A. Alexanian

TL;DR: In this article, the authors evaluated the impact on survival and health-related quality of life of two follow-up protocols in patients with early stage I, II, and III unilateral primary breast cancer.

TL;DR: It is suggested that other than scientific factors guide many doctors in their decision making; they may help to explain why the diffusion of research results into clinical practice is often disappointingly slow.

TL;DR: It is confirmed that there is a substantial rate of unnecessary use of hospitals but that such inappropriateness does not seem in most cases to be easily modifiable through "simple" organizational changes.

TL;DR: Premorbid breast self examination seems to have a modest effect on the extent of disease at diagnosis, and the still widespread use of radical surgery suggests that a careful reanalysis of priorities among possible public interventions is needed before launching massive educational campaigns targeted exclusively at consumers.

TL;DR: It is concluded that any assessment of procedures based on dissemination of information must include a careful analysis of the method of dissemination, and the availability of clinically applicable information must also be realistically appraised before the guidelines approach can be accepted as the most effective.