Open Access Follow-up Care for Early Breast Cancer

A Randomised Controlled Quality of Life Analysis

Marilynne Kirshbaum, J Dent, J Stephenson, A Topping, V Allinson, M McCoy, S Brayford

    Research output: Contribution to journalArticleResearchpeer-review

    Abstract

    This study evaluated the acceptability of a supportive model of follow-up. One hundred and twelve women recovering from breast cancer were randomised to receive standard breast clinic aftercare (Control n = 56) or on demand by open access aftercare by breast care nurses (Intervention n = 56). Participants attended a support-based psycho-educational programme delivered in four half-day group sessions. Three quality of life questionnaires (EORTC QLQ-C30, QLQ-BR23, HADS) were administered at baseline and 6-monthly intervals for 2 years. Multilevel linear regression modelling methods were used for evaluation. Age was found to be a statistically significant predictor of quality of life in several sub-scales. Increasing age was negatively associated with sexual functioning, systematic therapy side effects and physical functioning, and positively associated with future perspective. Aftercare assignment was not found to be a statistically significant predictor. Women treated for early breast cancer were not disadvantaged by allocation to the open access supportive care model in terms of quality of life experienced. The model for follow-up was demonstrated to be a feasible alternative to routinised hospital-based follow-up and adds to the evidence for stratified follow-up for low-risk cancer patients, incorporating self-management education. Stratified follow-up pathways are viewed as a preferable approach. 
    Original languageEnglish
    Pages (from-to)1-9
    Number of pages9
    JournalEuropean Journal of Cancer Care
    Volume26
    Issue number4
    Early online date2016
    DOIs
    Publication statusPublished - 2017

    Fingerprint

    Aftercare
    Quality of Life
    Breast Neoplasms
    Breast
    Vulnerable Populations
    Self Care
    Linear Models
    Nurses
    Education
    Neoplasms
    Therapeutics

    Cite this

    Kirshbaum, Marilynne ; Dent, J ; Stephenson, J ; Topping, A ; Allinson, V ; McCoy, M ; Brayford, S. / Open Access Follow-up Care for Early Breast Cancer : A Randomised Controlled Quality of Life Analysis. In: European Journal of Cancer Care. 2017 ; Vol. 26, No. 4. pp. 1-9.
    @article{65b746833fec431e9d17c2bb6d3239e3,
    title = "Open Access Follow-up Care for Early Breast Cancer: A Randomised Controlled Quality of Life Analysis",
    abstract = "This study evaluated the acceptability of a supportive model of follow-up. One hundred and twelve women recovering from breast cancer were randomised to receive standard breast clinic aftercare (Control n = 56) or on demand by open access aftercare by breast care nurses (Intervention n = 56). Participants attended a support-based psycho-educational programme delivered in four half-day group sessions. Three quality of life questionnaires (EORTC QLQ-C30, QLQ-BR23, HADS) were administered at baseline and 6-monthly intervals for 2 years. Multilevel linear regression modelling methods were used for evaluation. Age was found to be a statistically significant predictor of quality of life in several sub-scales. Increasing age was negatively associated with sexual functioning, systematic therapy side effects and physical functioning, and positively associated with future perspective. Aftercare assignment was not found to be a statistically significant predictor. Women treated for early breast cancer were not disadvantaged by allocation to the open access supportive care model in terms of quality of life experienced. The model for follow-up was demonstrated to be a feasible alternative to routinised hospital-based follow-up and adds to the evidence for stratified follow-up for low-risk cancer patients, incorporating self-management education. Stratified follow-up pathways are viewed as a preferable approach. ",
    author = "Marilynne Kirshbaum and J Dent and J Stephenson and A Topping and V Allinson and M McCoy and S Brayford",
    year = "2017",
    doi = "10.1111/ecc.12577",
    language = "English",
    volume = "26",
    pages = "1--9",
    journal = "European Journal of Cancer Care",
    issn = "0961-5423",
    publisher = "Blackwell Publishing Ltd",
    number = "4",

    }

    Open Access Follow-up Care for Early Breast Cancer : A Randomised Controlled Quality of Life Analysis. / Kirshbaum, Marilynne; Dent, J; Stephenson, J; Topping, A; Allinson, V; McCoy, M; Brayford, S.

    In: European Journal of Cancer Care, Vol. 26, No. 4, 2017, p. 1-9.

    Research output: Contribution to journalArticleResearchpeer-review

    TY - JOUR

    T1 - Open Access Follow-up Care for Early Breast Cancer

    T2 - A Randomised Controlled Quality of Life Analysis

    AU - Kirshbaum, Marilynne

    AU - Dent, J

    AU - Stephenson, J

    AU - Topping, A

    AU - Allinson, V

    AU - McCoy, M

    AU - Brayford, S

    PY - 2017

    Y1 - 2017

    N2 - This study evaluated the acceptability of a supportive model of follow-up. One hundred and twelve women recovering from breast cancer were randomised to receive standard breast clinic aftercare (Control n = 56) or on demand by open access aftercare by breast care nurses (Intervention n = 56). Participants attended a support-based psycho-educational programme delivered in four half-day group sessions. Three quality of life questionnaires (EORTC QLQ-C30, QLQ-BR23, HADS) were administered at baseline and 6-monthly intervals for 2 years. Multilevel linear regression modelling methods were used for evaluation. Age was found to be a statistically significant predictor of quality of life in several sub-scales. Increasing age was negatively associated with sexual functioning, systematic therapy side effects and physical functioning, and positively associated with future perspective. Aftercare assignment was not found to be a statistically significant predictor. Women treated for early breast cancer were not disadvantaged by allocation to the open access supportive care model in terms of quality of life experienced. The model for follow-up was demonstrated to be a feasible alternative to routinised hospital-based follow-up and adds to the evidence for stratified follow-up for low-risk cancer patients, incorporating self-management education. Stratified follow-up pathways are viewed as a preferable approach. 

    AB - This study evaluated the acceptability of a supportive model of follow-up. One hundred and twelve women recovering from breast cancer were randomised to receive standard breast clinic aftercare (Control n = 56) or on demand by open access aftercare by breast care nurses (Intervention n = 56). Participants attended a support-based psycho-educational programme delivered in four half-day group sessions. Three quality of life questionnaires (EORTC QLQ-C30, QLQ-BR23, HADS) were administered at baseline and 6-monthly intervals for 2 years. Multilevel linear regression modelling methods were used for evaluation. Age was found to be a statistically significant predictor of quality of life in several sub-scales. Increasing age was negatively associated with sexual functioning, systematic therapy side effects and physical functioning, and positively associated with future perspective. Aftercare assignment was not found to be a statistically significant predictor. Women treated for early breast cancer were not disadvantaged by allocation to the open access supportive care model in terms of quality of life experienced. The model for follow-up was demonstrated to be a feasible alternative to routinised hospital-based follow-up and adds to the evidence for stratified follow-up for low-risk cancer patients, incorporating self-management education. Stratified follow-up pathways are viewed as a preferable approach. 

    UR - http://www.scopus.com/inward/record.url?scp=84992451539&partnerID=8YFLogxK

    U2 - 10.1111/ecc.12577

    DO - 10.1111/ecc.12577

    M3 - Article

    VL - 26

    SP - 1

    EP - 9

    JO - European Journal of Cancer Care

    JF - European Journal of Cancer Care

    SN - 0961-5423

    IS - 4

    ER -