Routine follow up of breast cancer in primary care

doi:10.1136/bmj.313.7071.1547

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Follow up by non-specialists should not be encouraged

Dick Rainsbury

Consultant breast surgeon Royal Hampshire County Hospital, Winchester SO22 5DG

EDITOR,—While I welcome new initiatives in the management of breast cancer, I believe that the study by Eva Grunfeld and colleagues must be interpreted with caution.1 The authors report no delay in the diagnosis of recurrent breast cancer or reduction in the quality of life of patients randomised to follow up by their general practitioner, but their conclusions must be questioned. The data on recurrence are based on a short follow …