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Recommendations for follow-up of women with early breast cancer

Strengths and weaknesses of the evidence

Five randomised controlled trials were identified: three on provider of follow-up care and two on standard compared to intensive follow-up. However, much information on follow-up was from comparative and observational studies (level IV), and some additional information was identified through qualitative research such as surveys, focus groups and interviews.

Limited high-quality quantitative information was available on follow-up care after breast cancer:

  • many international guidelines were identified; however, most were not specific and all acknowledged a paucity of definitive evidence
  • eight systematic reviews were identified, with limited definitive information on follow-up procedures
  • no trials were identified to suggest the optimal frequency or duration of follow-up.

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