For roughly 80% of breast cancer survivors, treatment doesn't end with surgery, radiation and chemotherapy. Instead, for the next five to 10 years, doctors recommend that they take medication to block sex hormones, which can fuel tumor growth and spark recurrence.
"Imagine going from your normal estrogen activity to little or no estrogen within days. That's what these medications do," she said."But the women who take them as prescribed also have lower recurrence rates and live longer. It's a dilemma."
Mobile apps and texts to remind patients to take their medication, and psychological/coping strategies also yielded modest improvements. "Education in and of itself is not enough. That is a clear finding," said Arch, suggesting that doctors write referrals to practitioners who specialize in side effects and follow up with appointment reminders."Most oncologists, I believe, don't realize how low adherence is for these women. They assume that if the write the prescription, it's being taken.
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