Adherence of long-term breast cancer survivors to follow-up care guidelines: a study based on real-world data from the SURBCAN cohort

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dc.contributor.authorSantiá, Paula
dc.contributor.authorJansana, Anna
dc.contributor.authorCura, Isabel del
dc.contributor.authorPadilla-Ruiz, María
dc.contributor.authorDomingo, Laia
dc.contributor.authorLouro, Javier
dc.contributor.authorComas, Mercé
dc.contributor.authorSanz, Teresa
dc.contributor.authorDuarte-Salles, Talita
dc.contributor.authorRedondo, Maximino
dc.contributor.authorIbáñez Beroiz, Berta
dc.contributor.authorPrados-Torres, Alexandra
dc.contributor.authorCastells, Xavier
dc.contributor.authorSala, María
dc.contributor.departmentCiencias de la Saludes_ES
dc.contributor.departmentOsasun Zientziakeu
dc.date.accessioned2022-08-03T12:02:10Z
dc.date.available2022-08-03T12:02:10Z
dc.date.issued2022
dc.date.updated2022-08-03T11:24:47Z
dc.description.abstractPurpose: to identify adherence to follow-up recommendations in long-term breast cancer survivors (LTBCS) of the SURBCAN cohort and to identify its determinants, using real-world data. Methods: we conducted a retrospective study using electronic health records from 2012 to 2016 of women diagnosed with incident breast cancer in Spain between 2000 and 2006 and surviving at least 5 years. Adherence to basic follow-up recommendations, adherence according to risk of recurrence, and overall adherence were calculated based on attendance at medical appointments and imaging surveillance, by year of survivorship. Logistic regression models were fitted to depict the association between adherence and its determinants. Results: a total of 2079 LTBCS were followed up for a median of 4.97 years. Of them, 23.6% had survived >= 10 years at baseline. We estimated that 79.5% of LTBCS were overall adherent to at least one visit and one imaging test. Adherence to recommendations decreased over time and no differences were found according to recurrence risk. Determinants of better overall adherence were diagnosis in middle age (50-69 years old), living in a more-deprived area, having fewer years of survival, receiving primary treatment, and being alive at the end of follow-up. Conclusion: we identified women apparently not complying with surveillance visits and tests. Special attention should be paid to the youngest and eldest women at diagnosis and to those with longer survival.en
dc.description.sponsorshipThe SURBCAN study received funding from the Carlos III Institute, through Projects PI16/0024 and PI19/00056, from the European Fund for Regional Development/European Social Fund (FEDER for its acronym in Spanish), and from the Research Network on Health Services in Chronic Diseases (REDISSEC for its acronym in Spanish) through Project RD16/001/013.en
dc.format.mimetypeapplication/pdfen
dc.identifier.citationSantiá, P.; Jansana, A.; Del Cura, I.; Padilla-Ruiz, M.; Domingo, L.; Louro, J.; Comas, M.; Sanz, T.; Duarte-Salles, T.; Redondo, M.; Ibañez, B.; Prados-Torres, A.; Castells, X.; Sala, M.. (2022). Adherence of long-term breast cancer survivors to follow-up care guidelines: a study based on real-world data from the SURBCAN cohort. Breast cancer research and treatment. 193,(2), pp. 455-465 .en
dc.identifier.doi10.1007/s10549-022-06563-x
dc.identifier.issn0167-6806
dc.identifier.urihttps://academica-e.unavarra.es/handle/2454/43687
dc.language.isoengen
dc.publisherSpringeren
dc.relation.ispartofBreast Cancer Research and Treatment, 2022, 193 (2), pp. 455-465en
dc.relation.publisherversionhttps://doi.org/10.1007/s10549-022-06563-x
dc.rightsThis article is licensed under a Creative Commons Attribution 4.0 International Licenseen
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectGuideline adherenceen
dc.subjectLong-term survivorsen
dc.subjectCancer survivorsen
dc.subjectBreast neoplasmsen
dc.subjectAftercareen
dc.subjectMammographyen
dc.titleAdherence of long-term breast cancer survivors to follow-up care guidelines: a study based on real-world data from the SURBCAN cohorten
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dspace.entity.typePublication
relation.isAuthorOfPublication6cc547dc-8ec5-4b66-b920-358328d1f12c
relation.isAuthorOfPublication.latestForDiscovery6cc547dc-8ec5-4b66-b920-358328d1f12c

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