The organization of a systematic program of aftercare was consistent with the prospective concept of our study. However, certain difficulties arose and are continuing to arise due to the negative attitude of some private practitioners, who either regard centralized aftercare as a form of competition or feel that their competence is being questioned. Nevertheless, we were successful for the most part in alerting private physicians to the importance of the continuing care of patients who have undergone cancer surgery. The patients are virtually unanimous in their assent to the continuation of surgical care beyond the operation itself, and in fact many show an attitude of outright insistence, as may be inferred from the spontaneous inquiries that are received when a scheduled examination is delayed.
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