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Patients’ perception of colorectal cancer surveillance in the community: an exploratory study

BACKGROUND: All patients who underwent curative resection for colorectal cancer (CRC) are frequently reviewed in tertiary institutions to ensure timely detection of any disease recurrence. There has been no local study that evaluated the feasibility of monitoring their condition in the community as...

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Autores principales: Wong, Gretel Jianlin, Lau, Jerrald, Chew, Emily, Chow, Wen-Min, Choo, Julia, Tan, Ker-Kan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9675239/
https://www.ncbi.nlm.nih.gov/pubmed/36401216
http://dx.doi.org/10.1186/s12889-022-14485-y
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author Wong, Gretel Jianlin
Lau, Jerrald
Chew, Emily
Chow, Wen-Min
Choo, Julia
Tan, Ker-Kan
author_facet Wong, Gretel Jianlin
Lau, Jerrald
Chew, Emily
Chow, Wen-Min
Choo, Julia
Tan, Ker-Kan
author_sort Wong, Gretel Jianlin
collection PubMed
description BACKGROUND: All patients who underwent curative resection for colorectal cancer (CRC) are frequently reviewed in tertiary institutions to ensure timely detection of any disease recurrence. There has been no local study that evaluated the feasibility of monitoring their condition in the community as a possible new model of care. This study henceforth seeks to understand CRC patients’ views and receptiveness of having their surveillance consultations conducted in a community setting. METHODS: We convenience sampled Stage I and II CRC patients who were within five years post-operation in the outpatient clinics. An open-ended questionnaire aimed at elucidating their perception towards cancer surveillance in a community setting was administered. Content analysis was used to group and quantify responses from participants. RESULTS: Twenty-five participants agreed to participate in the study. Only 48% of the participants felt that having phlebotomy procedures in a community or home setting was acceptable. Participants were less willing to be reviewed by a physician who is not their primary surgeon, with only 32% agreeable to seeing a different doctor for surveillance if given a choice. However, most participants were open to having a telephone consultation in place of a physical face-to-face consultation before (72%) and after (76%) going through medical imaging. CONCLUSIONS: Participants remained keen to be managed by their primary surgeons and were hesitant towards having their follow-up surveillance consultations in community and primary care settings. Further studies should be conducted to understand whether these perceptions are generalisable, and if more can be done to change public perception towards the role of community and primary care institutions.
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spelling pubmed-96752392022-11-20 Patients’ perception of colorectal cancer surveillance in the community: an exploratory study Wong, Gretel Jianlin Lau, Jerrald Chew, Emily Chow, Wen-Min Choo, Julia Tan, Ker-Kan BMC Public Health Research BACKGROUND: All patients who underwent curative resection for colorectal cancer (CRC) are frequently reviewed in tertiary institutions to ensure timely detection of any disease recurrence. There has been no local study that evaluated the feasibility of monitoring their condition in the community as a possible new model of care. This study henceforth seeks to understand CRC patients’ views and receptiveness of having their surveillance consultations conducted in a community setting. METHODS: We convenience sampled Stage I and II CRC patients who were within five years post-operation in the outpatient clinics. An open-ended questionnaire aimed at elucidating their perception towards cancer surveillance in a community setting was administered. Content analysis was used to group and quantify responses from participants. RESULTS: Twenty-five participants agreed to participate in the study. Only 48% of the participants felt that having phlebotomy procedures in a community or home setting was acceptable. Participants were less willing to be reviewed by a physician who is not their primary surgeon, with only 32% agreeable to seeing a different doctor for surveillance if given a choice. However, most participants were open to having a telephone consultation in place of a physical face-to-face consultation before (72%) and after (76%) going through medical imaging. CONCLUSIONS: Participants remained keen to be managed by their primary surgeons and were hesitant towards having their follow-up surveillance consultations in community and primary care settings. Further studies should be conducted to understand whether these perceptions are generalisable, and if more can be done to change public perception towards the role of community and primary care institutions. BioMed Central 2022-11-18 /pmc/articles/PMC9675239/ /pubmed/36401216 http://dx.doi.org/10.1186/s12889-022-14485-y Text en © The Author(s) 2022 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/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Wong, Gretel Jianlin
Lau, Jerrald
Chew, Emily
Chow, Wen-Min
Choo, Julia
Tan, Ker-Kan
Patients’ perception of colorectal cancer surveillance in the community: an exploratory study
title Patients’ perception of colorectal cancer surveillance in the community: an exploratory study
title_full Patients’ perception of colorectal cancer surveillance in the community: an exploratory study
title_fullStr Patients’ perception of colorectal cancer surveillance in the community: an exploratory study
title_full_unstemmed Patients’ perception of colorectal cancer surveillance in the community: an exploratory study
title_short Patients’ perception of colorectal cancer surveillance in the community: an exploratory study
title_sort patients’ perception of colorectal cancer surveillance in the community: an exploratory study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9675239/
https://www.ncbi.nlm.nih.gov/pubmed/36401216
http://dx.doi.org/10.1186/s12889-022-14485-y
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