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Follow up in breast cancer

BMJ 1995; 311 doi: (Published 01 July 1995) Cite this as: BMJ 1995;311:54
  1. Eva Grunfeld,
  2. Pat Yudkin,
  3. Ruth Adewuyl-Dalton,
  4. Martin P Vessey,
  5. David Mant
  1. Assistant professor Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada K1H 8L6
  2. Statistician, ICRF General Practice Research Group Research assistant Professor of public health and primary care Department of Public Health and Primary Care, University of Oxford, Oxford OX2 6HE
  3. Professor of primary care epidemiology Department of Primary Medical Care, University of Southampton, Southampton SO1 6ST

    Quality of life unaffected by general practice follow up

    EDITOR,--John Dewar calls for a reappraisal of how women with breast cancer are followed up.1 We now have compelling evidence that intensive follow up does not improve either quality of life related to health or overall survival.2 3 In the light of this, Dewar wonders what the effect of routine follow up is on the patient, in terms of both quality of life and cost. He also wonders what the optimum follow up practice should be and calls for as rigorous an assessment of follow …

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