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Type: Theses
Title: Optimising follow-up for women after primary treatment for early breast cancer
Author: Bessen, Taryn
Issue Date: 2014
School/Discipline: School of Population Health
Abstract: Overview: Due to early diagnosis and improved treatment outcomes, there is a growing pool of breast cancer survivors who will require follow-up during their lifetime. International guidelines currently recommend routine annual mammography, but there is no randomised controlled trial evidence to support this frequency over any other. In addition, there are economic and workforce imperatives around the provision of cancer follow-up care. The current workload growth is unsustainable for breast cancer specialists who also provide care for women newly diagnosed or with a recurrence. If new models of care are to be developed, it is important that these are appropriate and acceptable, yet currently we know little about patient preferences for possible alternative modes of delivery of follow-up services. Research Questions: 1. What is the impact on survival of the method and timing of detection of a second breast cancer event within the breast? 2. Using a model based economic analysis, is it efficient to tailor mammographic follow-up according to risk of recurrence? 3. What do Australian breast cancer survivors prefer with respect to the provider, location, frequency, and method of delivery of routine follow-up care in years 3, 4 and 5 following diagnosis if existing specialist services were not available; and what is the perceived value of offering “drop-in” clinics providing additional support?
Advisor: Karnon, Jonathan Daniel
Jamrozik, Konrad
Keefe, Dorothy Mary Kate
Street, Jacqueline Mary
Dissertation Note: Thesis (Ph.D.) (Research by Publication) -- University of Adelaide, School of Population Health, 2014.
Keywords: follow-up
early breast cancer
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