title: An early warning surveillance programme for detecting upper limb deterioration after treatment for breast cancer: A novel technology supported system.
abstract: Upper limb morbidity is a well-recognised consequence of treatment for breast cancer that can develop for up to 6 years after treatment. However, the capacity to fully integrate evidence-based rehabilitation pathways into routine care for all patients is questionable due to limited resources. A long term surveillance programme must therefore be accessible to all patients, should identify those at risk of developing morbidity and target the interventions at the high risk population of patients. The proposed model uses a surrogate marker for assessing risk of morbidity, incorporated into an Early Warning System (EWS), to produce a technology-lead, prospective surveillance programme.
authors.affiliation: Clinical Research Centre, Faculty of Health Sciences, University of Cape Town, Anzio Rd, Observatory, 7925, Cape Town, South Africa. Delva.shamley@uct.ac.za.
authors.forename: Delva
authors.initials: D
authors.lastname: Shamley
authors.affiliation: Macmillan Cancer Care, Consequences of Cancer Treatment Collaborative, England, UK. drk@googlemail.com.
authors.forename: Karen
authors.initials: K
authors.lastname: Robb
mesh_terms: D001943:Breast Neoplasms / Q000453:epidemiology* / Q000628:therapy; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D009017:Morbidity; D062486:Public Health Surveillance / Q000379:methods*; D018570:Risk Assessment; D012307:Risk Factors; D017741:Survivors; D034941:Upper Extremity / Q000473:pathology* / Q000503:physiopathology*