Women with breast cancer: preferences for surveillance

BACKGROUND: On completion of treatment people with breast cancer are offered surveillance at a hospital clinic and/or in primary care. It is unclear whom patients prefer to consult about their problems following cancer treatment. METHOD: Patients being followed up by a hospital nurse were surveyed a...

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Main Author: Jiwa, Moyez
Format: Conference Paper
Published: Cancer Council 2011
Online Access:http://hdl.handle.net/20.500.11937/13662
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author Jiwa, Moyez
author_facet Jiwa, Moyez
author_sort Jiwa, Moyez
building Curtin Institutional Repository
collection Online Access
description BACKGROUND: On completion of treatment people with breast cancer are offered surveillance at a hospital clinic and/or in primary care. It is unclear whom patients prefer to consult about their problems following cancer treatment. METHOD: Patients being followed up by a hospital nurse were surveyed at their follow-up appointment and three months later. The survey included demographic information, symptom profile, and the Patient Enablement Index (PEI). A subsequent survey of the patients' GPs confirmed which patients had consulted their GP prior to the nurse appointment. Three months after their appointment patients completed the PEI and were surveyed about their preference of practitioner for problems following treatment. RESULTS: 101 patients responded to the first survey and 60 patients to the follow-up survey. In 68% of cases women reported that they did not consult their GP about breast cancer related symptoms prior to their appointment at the clinic, choosing instead to present to a Breast Care Nurse (BCN). In the survey patients preferred their GP if they needed a physical examination (p = 0.007) or referral to a specialist (p <0.001). Older patients were more likely to choose a BCN if they wanted a mammogram and a GP if they wanted a physical exam or emotional support. The PEI scores after follow-up with the BCNs were equivalent to those reported following GP consultations. CONCLUSION: Patients prefer their GP overall, but we observed that the majority of women did not consult their GP when they had scheduled appointments with a BCN at a hospital clinic.
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spelling curtin-20.500.11937-136622017-01-30T11:38:37Z Women with breast cancer: preferences for surveillance Jiwa, Moyez BACKGROUND: On completion of treatment people with breast cancer are offered surveillance at a hospital clinic and/or in primary care. It is unclear whom patients prefer to consult about their problems following cancer treatment. METHOD: Patients being followed up by a hospital nurse were surveyed at their follow-up appointment and three months later. The survey included demographic information, symptom profile, and the Patient Enablement Index (PEI). A subsequent survey of the patients' GPs confirmed which patients had consulted their GP prior to the nurse appointment. Three months after their appointment patients completed the PEI and were surveyed about their preference of practitioner for problems following treatment. RESULTS: 101 patients responded to the first survey and 60 patients to the follow-up survey. In 68% of cases women reported that they did not consult their GP about breast cancer related symptoms prior to their appointment at the clinic, choosing instead to present to a Breast Care Nurse (BCN). In the survey patients preferred their GP if they needed a physical examination (p = 0.007) or referral to a specialist (p <0.001). Older patients were more likely to choose a BCN if they wanted a mammogram and a GP if they wanted a physical exam or emotional support. The PEI scores after follow-up with the BCNs were equivalent to those reported following GP consultations. CONCLUSION: Patients prefer their GP overall, but we observed that the majority of women did not consult their GP when they had scheduled appointments with a BCN at a hospital clinic. 2011 Conference Paper http://hdl.handle.net/20.500.11937/13662 Cancer Council fulltext
spellingShingle Jiwa, Moyez
Women with breast cancer: preferences for surveillance
title Women with breast cancer: preferences for surveillance
title_full Women with breast cancer: preferences for surveillance
title_fullStr Women with breast cancer: preferences for surveillance
title_full_unstemmed Women with breast cancer: preferences for surveillance
title_short Women with breast cancer: preferences for surveillance
title_sort women with breast cancer: preferences for surveillance
url http://hdl.handle.net/20.500.11937/13662