Breast Cancer
Conditions
Keywords
Breast Cancer, Follow-up Strategy, Follow-up Care, Family Physician, Oncologist
Brief summary
The purpose of this study is to determine whether family physician 'routine follow-up care' of women with breast cancer in remission is an acceptable alternative to the existing system of specialist follow-up. Primary outcome measure are event rates of oncological catastrophes and quality of life.
Detailed description
see above
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Women with breast cancer on well follow-up at regional cancer centres in Ontario and Manitoba * Diagnosed at least 12 months previously (range 9-15 months) * Without evidence of active disease (i.e., stages IIIB and IV excluded) * Free from any primary treatment complications
Exclusion criteria
* Primary treatment at least 3 months previously, except for continued use of tamoxifen * Still experiencing complications of primary treatment (patients will become eligible once complications resolve provided they are within the 6 month window) * Unable to identify an acceptable family physician to provide follow-up * Language or literacy skills inconsistent with completing questionnaires * Unable to comply with study protocol including completion of questionnaires * Previously enrolled in a study which requires continued follow-up in specialist or peripheral clinics * Actively followed at a cancer centre for another primary cancer
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of clinically catastrophic events | Up to 5 yrs after randomization |
| Rate of Karnofsky performance status < 70 | Up to 5 yrs after randomization |
| Psychosocial well being of patients in remission | Up to 5 yrs after randomization |
Secondary
| Measure | Time frame |
|---|---|
| Health Related Quality of Life after recurrence | Up to 5 yrs after randomization |
| Survival | Up to 5 yrs after randomization |
| Economic evaluation | Up to 5 yrs after randomization |
Countries
Canada