As pacientes que tiveram câncer de mama sentem-se seguras em serem seguidas sem exames complementares? / Do breast cancer patients feel safe about the follow up without supplementary exams?

AUTOR(ES)
FONTE

IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia

DATA DE PUBLICAÇÃO

30/08/2011

RESUMO

Introduction: The discussion about the best way to perform the follow-up of women with breast cancer still persists and there is no consensus on best practice. International guidelines, based on randomized clinical trials suggests that periodic physical examinations and annual mammograms are sufficient and other exams that enable early detection of metastases have no impact on survival of these women. However, the opinion of the women about a new model of follow up was not accessed yet. Objectives: Evaluate the opinion of women who were in follow up for breast cancer with bone scans, chest X- rays and abdominal echograpy about the interruption of these exams. Subjects and methods: During the period from March 2007 until June 2008 patients monitored for breast cancer were subjected to a questionnaire regarding their opinion about the discontinuation of supplementary follow-up exams, these patients were necessarily out of treatment with chemotherapy or radiotherapy, but women who were on hormonal adjuvant treatment were included. We excluded patients with metastatic disease. Results: 116 patients were submitted to the questionnaire. The majority of interviewed women said that they would feel insecure if stopped performing the supplementary exams (84%). The variables correlated with a higher Odds Ratio (OR) for insecurity were: patients with a perception of their disease as initial (OR=7.0), patients younger than 50 years-old (OR = 4.01), with higher educational level (OR = 3.45) and shorter follow-up (OR=2.83). Conclusions: The majority of interviewed patients are insecure about the possibility of suspending the current follow up with supplementary exams. The insecurity is more pronounced in women with a self perception of early disease, younger ones with higher educational level and shorter follow up time.

ASSUNTO(S)

câncer de mama continuidade da assistência ao paciente exames medicos breast cancer continuity of patient care medical examination

ACESSO AO ARTIGO

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