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Patient-initiated follow-up of early endometrial cancer: a potential to improve post-treatment cardiovascular risk?

PURPOSE: Is patient-initiated follow-up, post-surgical treatment of early endometrial cancer safe and can it be used holistically to improve cardiovascular health? What are the cost implications of this model of follow-up? METHODS: Retrospective data of 98 patients discharged to patient-initiated sc...

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Autores principales: Johnson, Racheal Louise, Choy, Cheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8840909/
https://www.ncbi.nlm.nih.gov/pubmed/34363114
http://dx.doi.org/10.1007/s00404-021-06166-9
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author Johnson, Racheal Louise
Choy, Cheng
author_facet Johnson, Racheal Louise
Choy, Cheng
author_sort Johnson, Racheal Louise
collection PubMed
description PURPOSE: Is patient-initiated follow-up, post-surgical treatment of early endometrial cancer safe and can it be used holistically to improve cardiovascular health? What are the cost implications of this model of follow-up? METHODS: Retrospective data of 98 patients discharged to patient-initiated scheme since 2012. Service evaluation by anonymous patient feedback including physical health effects of the programme including weight loss. Financial cost was compared to traditional hospital-based follow-up over five years. RESULTS: No evidence of recurrence over 54 months median follow-up in low-risk endometrioid endometrial cancer. Patient feedback indicates that the exercise course helped women reduce their BMI. Over one third women felt happier and one fifth felt more confident and had a better ability to cope with stress. Total of 91% patients would recommend this model of follow-up to friends or family in the same circumstance. European Society for Medical Oncology guidance suggests the number of hospital-based follow-up appointments required for this cohort would cost £109,760. Calculations in this paper examine the cost of patient-initiated follow-up and reflect an overall saving of around 96.5%. CONCLUSION: This service evaluation supports the claim that patient-initiated follow-up represents a safe alternative to the traditional hospital-based protocol. There is a potential for additional services to be offered to encourage and promote a healthy lifestyle linked to improving quality of life and cardiovascular survival following surgery for endometrial cancer. IMPLICATIONS FOR CANCER SURVIVORS: Cardiovascular morbidity is the most common cause of death in endometrial cancer survivors. Incorporating an exercise course as part of routine follow-up can help reduce this risk. The friendships formed by this communal follow-up can contribute towards emotional health and recovery. This holistic approach should be incorporated into novel follow-up strategies to help reduce patient BMI and reduce cardiovascular risk.
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spelling pubmed-88409092022-02-23 Patient-initiated follow-up of early endometrial cancer: a potential to improve post-treatment cardiovascular risk? Johnson, Racheal Louise Choy, Cheng Arch Gynecol Obstet Gynecologic Oncology PURPOSE: Is patient-initiated follow-up, post-surgical treatment of early endometrial cancer safe and can it be used holistically to improve cardiovascular health? What are the cost implications of this model of follow-up? METHODS: Retrospective data of 98 patients discharged to patient-initiated scheme since 2012. Service evaluation by anonymous patient feedback including physical health effects of the programme including weight loss. Financial cost was compared to traditional hospital-based follow-up over five years. RESULTS: No evidence of recurrence over 54 months median follow-up in low-risk endometrioid endometrial cancer. Patient feedback indicates that the exercise course helped women reduce their BMI. Over one third women felt happier and one fifth felt more confident and had a better ability to cope with stress. Total of 91% patients would recommend this model of follow-up to friends or family in the same circumstance. European Society for Medical Oncology guidance suggests the number of hospital-based follow-up appointments required for this cohort would cost £109,760. Calculations in this paper examine the cost of patient-initiated follow-up and reflect an overall saving of around 96.5%. CONCLUSION: This service evaluation supports the claim that patient-initiated follow-up represents a safe alternative to the traditional hospital-based protocol. There is a potential for additional services to be offered to encourage and promote a healthy lifestyle linked to improving quality of life and cardiovascular survival following surgery for endometrial cancer. IMPLICATIONS FOR CANCER SURVIVORS: Cardiovascular morbidity is the most common cause of death in endometrial cancer survivors. Incorporating an exercise course as part of routine follow-up can help reduce this risk. The friendships formed by this communal follow-up can contribute towards emotional health and recovery. This holistic approach should be incorporated into novel follow-up strategies to help reduce patient BMI and reduce cardiovascular risk. Springer Berlin Heidelberg 2021-08-07 2022 /pmc/articles/PMC8840909/ /pubmed/34363114 http://dx.doi.org/10.1007/s00404-021-06166-9 Text en © Crown 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Gynecologic Oncology
Johnson, Racheal Louise
Choy, Cheng
Patient-initiated follow-up of early endometrial cancer: a potential to improve post-treatment cardiovascular risk?
title Patient-initiated follow-up of early endometrial cancer: a potential to improve post-treatment cardiovascular risk?
title_full Patient-initiated follow-up of early endometrial cancer: a potential to improve post-treatment cardiovascular risk?
title_fullStr Patient-initiated follow-up of early endometrial cancer: a potential to improve post-treatment cardiovascular risk?
title_full_unstemmed Patient-initiated follow-up of early endometrial cancer: a potential to improve post-treatment cardiovascular risk?
title_short Patient-initiated follow-up of early endometrial cancer: a potential to improve post-treatment cardiovascular risk?
title_sort patient-initiated follow-up of early endometrial cancer: a potential to improve post-treatment cardiovascular risk?
topic Gynecologic Oncology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8840909/
https://www.ncbi.nlm.nih.gov/pubmed/34363114
http://dx.doi.org/10.1007/s00404-021-06166-9
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