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http://bura.brunel.ac.uk/handle/2438/15098
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DC Field | Value | Language |
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dc.contributor.author | Grunfeld, E | - |
dc.contributor.author | Gray, A | - |
dc.contributor.author | Mant, D | - |
dc.contributor.author | Yudkin, P | - |
dc.contributor.author | Adewuyi-Dalton, R | - |
dc.contributor.author | Coyle, D | - |
dc.contributor.author | Cole, D | - |
dc.contributor.author | Stewart, J | - |
dc.contributor.author | Fitzpatrick, R | - |
dc.contributor.author | Vessey, M | - |
dc.date.accessioned | 2017-08-31T13:16:29Z | - |
dc.date.available | 1999-03-01 | - |
dc.date.available | 2017-08-31T13:16:29Z | - |
dc.date.issued | 1999 | - |
dc.identifier.citation | BRITISH JOURNAL OF CANCER, 1999, 79 (7-8), pp. 1227 - 1233 (7) | en_US |
dc.identifier.issn | http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000078699500037&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=f12c8c83318cf2733e615e54d9ed7ad5 | - |
dc.identifier.issn | http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000078699500037&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=f12c8c83318cf2733e615e54d9ed7ad5 | - |
dc.identifier.issn | 0007-0920 | - |
dc.identifier.uri | http://bura.brunel.ac.uk/handle/2438/15098 | - |
dc.description.abstract | A randomized controlled trial (RCT) comparing primary-care-centred follow-up of breast cancer patients with the current standard practice of specialist-centred follow-up showed no increase in delay in diagnosing recurrence, and no increase in anxiety or deterioration in health-related quality of life. An economic evaluation of the two schemes of follow-up was conducted concurrent with the RCT. Because the RCT found no difference in the primary clinical outcomes, a cost minimization analysis was conducted. Process measures of the quality of care such as frequency and length of visits were superior in primary care. Costs to patients and to the health service were lower in primary care. There was no difference in total costs of diagnostic tests, with particular tests being performed more frequently in primary care than in specialist care. Data are provided on the average frequency and length of visits, and frequency of diagnostic testing for breast cancer patients during the follow-up period. | en_US |
dc.description.sponsorship | We thank Jean Pugh, Jo Horler, Christine Southwell and Sally Black for their excellent and dedicated work as research nurses; Drs John Clements and Graham Cradduck for advice and support in general practitioner liaison; and Karen Lee for data analysis. We thank the many surgeons, oncologists and general practitioners whose commitment made this research possible. We particularly thank the women with breast cancer who participated in this research. EG is supported in part by the Ontario Ministry of Health. At the time of the research, EG was a fellow of the National Cancer Institute of Canada supported with funds from the Canadian Cancer Society. The research was funded by the Department of Health for England and Wales with a generous contribution from the Ballakermean School of the Isle of Man and support from the General Practice Research Group of the Imperial Cancer Research Fund. | en_US |
dc.format.extent | 1227 - 1233 (7) | - |
dc.language | English | - |
dc.language.iso | en | en_US |
dc.publisher | CHURCHILL LIVINGSTONE | en_US |
dc.subject | Science & Technology | en_US |
dc.subject | Life Sciences & Biomedicine | en_US |
dc.subject | Oncology | en_US |
dc.subject | ONCOLOGY | en_US |
dc.subject | breast cancer | en_US |
dc.subject | economic evaluation | en_US |
dc.subject | follow-up care | en_US |
dc.subject | randomized controlled trial | en_US |
dc.subject | primary care | en_US |
dc.subject | RANDOMIZED TRIAL | en_US |
dc.subject | COST | en_US |
dc.title | Follow up of breast cancer in primary care vs specialist care: results of an economic evaluation | en_US |
dc.type | Article | en_US |
dc.identifier.doi | http://dx.doi.org/10.1038/sj.bjc.6690197 | - |
dc.relation.isPartOf | BRITISH JOURNAL OF CANCER | - |
pubs.issue | 7-8 | - |
pubs.publication-status | Published | - |
pubs.volume | 79 | - |
Appears in Collections: | Dept of Health Sciences Research Papers |
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Fulltext.pdf | 90.99 kB | Adobe PDF | View/Open |
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