{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T17:10:59Z","timestamp":1762621859764},"reference-count":33,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2012,7,24]],"date-time":"2012-07-24T00:00:00Z","timestamp":1343088000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,8,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>In the Netherlands, the first 5 years of follow-up after treatment for breast cancer are carried out in hospital with yearly mammography. After this, for patients aged over 60 years who have undergone mastectomy, there is a shift of care to the National Screening Programme (NSP) for mammography every 2 years. After breast-conserving therapy follow-up is perfomed by the general practitioner (GP), with mammography every second year and physical examination annually. The aim of this study was to evaluate the clinical effects and costs of four different strategies for follow-up after breast cancer treatment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>An extended and validated simulation model for breast cancer follow-up was used. The current guidelines for follow-up (baseline strategy) and three less intensive follow-up strategies were evaluated. The main outcome measure was the detection rate of small tumours (2 cm or smaller) and associated costs for each strategy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Shortening the follow-up time in hospital by shifting care to the NSP or GP after 2 years instead of 5 years of hospital follow-up, lowering the age of referral to the NSP or GP from 60 to 50 years, and termination of annual physical examination by the GP after hospital follow-up did not decrease the detection of small tumours. In addition, a substantial decrease in costs was observed with simplified follow-up.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Decreasing hospital follow-up time, lowering the age of referral to the NSP or GP, and termination of annual physical examinations would lead to a substantial reduction in costs while maintaining the possibility of detecting small breast cancers.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.8850","type":"journal-article","created":{"date-parts":[[2012,7,24]],"date-time":"2012-07-24T15:21:40Z","timestamp":1343143300000},"page":"1227-1233","source":"Crossref","is-referenced-by-count":19,"title":["Safety and cost-effectiveness of shortening hospital follow-up after breast cancer treatment"],"prefix":"10.1093","volume":"99","author":[{"given":"W","family":"Lu","sequence":"first","affiliation":[{"name":"Department of Epidemiology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands"},{"name":"Department of Health Statistics, School of Public Health, Tianjin Medical University, Tianjin, China"},{"name":"Department of Epidemiology, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M J W","family":"Greuter","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Schaapveld","sequence":"additional","affiliation":[{"name":"Comprehensive Cancer Centre Amsterdam and Netherlands Cancer Institute, Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K M","family":"Vermeulen","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T","family":"Wiggers","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G H","family":"de Bock","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2012,7,24]]},"reference":[{"key":"2021031112033039000_bib1","first-page":"55","article-title":"Breast cancer facts and figures 2007\u20132008","volume":"8","author":"ASCO","year":"2007","journal-title":"Cancer Pract"},{"key":"2021031112033039000_bib2","doi-asserted-by":"crossref","first-page":"1345","DOI":"10.1016\/j.ejca.2007.12.015","article-title":"Recent trends of cancer in Europe: a combined approach of incidence, survival and mortality for 17 cancer sites since the 1990s","volume":"44","author":"Karim-Kos","year":"2008","journal-title":"Eur J Cancer"},{"key":"2021031112033039000_bib3","doi-asserted-by":"crossref","first-page":"1042","DOI":"10.1016\/j.ejca.2008.11.029","article-title":"Survival trends in European cancer patients diagnosed from 1988 to 1999","volume":"456","author":"Verdecchia","year":"2009","journal-title":"Eur J Cancer"},{"key":"2021031112033039000_bib4","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1016\/j.ejca.2008.09.027","article-title":"Health care utilisation and characteristics of long-term breast cancer survivors: nationwide survey in Denmark","volume":"45","author":"Peuckmann","year":"2009","journal-title":"Eur J Cancer"},{"key":"2021031112033039000_bib5","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1200\/JOP.0723601","article-title":"Future supply and demand for oncologists challenges to assuring