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Follow‐up practice and healthcare utilisation of colorectal cancer survivors
OBJECTIVE: To examine healthcare utilisation and adherence to colorectal cancer (CRC) follow‐up guidelines. METHODS: A total of 2450 out of 3025 stage I‐III CRC survivors diagnosed between 2000 and 2009 completed the Hospital Anxiety and Depression Scale, SF‐12, EORTC QLQ‐CR38 and Fatigue Assessment...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8518769/ https://www.ncbi.nlm.nih.gov/pubmed/34081367 http://dx.doi.org/10.1111/ecc.13472 |
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author | Qaderi, Seyed M. Ezendam, Nicole P.M. Verhoeven, Rob H.A. Custers, Jose A.E. de Wilt, Johannes H.W. Mols, Floortje |
author_facet | Qaderi, Seyed M. Ezendam, Nicole P.M. Verhoeven, Rob H.A. Custers, Jose A.E. de Wilt, Johannes H.W. Mols, Floortje |
author_sort | Qaderi, Seyed M. |
collection | PubMed |
description | OBJECTIVE: To examine healthcare utilisation and adherence to colorectal cancer (CRC) follow‐up guidelines. METHODS: A total of 2450 out of 3025 stage I‐III CRC survivors diagnosed between 2000 and 2009 completed the Hospital Anxiety and Depression Scale, SF‐12, EORTC QLQ‐CR38 and Fatigue Assessment Score questionnaires, in December 2010. Multivariable regression analyses were performed to identify predictors for increased follow‐up care (>1 visit than recommended by guidelines). RESULTS: In the first follow‐up year, the average number of cancer‐related visits to the general practitioner and medical specialist was 1.7 and 4.2, respectively. More than 80% of the CRC survivors was comfortable with their follow‐up schedule, and 49–72% of them received follow‐up according to the guidelines. Around 29–47% was followed more than recommended. Simultaneously, around 4–14% of the CRC survivors received less follow‐up care than recommended. Survivors of stage III disease treated with chemotherapy received the most follow‐up care. In addition, lower socio‐economic status stoma and fatigue were associated with increased follow‐up care. CONCLUSION: CRC survivors were predominantly followed according to national guidelines. Increased follow‐up care is driven by advanced disease stage, chemotherapy, SES, stoma and fatigue. Future studies should investigate how increased follow‐up care use can be reduced, while still addressing patients’ needs. |
format | Online Article Text |
id | pubmed-8518769 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-85187692021-10-21 Follow‐up practice and healthcare utilisation of colorectal cancer survivors Qaderi, Seyed M. Ezendam, Nicole P.M. Verhoeven, Rob H.A. Custers, Jose A.E. de Wilt, Johannes H.W. Mols, Floortje Eur J Cancer Care (Engl) Original Articles OBJECTIVE: To examine healthcare utilisation and adherence to colorectal cancer (CRC) follow‐up guidelines. METHODS: A total of 2450 out of 3025 stage I‐III CRC survivors diagnosed between 2000 and 2009 completed the Hospital Anxiety and Depression Scale, SF‐12, EORTC QLQ‐CR38 and Fatigue Assessment Score questionnaires, in December 2010. Multivariable regression analyses were performed to identify predictors for increased follow‐up care (>1 visit than recommended by guidelines). RESULTS: In the first follow‐up year, the average number of cancer‐related visits to the general practitioner and medical specialist was 1.7 and 4.2, respectively. More than 80% of the CRC survivors was comfortable with their follow‐up schedule, and 49–72% of them received follow‐up according to the guidelines. Around 29–47% was followed more than recommended. Simultaneously, around 4–14% of the CRC survivors received less follow‐up care than recommended. Survivors of stage III disease treated with chemotherapy received the most follow‐up care. In addition, lower socio‐economic status stoma and fatigue were associated with increased follow‐up care. CONCLUSION: CRC survivors were predominantly followed according to national guidelines. Increased follow‐up care is driven by advanced disease stage, chemotherapy, SES, stoma and fatigue. Future studies should investigate how increased follow‐up care use can be reduced, while still addressing patients’ needs. John Wiley and Sons Inc. 2021-06-03 2021-09 /pmc/articles/PMC8518769/ /pubmed/34081367 http://dx.doi.org/10.1111/ecc.13472 Text en © 2021 The Authors. European Journal of Cancer Care published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Articles Qaderi, Seyed M. Ezendam, Nicole P.M. Verhoeven, Rob H.A. Custers, Jose A.E. de Wilt, Johannes H.W. Mols, Floortje Follow‐up practice and healthcare utilisation of colorectal cancer survivors |
title | Follow‐up practice and healthcare utilisation of colorectal cancer survivors |
title_full | Follow‐up practice and healthcare utilisation of colorectal cancer survivors |
title_fullStr | Follow‐up practice and healthcare utilisation of colorectal cancer survivors |
title_full_unstemmed | Follow‐up practice and healthcare utilisation of colorectal cancer survivors |
title_short | Follow‐up practice and healthcare utilisation of colorectal cancer survivors |
title_sort | follow‐up practice and healthcare utilisation of colorectal cancer survivors |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8518769/ https://www.ncbi.nlm.nih.gov/pubmed/34081367 http://dx.doi.org/10.1111/ecc.13472 |
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