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Adherence to the Dutch Breast Cancer Guidelines for Surveillance in Breast Cancer Survivors: Real-World Data from a Pooled Multicenter Analysis

BACKGROUND: Regular follow-up after treatment for breast cancer is crucial to detect potential recurrences and second contralateral breast cancer in an early stage. However, information about follow-up patterns in the Netherlands is scarce. PATIENTS AND METHODS: Details concerning diagnostic procedu...

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Autores principales: Draeger, Teresa, Voelkel, Vinzenz, Schreuder, Kay, Veltman, Jeroen, Dassen, Anneriet, Strobbe, Luc, Heijmans, Harald J, Koelemij, Ron, Groothuis-Oudshoorn, Catharina G M, Siesling, Sabine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9526487/
https://www.ncbi.nlm.nih.gov/pubmed/35962739
http://dx.doi.org/10.1093/oncolo/oyac126
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author Draeger, Teresa
Voelkel, Vinzenz
Schreuder, Kay
Veltman, Jeroen
Dassen, Anneriet
Strobbe, Luc
Heijmans, Harald J
Koelemij, Ron
Groothuis-Oudshoorn, Catharina G M
Siesling, Sabine
author_facet Draeger, Teresa
Voelkel, Vinzenz
Schreuder, Kay
Veltman, Jeroen
Dassen, Anneriet
Strobbe, Luc
Heijmans, Harald J
Koelemij, Ron
Groothuis-Oudshoorn, Catharina G M
Siesling, Sabine
author_sort Draeger, Teresa
collection PubMed
description BACKGROUND: Regular follow-up after treatment for breast cancer is crucial to detect potential recurrences and second contralateral breast cancer in an early stage. However, information about follow-up patterns in the Netherlands is scarce. PATIENTS AND METHODS: Details concerning diagnostic procedures and policlinic visits in the first 5 years following a breast cancer diagnosis were gathered between 2009 and 2019 for 9916 patients from 4 large Dutch hospitals. This information was used to analyze the adherence of breast cancer surveillance to guidelines in the Netherlands. Multivariable logistic regression was used to relate the average number of a patient’s imaging procedures to their demographics, tumor–treatment characteristics, and individual locoregional recurrence risk (LRR), estimated by a risk-prediction tool, called INFLUENCE. RESULTS: The average number of policlinic contacts per patient decreased from 4.4 in the first to 2.0 in the fifth follow-up year. In each of the 5 follow-up years, the share of patients without imaging procedures was relatively high, ranging between 31.4% and 33.6%. Observed guidelines deviations were highly significant (P < .001). A higher age, lower UICC stage, and having undergone radio- or chemotherapy were significantly associated with a higher chance of receiving an imaging procedure. The estimated average LRR-risk was 3.5% in patients without any follow-up imaging compared with 2.3% in patients with the recommended number of 5 imagings. CONCLUSION: Compared to guidelines, more policlinic visits were made, although at inadequate intervals, and fewer imaging procedures were performed. The frequency of imaging procedures did not correlate with the patients’ individual risk profiles for LRR.
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spelling pubmed-95264872022-10-03 Adherence to the Dutch Breast Cancer Guidelines for Surveillance in Breast Cancer Survivors: Real-World Data from a Pooled Multicenter Analysis Draeger, Teresa Voelkel, Vinzenz Schreuder, Kay Veltman, Jeroen Dassen, Anneriet Strobbe, Luc Heijmans, Harald J Koelemij, Ron Groothuis-Oudshoorn, Catharina G M Siesling, Sabine Oncologist European Perspectives BACKGROUND: Regular follow-up after treatment for breast cancer is crucial to detect potential recurrences and second contralateral breast cancer in an early stage. However, information about follow-up patterns in the Netherlands is scarce. PATIENTS AND METHODS: Details concerning diagnostic procedures and policlinic visits in the first 5 years following a breast cancer diagnosis were gathered between 2009 and 2019 for 9916 patients from 4 large Dutch hospitals. This information was used to analyze the adherence of breast cancer surveillance to guidelines in the Netherlands. Multivariable logistic regression was used to relate the average number of a patient’s imaging procedures to their demographics, tumor–treatment characteristics, and individual locoregional recurrence risk (LRR), estimated by a risk-prediction tool, called INFLUENCE. RESULTS: The average number of policlinic contacts per patient decreased from 4.4 in the first to 2.0 in the fifth follow-up year. In each of the 5 follow-up years, the share of patients without imaging procedures was relatively high, ranging between 31.4% and 33.6%. Observed guidelines deviations were highly significant (P < .001). A higher age, lower UICC stage, and having undergone radio- or chemotherapy were significantly associated with a higher chance of receiving an imaging procedure. The estimated average LRR-risk was 3.5% in patients without any follow-up imaging compared with 2.3% in patients with the recommended number of 5 imagings. CONCLUSION: Compared to guidelines, more policlinic visits were made, although at inadequate intervals, and fewer imaging procedures were performed. The frequency of imaging procedures did not correlate with the patients’ individual risk profiles for LRR. Oxford University Press 2022-08-13 /pmc/articles/PMC9526487/ /pubmed/35962739 http://dx.doi.org/10.1093/oncolo/oyac126 Text en © The Author(s) 2022. Published by Oxford University Press. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle European Perspectives
Draeger, Teresa
Voelkel, Vinzenz
Schreuder, Kay
Veltman, Jeroen
Dassen, Anneriet
Strobbe, Luc
Heijmans, Harald J
Koelemij, Ron
Groothuis-Oudshoorn, Catharina G M
Siesling, Sabine
Adherence to the Dutch Breast Cancer Guidelines for Surveillance in Breast Cancer Survivors: Real-World Data from a Pooled Multicenter Analysis
title Adherence to the Dutch Breast Cancer Guidelines for Surveillance in Breast Cancer Survivors: Real-World Data from a Pooled Multicenter Analysis
title_full Adherence to the Dutch Breast Cancer Guidelines for Surveillance in Breast Cancer Survivors: Real-World Data from a Pooled Multicenter Analysis
title_fullStr Adherence to the Dutch Breast Cancer Guidelines for Surveillance in Breast Cancer Survivors: Real-World Data from a Pooled Multicenter Analysis
title_full_unstemmed Adherence to the Dutch Breast Cancer Guidelines for Surveillance in Breast Cancer Survivors: Real-World Data from a Pooled Multicenter Analysis
title_short Adherence to the Dutch Breast Cancer Guidelines for Surveillance in Breast Cancer Survivors: Real-World Data from a Pooled Multicenter Analysis
title_sort adherence to the dutch breast cancer guidelines for surveillance in breast cancer survivors: real-world data from a pooled multicenter analysis
topic European Perspectives
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9526487/
https://www.ncbi.nlm.nih.gov/pubmed/35962739
http://dx.doi.org/10.1093/oncolo/oyac126
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