Six-year experience of a nurse-led colorectal cancer follow-up clinic.
Six-year experience of a nurse-led colorectal cancer follow-up clinic.
复制标题
DOI：
10.1155/2014/368060
复制
发表时间：
2014-01-01
影响因子：
--
通讯作者：
Mehigan, Brian
中科院分区：
文献类型：
--
作者：
Al Chalabi, Hasan;O'Riordan, James M;Mehigan, Brian
目的和目标。回顾一个三级转诊结直肠癌中心的护士主导的结直肠癌随访门诊的经验。方法论来自我们单位护士领导的结直肠癌随访诊所的数据前瞻性地保存在结直肠癌数据库中。分析了2006年1月1日至2011年12月31日的数据。结果1125名患者被诊断患有结直肠癌，并被转介到我们的单位作为专门的结直肠癌三级中心。904例患者接受了结直肠癌手术切除。407名患者被转介到护士领导的结直肠癌诊所进行监测。患者队列的平均年龄为67岁（范围32 - 88岁），56%的患者为男性。117例患者在随访5年后无疾病，出院后接受全科医生治疗。54例患者被诊断为局部或远处复发。结论一个由护士领导的结直肠癌随访诊所正在按照严格的随访方案运行。这种类型的诊所大大减少了必须由结直肠外科顾问看到的常规随访患者的数量。
Aims and Objectives. To review the experience of a nurse-led colorectal cancer follow-up clinic in a tertiary referral colorectal cancer centre. Methodology. Data from the nurse-led colorectal cancer follow-up clinic in our unit was prospectively maintained in a colorectal cancer database. Data was analysed from January 1, 2006 until the December 31, 2011. Results. 1125 patients were diagnosed with colorectal cancer, and referred to our unit as a tertiary centre for specialised colorectal cancer. Nine hundred and four patients had surgical resection of their colorectal cancer. Four hundred and seven patients were referred to the nurse-led colorectal cancer clinic for surveillance. The mean age of the patient cohort was 67 years (range 32-88) and 56% of patients were male. One hundred and seventeen patients were discharged to their general practitioner having been disease free after 5 years of followup. Fifty-four patients were diagnosed with either local or distant recurrence. Conclusion. A nurse-led colorectal cancer follow-up clinic is running according to strict follow-up protocols. This type of clinic significantly reduces the number of routine follow-up patients that have to be seen by the colorectal surgical consultant.