Remote surveillance after colorectal cancer surgery: an effective alternative to standard clinic-based follow-up
Remote surveillance after colorectal cancer surgery: an effective alternative to standard clinic-based follow-up
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DOI：
10.1111/codi.12970
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发表时间：
2015-10-01
影响因子：
3.4
通讯作者：
Ross, A. H. McL.
中科院分区：
文献类型：
--
作者：
Siddika, A.;Tolia-Shah, D.;Ross, A. H. McL.
大多数结直肠癌复发是无症状的，通过常规的术后临床监测计划和相关调查发现。然而，在这些诊所就诊有经济成本，并可能与患者焦虑和不满的增加有关。远程随访系统开发的选定patients.Method的结果远程监测方案已在我们的机构超过9年。入选了接受择期和急诊结直肠癌治疗的患者。对检查的及时性、局部复发和远处转移的检测以及总的5年生存率进行测定。结果该计划适用于2004年至2012年期间接受结直肠癌手术的900多名患者，占同期治疗患者总数的50%。其中811个（90%）及时进行了调查。五年生存率与国家数据相当。成本最小化分析表明，63%的财政节省和75%的诊所预约减少。高水平的整体患者满意度（97%），指出与programme.Conclusion远程监测系统结直肠癌手术后是一个安全和具有成本效益的替代传统的诊所为基础的后续行动，并有很高的患者满意度。
Aim Most colorectal cancer recurrences are asymptomatic and are detected through routine postoperative clinic surveillance programmes with associated investigations. However, attendance at these clinics has a financial cost and may be associated with an increase in patient anxiety and dissatisfaction. The results of a remote follow-up system developed for selected patients are reported.Method A remote surveillance programme has been in place in our institution for over 9 years. Patients having elective and emergency treatment for colorectal cancer were enrolled. The timeliness of the investigation, detection of local recurrence and distant metastases and overall 5-year survival rates were determined. A cost review and patient satisfaction survey were performed.Results The programme was suitable for over 900 patients who had received surgery for colorectal cancer between 2004 and 2012, representing some 50% of the total number of patients treated in this period. Of these, 811 (90%) had investigations carried out on time. Five-year survival rates were comparable with national data. Cost-minimization analysis demonstrated a financial saving of 63% and a 75% reduction in clinic appointments. High levels of overall patient satisfaction (97%) were noted with the programme.Conclusion A remote surveillance system after colorectal cancer surgery is a safe and cost-effective alternative to traditional clinic-based follow up and has high patient satisfaction.