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Nurse-led follow-up on demand or by a physician after breast cancer surgery: A randomised study
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Surgery, Varberg Hospital, Varberg, Sweden & Division of Nursing, Department of Medicine and Care, Linköping University, Linköping, Sweden.
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Nursing, Lund University, Lund, Sweden.
Department of Oncology, Örebro, University Hospital, Örebro, Sweden.
Division of Surgery, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
2004 (English)In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 8, no 2, p. 109-117Article 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-ted 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. © 2004 Published by Elsevier Ltd.

Place, publisher, year, edition, pages
London: Churchill Livingstone , 2004. Vol. 8, no 2, p. 109-117
Keywords [en]
adult, aged, anxiety disorder, article, breast cancer, breast surgery, cancer diagnosis, cancer recurrence, cancer staging, clinical trial, controlled clinical trial, controlled study, death, depression, diagnostic procedure, female, follow up, health care access, health care need, health service, human, intermethod comparison, longitudinal study, major clinical study, medical care, medical examination, medical specialist, multicenter study, nursing, patient monitoring, patient satisfaction, patient selection, physician, postoperative period, questionnaire, randomized controlled trial, rating scale, safety, statistical significance, Sweden, time, wellbeing
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-37608DOI: 10.1016/j.ejon.2003.12.005PubMedID: 15171968Scopus ID: 2-s2.0-3042569155OAI: oai:DiVA.org:hh-37608DiVA, id: diva2:1233269
Note

Funing: The study was supported by CTRF, Sweden (cancer and traffic federation) and by County Council of Halland, Sweden.

Available from: 2018-07-17 Created: 2018-07-17 Last updated: 2018-07-17Bibliographically approved

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Koinberg, Inga-LillFridlund, Bengt

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