access to oncology services","volume":"3","author":"Erikson","year":"2007","journal-title":"J Oncol Pract"},{"key":"2021031112033039000_bib6","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1200\/JCO.2007.14.2851","article-title":"Implementing a survivorship care plan for patients with breast cancer","volume":"26","author":"Ganz","year":"2008","journal-title":"J Clin Oncol"},{"key":"2021031112033039000_bib7","doi-asserted-by":"crossref","first-page":"1625","DOI":"10.1038\/sj.bjc.6603771","article-title":"Alternative methods of follow up in breast cancer: a systematic review of the literature","volume":"96","author":"Montgomery","year":"2007","journal-title":"Br J Cancer"},{"key":"2021031112033039000_bib8","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1136\/bmj.314.7075.174","article-title":"Popularity of less frequent follow up for breast cancer in randomised study: initial findings from the hotline study","volume":"314","author":"Gulliford","year":"1997","journal-title":"BMJ"},{"key":"2021031112033039000_bib9","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1007\/s10549-005-5199-2","article-title":"Follow-up cost of breast cancer patients with localized disease after primary treatment: a randomized trial","volume":"93","author":"Kokko","year":"2005","journal-title":"Breast Cancer Res Treat"},{"key":"2021031112033039000_bib10","first-page":"705","article-title":"Comparison of breast cancer patient satisfaction with follow-up in primary care versus specialist care: results from a randomized controlled trial","volume":"49","author":"Grunfeld","year":"1999","journal-title":"Br J Gen Pract"},{"key":"2021031112033039000_bib11","doi-asserted-by":"crossref","first-page":"848","DOI":"10.1200\/JCO.2005.03.2235","article-title":"Randomized trial of long-term follow-up for early-stage breast cancer: a comparison of family physician versus specialist care","volume":"24","author":"Grunfeld","year":"2006","journal-title":"J Clin Oncol"},{"key":"2021031112033039000_bib12","doi-asserted-by":"crossref","first-page":"a3147","DOI":"10.1136\/bmj.a3147","article-title":"Comparing hospital and telephone follow-up after treatment for breast cancer: randomised equivalence trial","volume":"338","author":"Beaver","year":"2009","journal-title":"BMJ"},{"key":"2021031112033039000_bib13","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1097\/GCO.0b013e328321e437","article-title":"Optimizing follow-up after breast cancer treatment","volume":"21","author":"Grunfeld","year":"2009","journal-title":"Curr Opin Obstet Gynecol"},{"key":"2021031112033039000_bib14","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1158\/1055-9965.EPI-05-0223","article-title":"Breast cancer screening, outside the population-screening program, of women from breast cancer families without proven BRCA1\/BRCA2 mutations: a simulation study","volume":"15","author":"Jacobi","year":"2006","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"key":"2021031112033039000_bib15","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1016\/j.ejca.2009.10.030","article-title":"The validation of a simulation model incorporating radiation risk for mammography breast cancer screening in women with a hereditary-increased breast cancer risk","volume":"46","author":"Greuter","year":"2010","journal-title":"Eur J Cancer"},{"key":"2021031112033039000_bib16","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1093\/jncimonographs\/lgj007","article-title":"The Wisconsin breast cancer epidemiology simulation model","volume":"36","author":"Fryback","year":"2006","journal-title":"J Natl Cancer Inst Monogr"},{"key":"2021031112033039000_bib17","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1038\/sj.bjc.6604816","article-title":"Rising incidence of breast cancer among female cancer survivors: implications for surveillance","volume":"100","author":"Soerjomataram","year":"2009","journal-title":"Br J Cancer"},{"key":"2021031112033039000_bib18","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1186\/1471-2407-11-279","article-title":"Underuse of long-term routine hospital follow-up care in patients with a history of breast cancer?","volume":"11","author":"Lu","year":"2011","journal-title":"BMC Cancer"},{"key":"2021031112033039000_bib19","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1007\/s11606-006-0062-7","article-title":"Specificity of clinical breast examination in community practice","volume":"22","author":"Fenton","year":"2007","journal-title":"J Gen Intern Med"},{"key":"2021031112033039000_bib20","doi-asserted-by":"crossref","first-page":"R41","DOI":"10.1186\/bcr2092","article-title":"Breast cancer tumour growth estimated through mammography screening