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https://hdl.handle.net/2440/100420
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 health economics mammography |
Provenance: | This electronic version is made publicly available by the University of Adelaide in accordance with its open access policy for student theses. Copyright in this thesis remains with the author. This thesis may incorporate third party material which has been used by the author pursuant to Fair Dealing exceptions. If you are the owner of any included third party copyright material you wish to be removed from this electronic version, please complete the take down form located at: http://www.adelaide.edu.au/legals |
Appears in Collections: | Research Theses |
Files in This Item:
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01front.pdf | 372.05 kB | Adobe PDF | View/Open | |
02whole.pdf | 2.56 MB | Adobe PDF | View/Open | |
Permissions Restricted Access | Library staff access only | 674.73 kB | Adobe PDF | View/Open |
Restricted Restricted Access | Library staff access only | 3.39 MB | Adobe PDF | View/Open |
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