Follow-up of Women with Early Stage Breast Cancer
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Worldwide, there are over 6 million women with a personal history of breast cancer. Survivors may experience a range of issues as a consequence of treatment for breast cancer, including physical, emotional and psychological, and practical issues. In addition, cancer diagnosis and treatments impact on relationships, caregivers, and family members. Current follow-up care is often inadequate as women may not have the broad range of consequences adequately managed. Together with looming shortages within the health workforce, these issues present major challenges to the delivery of ideal care for survivors. This article reviews issues that may be encountered by survivors, preferences indicated by survivors and professionals regarding follow-up, and considers a broad range of models that have been examined. These models include follow-up by general practitioners (primary care physicians), nurse-led, and patient-initiated reviews. Follow-up need not be face to face or routinely scheduled. Comprehensive rehabilitation programs as well as exercise and dietary interventions may result in health benefits for breast cancer survivors.
KeywordsBreast cancer Survivors Survivorship Quality of life Late effects Follow-up Models of care Nurse-led clinics Primary care Survivorship care plan Rehabilitation Self-management Exercise Diet
Compliance with Ethics Guidelines
Conflict of Interest
Meagan Brennan, Michael Jefford, G. Bruce Mann, Linda Nolte, and Lahiru Russell declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance
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