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British Journal of General Practice
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Research Article

Comparison of breast cancer patient satisfaction with follow-up in primary care versus specialist care: results from a randomized controlled trial.

E Grunfeld, R Fitzpatrick, D Mant, P Yudkin, R Adewuyi-Dalton, J Stewart, D Cole and M Vessey
British Journal of General Practice 1999; 49 (446): 705-710.
E Grunfeld
Division of Public Health and Primary Health Care, Institute of Health Sciences, Headington, Oxford. egrunfeld@cancercare.on.ca
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R Fitzpatrick
Division of Public Health and Primary Health Care, Institute of Health Sciences, Headington, Oxford. egrunfeld@cancercare.on.ca
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D Mant
Division of Public Health and Primary Health Care, Institute of Health Sciences, Headington, Oxford. egrunfeld@cancercare.on.ca
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P Yudkin
Division of Public Health and Primary Health Care, Institute of Health Sciences, Headington, Oxford. egrunfeld@cancercare.on.ca
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R Adewuyi-Dalton
Division of Public Health and Primary Health Care, Institute of Health Sciences, Headington, Oxford. egrunfeld@cancercare.on.ca
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J Stewart
Division of Public Health and Primary Health Care, Institute of Health Sciences, Headington, Oxford. egrunfeld@cancercare.on.ca
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D Cole
Division of Public Health and Primary Health Care, Institute of Health Sciences, Headington, Oxford. egrunfeld@cancercare.on.ca
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M Vessey
Division of Public Health and Primary Health Care, Institute of Health Sciences, Headington, Oxford. egrunfeld@cancercare.on.ca
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Abstract

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.

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British Journal of General Practice: 49 (446)
British Journal of General Practice
Vol. 49, Issue 446
September 1999
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Comparison of breast cancer patient satisfaction with follow-up in primary care versus specialist care: results from a randomized controlled trial.
E Grunfeld, R Fitzpatrick, D Mant, P Yudkin, R Adewuyi-Dalton, J Stewart, D Cole, M Vessey
British Journal of General Practice 1999; 49 (446): 705-710.

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Comparison of breast cancer patient satisfaction with follow-up in primary care versus specialist care: results from a randomized controlled trial.
E Grunfeld, R Fitzpatrick, D Mant, P Yudkin, R Adewuyi-Dalton, J Stewart, D Cole, M Vessey
British Journal of General Practice 1999; 49 (446): 705-710.
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