Adherence of long-term breast cancer survivors to follow-up care guidelines: a study based on real-world data from the SURBCAN cohort.
Aftercare
Breast neoplasms
Cancer survivors
Guideline adherence
Long-term survivors
Mammography
Journal
Breast cancer research and treatment
ISSN: 1573-7217
Titre abrégé: Breast Cancer Res Treat
Pays: Netherlands
ID NLM: 8111104
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
received:
24
01
2022
accepted:
02
03
2022
pubmed:
16
3
2022
medline:
14
5
2022
entrez:
15
3
2022
Statut:
ppublish
Résumé
To identify adherence to follow-up recommendations in long-term breast cancer survivors (LTBCS) of the SURBCAN cohort and to identify its determinants, using real-world data. We conducted a retrospective study using electronic health records from 2012 to 2016 of women diagnosed with incident breast cancer in Spain between 2000 and 2006 and surviving at least 5 years. Adherence to basic follow-up recommendations, adherence according to risk of recurrence, and overall adherence were calculated based on attendance at medical appointments and imaging surveillance, by year of survivorship. Logistic regression models were fitted to depict the association between adherence and its determinants. A total of 2079 LTBCS were followed up for a median of 4.97 years. Of them, 23.6% had survived ≥ 10 years at baseline. We estimated that 79.5% of LTBCS were overall adherent to at least one visit and one imaging test. Adherence to recommendations decreased over time and no differences were found according to recurrence risk. Determinants of better overall adherence were diagnosis in middle age (50-69 years old), living in a more-deprived area, having fewer years of survival, receiving primary treatment, and being alive at the end of follow-up. We identified women apparently not complying with surveillance visits and tests. Special attention should be paid to the youngest and eldest women at diagnosis and to those with longer survival.
Identifiants
pubmed: 35290544
doi: 10.1007/s10549-022-06563-x
pii: 10.1007/s10549-022-06563-x
pmc: PMC9090857
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
455-465Subventions
Organisme : Instituto de Salud Carlos III
ID : PI16/0024
Organisme : Instituto de Salud Carlos III
ID : PI19/00056
Organisme : Research Network on Health Services in Chronic Diseases
ID : RD16/001/013
Informations de copyright
© 2022. The Author(s).
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