data","volume":"10","author":"Weedon-Fekjaer","year":"2008","journal-title":"Breast Cancer Res"},{"key":"2021031112033039000_bib21","doi-asserted-by":"crossref","first-page":"439","DOI":"10.5694\/j.1326-5377.2011.tb03054.x","article-title":"Early detection of breast cancer the second time around: mammography in women with a personal history of breast cancer","volume":"194","author":"Houssami","year":"2011","journal-title":"Med J Aust"},{"key":"2021031112033039000_bib22","volume-title":"National Health Tariffs","author":"Nederlandse Zorgautoriteit"},{"key":"2021031112033039000_bib23","volume-title":"Effects and Costs of Breast Cancer Screening in Women with a Familial or Genetic Predisposition","author":"Rijnsburger","year":"2005"},{"key":"2021031112033039000_bib24","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1017\/S0266462304001333","article-title":"Costs and effects of ultrasonography in the evaluation of palpable breast masses","volume":"20","author":"Flobbe","year":"2004","journal-title":"Int J Technol Assess Health Care"},{"key":"2021031112033039000_bib25","volume-title":"Handbook for Cost-Studies: Methods and Unit Prices for Economic Evaluations in Health Care","author":"Oostenbrink","year":"2004"},{"key":"2021031112033039000_bib26","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1136\/bmj.313.7058.665","article-title":"Routine follow up of breast cancer in primary care: randomised trial","volume":"313","author":"Grunfeld","year":"1996","journal-title":"BMJ"},{"key":"2021031112033039000_bib27","doi-asserted-by":"crossref","first-page":"1832","DOI":"10.1093\/jnci\/djh337","article-title":"Biennial versus annual mammography and the risk of late-stage breast cancer","volume":"96","author":"White","year":"2004","journal-title":"J Natl Cancer Inst"},{"key":"2021031112033039000_bib28","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1258\/jms.2008.008064","article-title":"Impact of changing from annual to biennial mammographic screening on breast cancer outcomes in women aged 50\u201379 in British Columbia","volume":"15","author":"Coldman","year":"2008","journal-title":"J Med Screen"},{"key":"2021031112033039000_bib29","doi-asserted-by":"crossref","first-page":"1632","DOI":"10.1038\/sj.bjc.6604065","article-title":"Follow-up in breast cancer: does routine clinical examination improve outcome? A systematic review of the literature","volume":"97","author":"Montgomery","year":"2007","journal-title":"Br J Cancer"},{"key":"2021031112033039000_bib30","doi-asserted-by":"crossref","first-page":"2331","DOI":"10.1016\/j.ejca.2005.01.029","article-title":"Risks of second primary breast and urogenital cancer following female breast cancer in the south of The Netherlands, 1972\u20132001","volume":"41","author":"Soerjomataram","year":"2005","journal-title":"Eur J Cancer"},{"key":"2021031112033039000_bib31","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1007\/s10549-007-9709-2","article-title":"The impact of adjuvant therapy on contralateral breast cancer risk and the prognostic significance of contralateral breast cancer: a population based study in the Netherlands","volume":"110","author":"Schaapveld","year":"2008","journal-title":"Breast Cancer Res Treat"},{"key":"2021031112033039000_bib32","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1007\/s10549-008-0023-4","article-title":"Impact on survival of early detection of isolated breast recurrences after the primary treatment for breast cancer: a meta-analysis","volume":"114","author":"Lu","year":"2009","journal-title":"Breast Cancer Res Treat"},{"key":"2021031112033039000_bib33","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1007\/BF01806669","article-title":"Age-specific sensitivities of mammographic screening for breast cancer","volume":"38","author":"Peer","year":"1996","journal-title":"Breast Cancer Res Treat"}],"container-title":["British Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.8850","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/academic.oup.com\/bjs\/article-pdf\/99\/9\/1227\/36545518\/bjs8850.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/bjs\/article-pdf\/99\/9\/1227\/36545518\/bjs8850.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,20]],"date-time":"2021-05-20T14:07:19Z","timestamp":1621519639000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/99\/9\/1227-1233\/6138656"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,7,24]]},"references-count":33,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2012,7,24]]},"published-print":{"date-parts":[[2012,8,2]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.8850","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2012,9]]},"published":{"date-parts":[[2012,7,24]]}}}