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Open access follow-up care for early breast cancer: a randomised controlled quality of life analysis

Kirshbaum, Marilynne N., Dent, J., Stephenson, J., Topping, A. E., Allinson, V., McCoy, M. and Brayford, S. (2016). Open access follow-up care for early breast cancer: a randomised controlled quality of life analysis. European Journal of Cancer Care,Online Open(Article No. ECC12577):1-9.

Document type: Journal Article
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Title Open access follow-up care for early breast cancer: a randomised controlled quality of life analysis
Author Kirshbaum, Marilynne N.
Dent, J.
Stephenson, J.
Topping, A. E.
Allinson, V.
McCoy, M.
Brayford, S.
Journal Name European Journal of Cancer Care
Publication Date 2016
Volume Number Online Open
Issue Number Article No. ECC12577
ISSN 0961-5423   (check CDU catalogue  open catalogue search in new window)
Start Page 1
End Page 9
Total Pages 9
Place of Publication United Kingdom
Publisher Wiley-Blackwell Publishing Ltd
Field of Research MEDICAL AND HEALTH SCIENCES
Abstract This study evaluated the acceptability of a supportive model of follow-up. One hundred and twelve women recovering from breast cancer were randomised to receive standard breast clinic aftercare (Control n = 56) or on demand by open access aftercare by breast care nurses (Intervention n = 56). Participants attended a support-based psycho-educational programme delivered in four half-day group sessions. Three quality of life questionnaires (EORTC QLQ-C30, QLQ-BR23, HADS) were administered at baseline and 6-monthly intervals for 2 years. Multilevel linear regression modelling methods were used for evaluation. Age was found to be a statistically significant predictor of quality of life in several sub-scales. Increasing age was negatively associated with sexual functioning, systematic therapy side effects and physical functioning, and positively associated with future perspective. Aftercare assignment was not found to be a statistically significant predictor. Women treated for early breast cancer were not disadvantaged by allocation to the open access supportive care model in terms of quality of life experienced. The model for follow-up was demonstrated to be a feasible alternative to routinised hospital-based follow-up and adds to the evidence for stratified follow-up for low-risk cancer patients, incorporating self-management education. Stratified follow-up pathways are viewed as a preferable approach.
DOI http://dx.doi.org/10.1111/ecc.12577   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
Additional Notes This is an Open Access article distributed under the terms of the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Description for Link Link to CC Attribution 4.0 License
URL https://creativecommons.org/licenses/by/4.0/au


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Created: Wed, 28 Sep 2016, 10:36:03 CST by Marion Farram