Evidence map›Paper›PMID 34449103›Full record

ArticleEuropean journal of cancer care2021

Follow-up after breast cancer: Variations, best practices, and opportunities for improvement according to health care professionals.

Jet W Ankersmid, Jolanda C van Hoeve, Luc J A Strobbe, Yvonne E A van Riet, Cornelia F van Uden-Kraan, Sabine Siesling, Constance H C Drossaert, Santeon VBHC Breast Cancer Group

Abstract read
In one paragraph

Article in European journal of cancer care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The effectiveness of personalised surveillance and aftercare in breast cancer follow-up: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jet W AnkersmidDepartment of Health Technology and Services Research, Technical Medical Center, University of Twente, Enschede, The Netherlands.ORCID https://orcid.org/0000-0002-4562-8147
Jolanda C van HoeveDepartment of Health Technology and Services Research, Technical Medical Center, University of Twente, Enschede, The Netherlands.ORCID https://orcid.org/0000-0003-3133-6212
Luc J A StrobbeDepartment of Surgery, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.ORCID https://orcid.org/0000-0002-3840-3003
Yvonne E A van RietDepartment of Surgery, Catharina Hospital, Eindhoven, The Netherlands.ORCID https://orcid.org/0000-0002-4465-5768
Cornelia F van Uden-KraanSanteon Hospital Group, Utrecht, The Netherlands.ORCID https://orcid.org/0000-0002-3898-416X
Sabine SieslingDepartment of Health Technology and Services Research, Technical Medical Center, University of Twente, Enschede, The Netherlands.ORCID https://orcid.org/0000-0002-0273-824X
Constance H C DrossaertDepartment of Psychology, Health and Technology, University of Twente, Enschede, The Netherlands.ORCID https://orcid.org/0000-0002-7083-3169
Santeon VBHC Breast Cancer Group

Funding

ZonMw 516007001
6 · The paper itself

Abstract

objectiveFollow-up after breast cancer can be divided into surveillance and aftercare. It remains unclear how follow-up can ideally be organised from the perspective of health care professionals (HCPs). The aim of this study was to gain insight in the organisation of follow-up in seven Dutch teaching hospitals and to identify best practices and opportunities for improvement of breast cancer (all stages) follow-up as proposed by HCPs.

methodsSemi-structured in-depth group interviews were performed, one in each of the participating hospitals, with in total 16 HCPs and 2 patient advocates. To describe the organisation of follow-up, transcripts were analysed using a deductive approach. Best practices and opportunities were derived using an inductive approach.

resultsVariation was found in the organisation of aftercare, especially in timing, frequency, and disciplines of involved HCPs. Less variation was observed for surveillance, which was guided by the national guideline. Best practices focused on case management and adequate collaboration between HCPs of different disciplines. Mentioned opportunities were improving the structured monitoring of patients' needs and a comprehensive guideline for organisation and content of aftercare.

conclusionsVariation in follow-up existed between hospitals. Shared decision-making (SDM) about surveillance is desirable to ensure that surveillance matches the patient needs, preferences, and personal risk for recurrences.

Indexed as

Breast NeoplasmsAftercareDecision Making, SharedFemaleFollow-Up StudiesHealth PersonnelHumansaftercarebreast cancercare pathwaysfollow-uppersonalised caresurvivorship care

Identifiers

PMID34449103
PMCPMC9285965

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.