Real-World Breast Cancer Patient Follow-Up Practices by Medical Oncologists in India-A Survey Report

Area of Science:

• Oncology
• Public Health

Background:

• Post-treatment follow-up practices for breast cancer patients in India are not well-documented.
• Understanding current follow-up strategies and associated challenges is crucial for improving patient care.

Purpose of the Study:

• To survey Indian oncologists regarding their breast cancer patient follow-up practices.
• To identify challenges and gather suggestions for improving adherence to evidence-based follow-up care.

Main Methods:

• A survey-based study was conducted among 158 Indian medical oncologists.
• Seven questions focused on follow-up practices, utilizing multiple-choice answers via Google Forms.
• The survey was distributed through social media and email, including requests for opinions on challenges.

Main Results:

• 10% of oncologists were unaware that only history and clinical examination are recommended for follow-up.
• 90% found clinical breast examination uncomfortable; 39% ordered chest X-rays and ultrasounds abdomen.
• 83% ordered annual mammograms, 14% recommended routine blood tests, and 53% regularly recommended DEXA scans for patients on aromatase inhibitors.

Conclusions:

• A significant gap exists between recommended and actual breast cancer follow-up practices in India.
• Many oncologists rely on imaging like chest X-rays and ultrasounds, deviating from guidelines.
• There is a clear need to address these disparities and improve adherence to evidence-based follow-up care.