, information about follow-up patterns in the Netherlands is scarce. Patients and Methods Details concerning diagnostic procedures and policlinic visits in the first 5 years following a breast cancer diagnosis were gathered between 2009 and 2019 for 9916 patients from 4 large Dutch hospitals. This information was used to analyze the adherence of breast cancer surveillance to guidelines in the Netherlands. Multivariable logistic regression was used to relate the average number of a patient's imaging procedures to their demographics, tumor-treatment characteristics, and individual locoregional recurrence risk (LRR), estimated by a risk-prediction tool, called INFLUENCE. Results The average number of policlinic contacts per patient decreased from 4.4 in the first to 2.0 in the fifth follow-up year. In each of the 5 follow-up years, the share of patients without imaging procedures was relatively high, ranging between 31.4% and 33.6%. Observed guidelines deviations were highly significant (P < .001). A higher age, lower UICC stage, and having undergone radio- or chemotherapy were significantly associated with a higher chance of receiving an imaging procedure. The estimated average LRR-risk was 3.5% in patients without any follow-up imaging compared with 2.3% in patients with the recommended number of 5 imagings. Conclusion Compared to guidelines, more policlinic visits were made, although at inadequate intervals, and fewer imaging procedures were performed. The frequency of imaging procedures did not correlate with the patients' individual risk profiles for LRR. Regular follow-up after treatment for breast cancer is important for early detection of recurrence. This article evaluates adherence to the current Dutch breast cancer guidelines for follow-up care after curative breast cancer treatment in daily clinical practice.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | FOLLOW-UP CARE; MULTIPLE IMPUTATION; MAMMOGRAPHY; TRENDS; RISK; STRATEGIES; WOMEN; AGE; breast cancer; follow-up; health services research; guideline adherence; daily clinical practice |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Zentren des Universitätsklinikums Regensburg > Tumorzentrum e.V. |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 27 Feb 2024 12:26 |
| Last Modified: | 27 Feb 2024 12:26 |
| URI: | https://pred.uni-regensburg.de/id/eprint/58014 |
Actions (login required)
 |
View Item |
