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Nurse-led follow-up on demand or by a physician after breast cancer surgery: a randomised study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences. (Gastrointestinal Surgery)
2004 (English)In: Eur J Oncol Nurs, ISSN 1462-3889, Vol. 8, no 2, 109-117; discussion 118-120 p.Article in journal (Refereed) Published
Abstract [en]

The value of routine follow-up with frequent visits to a breast cancer specialist-both in terms of detection of recurrence and patient satisfaction-has been questioned. The aim of this study was to compare nurse-led follow-up on demand versus physician follow-up after breast cancer treatment with regards to patients' well-being, satisfaction, access to medical care and medical safety. Two hundred and sixty-four consecutively selected women with newly diagnosed breast cancer, classified as UICC stage I or stage II, were randomised to follow-up at two hospitals in Sweden, either by routine medical follow-up, the physician group (PG, n=131), or on demand by a specialist nurse, the nurse group (NG, n=133). Measures were done at baseline and twice a year over a period of 5 years by means of a questionnaire containing the Hospital Anxiety and Depression Scale (HAD), and the Satisfaction and Accessibility (SaaC) scale. Number of contacts with the health care services, number of diagnostic procedures, and time to recurrence or death were monitored. The ratings of HAD and SaaC did not show any statistically significant differences between the groups. The levels of anxiety and depression were generally low and levels of patient satisfaction high. There were no differences between the groups concerning time to recurrence or death. This study indicates that women with breast cancer in stages I to II can be followed up by a specialist nurse with high patient satisfaction and good medical safety.

Place, publisher, year, edition, pages
2004. Vol. 8, no 2, 109-117; discussion 118-120 p.
Keyword [en]
Adult, Aftercare/*organization & administration, Aged, Anxiety/epidemiology/prevention & control, Breast Neoplasms/epidemiology/*nursing/*prevention & control/secondary, Comparative Study, Depression/epidemiology/prevention & control, Female, Health Services Accessibility, Humans, Longitudinal Studies, Middle Aged, Neoplasm Metastasis/prevention & control, Neoplasm Recurrence; Local/*prevention & control, Oncologic Nursing, Patient Satisfaction, Research Support; Non-U.S. Gov't, Survival Rate, Sweden/epidemiology
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-70016DOI: 10.1016/j.ejon.2003.12.005PubMedID: 15171968OAI: oai:DiVA.org:uu-70016DiVA: diva2:97927
Available from: 2005-04-14 Created: 2005-04-14 Last updated: 2010-09-06Bibliographically approved

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Publisher's full textPubMedhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Retrieve&list_uids=15171968&dopt=Citation

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Holmberg, Lars
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