Breast Cancer -Tailored Follow-up- in Italian Oncology Units: A Web-Based SurveyReportar como inadecuado

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Breast cancer follow-up procedures after primary treatment are still a controversial issue. Aim of this study was to investigate, through a web-based survey, surveillance methodologies selected by Italian oncologists in everyday clinical practice.


Referents of Italian medical oncology units were invited to participate to the study via e-mail through the SurveyMonkey website. Participants were asked how, in their institution, exams of disease staging and follow-up are planned in asymptomatic women and if surveillance continues beyond the 5th year.


Between February and May 2013, 125 out of 233 53.6% invited referents of Italian medical oncology units agreed to participate in the survey. Ninety-seven 77.6% referents state that modalities of breast cancer follow-up are planned according to the risk of disease progression at diagnosis and only 12 9.6% oncology units apply the minimal follow-up procedures according to international guidelines. Minimal follow-up is never applied in high risk asymptomatic women. Ninety-eight 78.4% oncology units continue follow-up in all patients beyond 5 years.


Our survey shows that 90.4% of participating Italian oncology units declare they do not apply the minimal breast cancer follow-up procedures after primary treatment in asymptomatic women, as suggested by national and international guidelines. Interestingly, about 80.0% of interviewed referents performs the so called -tailored follow-up-, high intensity for high risk, low intensity for low risk patients. There is an urgent need of randomized clinical trials able to determine the effectiveness of risk-based follow-up modalities, their ideal frequency and persistence in time.

Autor: Clara Natoli , Davide Brocco, Isabella Sperduti, Antonio Nuzzo, Nicola Tinari, Michele De Tursi, Antonino Grassadonia, Lorenzo Ma



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