Ormiston M C, Timoney A G, Qureshi A R
J R Soc Med. 1985 Nov;78(11):920-1. doi: 10.1177/014107688507801108.
The effectiveness of routine outpatient follow up in detecting recurrent disease after 'curative' surgery for breast cancer has been evaluated in a retrospective study of 148 patients. In all, 32 patients developed recurrent cancer. In 3 cases, asymptomatic disease was discovered by routine X-rays. In 25 cases, the patient noticed local disease or complained of symptoms due to distant spread, and over half of these returned to the clinic before the next routine appointment. In only 4 cases was routine examination by a doctor solely responsible for the discovery of recurrent disease. It is concluded that routine follow up made little contribution to the welfare of these patients.
在一项对148例患者的回顾性研究中，评估了乳腺癌“根治性”手术后常规门诊随访在检测疾病复发方面的有效性。总共有32例患者出现癌症复发。其中3例无症状疾病是通过常规X线检查发现的。25例患者注意到局部疾病或因远处转移而出现症状，其中超过一半的患者在下一次常规预约之前就返回了诊所。只有4例是由医生的常规检查单独发现复发性疾病的。结论是常规随访对这些患者的健康贡献不大。
