More recently Janda et al. (2005) also
conducted a longitudinal study of 20 women in conjunction
with a survey of women (n = 77) who had had surgery up
to five years previously. Only one study involved women
from Britain and conducted 16 years ago (Corney et al.
1992). This was important to the authors, seeking to
improve local services, since the British National Health
Service (NHS) differs from the health care system in other
countries, a factor that may impact on care delivery models
for women with cancer of the vulva