Department of Epidemiology, University Medical Center Groningen, University of Groningen, The Netherlands.
BMC Cancer. 2011 Jun 28;11:279. doi: 10.1186/1471-2407-11-279.
After primary treatment for breast cancer, patients are recommended to use hospital follow-up care routinely. Long-term data on the utilization of this follow-up care are relatively rare.
Information regarding the utilization of routine hospital follow-up care was retrieved from hospital documents of 662 patients treated for breast cancer. Utilization of hospital follow-up care was defined as the use of follow-up care according to the guidelines in that period of time. Determinants of hospital follow up care were evaluated with multivariate analysis by generalized estimating equations (GEE).
The median follow-up time was 9.0 (0.3-18.1) years. At fifth and tenth year after diagnosis, 16.1% and 33.5% of the patients had less follow-up visits than recommended in the national guideline, and 33.1% and 40.4% had less frequent mammography than recommended. Less frequent mammography was found in older patients (age > 70; OR: 2.10; 95%CI: 1.62-2.74), patients with comorbidity (OR: 1.26; 95%CI: 1.05-1.52) and patients using hormonal therapy (OR: 1.51; 95%CI: 1.01-2.25).
Most patients with a history of breast cancer use hospital follow-up care according to the guidelines. In older patients, patients with comorbidity and patients receiving hormonal therapy yearly mammography is performed much less than recommended.
乳腺癌患者在接受初次治疗后，建议常规进行医院随访。有关这种随访护理利用情况的长期数据相对较少。
从 662 名接受乳腺癌治疗的患者的医院文件中检索有关常规医院随访护理利用情况的信息。根据该时期的指南，将随访护理的利用情况定义为根据指南进行随访护理。采用广义估计方程（GEE）的多变量分析评估随访护理的决定因素。
中位随访时间为 9.0（0.3-18.1）年。在诊断后的第五年和第十年，16.1%和 33.5%的患者接受的随访次数少于国家指南建议的次数，33.1%和 40.4%接受的乳房 X 线检查次数少于建议的次数。年龄较大的患者（>70 岁；OR：2.10；95%CI：1.62-2.74）、合并症患者（OR：1.26；95%CI：1.05-1.52）和接受激素治疗的患者（OR：1.51；95%CI：1.01-2.25）的乳房 X 线检查频率较低。
大多数有乳腺癌病史的患者根据指南接受医院随访护理。在年龄较大的患者、合并症患者和接受激素治疗的患者中，每年进行乳房 X 线检查的次数明显少于建议的次数。
