{"id":1208,"date":"2017-12-19T13:52:31","date_gmt":"2017-12-19T13:52:31","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmjopen\/?p=1208"},"modified":"2017-12-19T13:52:31","modified_gmt":"2017-12-19T13:52:31","slug":"breast-cancer-survivorship-care","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmjopen\/2017\/12\/19\/breast-cancer-survivorship-care\/","title":{"rendered":"Breast cancer survivorship care: evidence based guideline recommendations for primary care physicians"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmjopen\/files\/2017\/12\/doctor-563428_1920-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1209 alignright\" src=\"https:\/\/blogs.bmj.com\/bmjopen\/files\/2017\/12\/doctor-563428_1920-1-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" srcset=\"https:\/\/blogs.bmj.com\/bmjopen\/files\/2017\/12\/doctor-563428_1920-1-300x200.jpg 300w, https:\/\/blogs.bmj.com\/bmjopen\/files\/2017\/12\/doctor-563428_1920-1-768x512.jpg 768w, https:\/\/blogs.bmj.com\/bmjopen\/files\/2017\/12\/doctor-563428_1920-1-1024x683.jpg 1024w, https:\/\/blogs.bmj.com\/bmjopen\/files\/2017\/12\/doctor-563428_1920-1.jpg 1920w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\nBreast cancer is the most common cancer in women and effects over 1.5 million women each year. [<a href=\"http:\/\/www.who.int\/cancer\/prevention\/diagnosis-screening\/breast-cancer\/en\/\">1<\/a>] As the number of survivors also increases [<a href=\"10.3322\/caac.20107\">2<\/a>] it\u2019s essential that primary care physician (PCPs) have access to the best available evidence, and are able to provide optimal care for their patients, who may experience side effects such as depression, anxiety, fatigue and pain. [<a href=\"10.2190\/PM.40.2.c\">3<\/a>]<\/p>\n<p>However, a recent\u00a0<u><a href=\"http:\/\/bmjopen.bmj.com\/content\/7\/12\/e015118#T2\">systematic review<\/a><\/u> published in <em>BMJ Open<\/em> finds that the number of evidence based recommendations on breast cancer survivorship care for PCPs is limited.<\/p>\n<p><em>Spronk et al<\/em> performed a systematic database and website search with the help of national experts from 36 countries around the world. Breast cancer survivorship guidelines published in any language between 2012-2017 were included in the analysis.<\/p>\n<p>In total, six guidelines were included and fifteen clinical topics were identified. Recurrence detection was the most popular clinical topic. Interestingly, none of the guidelines included recommendations on all topics. Out of the six guidelines included, two guidelines were identified as having an acceptable methodological quality. A lack of consistency between guidelines was demonstrated and many recommendations were found to be based on low quality evidence.<\/p>\n<p>The study findings underline the need for more high-quality research that can be used to develop guidelines and support PCPs in providing optimal care for breast cancer survivors. <em>Spronk et al <\/em>conclude by highlighting the importance of involving PCPs in the development of such guidelines to help promote integrated care. As an area for future research, the authors emphasize the need to explore the views of both PCPs and patients on the usefulness of guidelines.<\/p>\n<p>&nbsp;<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Breast cancer is the most common cancer in women and effects over 1.5 million women each year. [1] As the number of survivors also increases [2] it\u2019s essential that primary care physician (PCPs) have access to the best available evidence, and are able to provide optimal care for their patients, who may experience side effects [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmjopen\/2017\/12\/19\/breast-cancer-survivorship-care\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":290,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1208","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Breast cancer survivorship care: evidence based guideline recommendations for primary care physicians - BMJ Open<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmjopen\/2017\/12\/19\/breast-cancer-survivorship-care\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Breast cancer survivorship care: evidence based guideline recommendations for primary care physicians - BMJ Open\" \/>\n<meta property=\"og:description\" content=\"Breast cancer is the most common cancer in women and effects over 1.5 million women each year. 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