The reality in the follow-up of breast cancer survivors: survey of Korean Breast Cancer Society
- Ku Sang Kim; Zisun Kim; Eun-Jung Shim; Nam Hyoung Kim; So-Youn Jung; Jisun Kim; Guiyun Sohn; Jong Won Lee; Jihyoung Cho; Jung Eun Lee; Juhyung Lee; Hyun Jo Youn; Jihyoun Lee; Min Hyuk Lee
- Dept. of Surgery (외과학)
- Issue Date
- Annals of Surgical Treatment and Research, Vol.88(3) : 133-139, 2015
- Purpose: Follow-up after primary treatment for breast cancer is an important component of survivor care and various
international guidelines exist for the surveillance. However, little is known about current actual practice patterns of
physicians whether they adhere to or deviate from recommended guidelines. The aim of this study was to determine how
physicians follow-up their patients after primary treatment for breast cancer in Korea.
Methods: A questionnaire survey with 34 questions in 4 categories was e-mailed to the members of Korean Breast Cancer
Society from November to December 2013. Respondents were asked how they use follow-up modalities after primary
treatment of breast cancer and we compared the survey results with present guidelines.
Results: Of the 129 respondents, 123 (95.3%) were breast surgeons. The most important consideration in follow-up was
tumor stage. History taking, physical examinations, and mammography were conducted in similar frequency recommended
by other guidelines while breast ultrasonography was performed more often. The advanced imaging studies such
as CT, MRI, and bone scan, which had been recommended to be conducted only if necessary, were also examined more
frequently. Regular screenings for secondary malignancy were performed in 38 respondents (29.5%). Five years later after
primary treatment, almost the whole respondents (94.6%) themselves monitored their patients.
Conclusion: A majority of respondents have been performed more intensive follow-up modalities in comparison with
present guidelines and less frequently screenings for secondary malignancy. For optimal follow-up of breast cancer
survivors, tailored delivery system should be considered.
[Ann Surg Treat Res 2015;88(3):133-139]
Key Words: Surveillance, Breast neoplasms, Survivors, Guideline
- Appears in Collections:
- 1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
- Keimyung Author(s)
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