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Follow-up practice and healthcare utilisation of colorectal cancer survivors
Qaderi,S.M. Ezendam,N.P.M. Verhoeven,R.H.A. Custers,J.A.E. de Wilt,J.H.W. Mols,Floor
Qaderi,S.M.
Ezendam,N.P.M.
Verhoeven,R.H.A.
Custers,J.A.E.
de Wilt,J.H.W.
Mols,Floor
Abstract
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.
Description
Funding Information: The present research was supported by a VENI Grant (#451‐10‐041) from the Netherlands Organization for Scientific Research (The Hague, The Netherlands) awarded to Floortje Mols. The funding body had no role in design, collection, analysis or interpretation of the data and in writing the manuscript. .
Date
2021
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Research Projects
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Keywords
ENDOMETRIAL CANCER, Follow-up studies, HOSPITAL ANXIETY, INITIAL TREATMENT, LONG-TERM EVALUATION, NATIONAL-SURVEY, PATIENT, POPULATION, PROFILES, QUALITY-OF-LIFE, SUPPORTIVE CARE, cancer survivorship, colorectal cancer, general practitioner, healthcare use, SDG 3 - Good Health and Well-being
Citation
Qaderi, S M, Ezendam, N P M, Verhoeven, R H A, Custers, J A E, de Wilt, J H W & Mols, F 2021, 'Follow-up practice and healthcare utilisation of colorectal cancer survivors', European Journal of Cancer Care, vol. 30, no. 5, e13472. https://doi.org/10.1111/ecc.13472