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    Fam Pract. 1995 Mar;12(1):60-5.

    Specialist and general practice views on routine follow-up of breast cancer patients in general practice.

    Grunfeld E, Mant D, Vessey MP, Fitzpatrick R.

    Department of Public Health and Primary Care, University of Oxford, Radcliffe Infirmary, UK.

    The practice of routinely following-up breast cancer in hospital clinics is of widespread concern: studies have shown that it is not an effective way of detecting recurrent disease and it places great strain on cancer services which are already overstretched. A general practice centred system of routine follow-up may be a solution to this problem in those countries which have a strong primary care base. Such a system would have other benefits such as continuity of care for the patient. The objective of this study was to determine the views of general practitioners and specialists on follow-up of patients with breast cancer in remission, with special emphasis on their views on the transfer of routine follow-up from the hospital to general practice. A postal questionnaire survey of British breast cancer specialists (response rate 77.0%) and a personal interview survey of British general practitioners (response rate 81.8%) were conducted. The results show that British general practitioners are willing to take on greater responsibility for the routine follow-up care of their patients with breast cancer. However, there was frequently a mis-match between specialists' and general practitioners' views on this subject.

    PMID: 7665044 [PubMed - indexed for MEDLINE]

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