CPD Articles

Breast cancer survivorship in South Africa: A holistic primary care approach

Mareike Rabe, Nita M. Robinson
South African Family Practice | Vol 68, No 1 : Part 1| a6200 | DOI: https://doi.org/10.4102/safp.v68i1.6200 | © 2025 Mareike Rabe, Nita M. Robinson | This work is licensed under CC Attribution 4.0
Submitted: 20 July 2025 | Published: 07 January 2026

About the author(s)

Mareike Rabe, Vita Oncology, Cape Town, South Africa
Nita M. Robinson, Vita Oncology, Cape Town, South Africa

Abstract

As breast cancer incidence increases and survival improves, an increasing number of breast cancer survivors (BCS) require long-term follow-up and support. Primary care providers play a central role in maintaining continuity of care, promoting endocrine therapy adherence, managing complications such as lymphoedema and supporting psychosocial well-being. This article aims to provide a structured approach to breast cancer survivorship care, aligned with national cancer care policies and guidelines and international best practices, focused on primary care integration. A case vignette aims to bridge theory and practice, contextualise decision-making and encourage patient-centred care as it relates to breast cancer survivorship in the South African context.

Keywords

breast cancer survivorship; primary care; hormone therapy; psychosocial support

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