The reality in the follow-up of breast cancer survivors: survey of Korean Breast Cancer Society

Authors
Ku Sang KimZisun KimEun-Jung ShimNam Hyoung KimSo-Youn JungJisun KimGuiyun SohnJong Won LeeJihyoung ChoJung Eun LeeJuhyung LeeHyun Jo YounJihyoun LeeMin Hyuk Lee
Department
Dept. of Surgery (외과학)
Issue Date
2015
Citation
Annals of Surgical Treatment and Research, Vol.88(3) : 133-139, 2015
ISSN
2288-6575
Abstract
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
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/35046
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
Keimyung Author(s)
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