Letters
Patients prefer specialist follow up
EDITOR,--We wish to report the "missing data"-- namely, patients' views--in the debate on routine follow up in breast cancer.1 As part of the design process for a multicentre study of hospital follow up versus follow up based in the community we sought patients' views using research methods described by the College of Health.2 Focus groups of women in remission were drawn both randomly and from the network of cancer support groups established around Mount Vernon Cancer Centre.3 The focus groups discussed alternatives to the present system of follow up.4 The patients' view challenges the utilitarian approach of clinicians, and shows differences in the perception of the purpose of routine follow up in the two communities.
The patients expressed their anger and distress about being discharged to their general practitioners for follow up without having the support and specialist services of the hospital available in the community. They challenged the researchers'
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- Follow up in breast cancer
- John Dewar
BMJ 1995 310: 685-686.[Extract] [Full Text]
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