Survivorship in Colorectal Cancer: A Cohort Study of the Patterns and Documented Content of Follow-Up Visits.
Survivorship in Colorectal Cancer: A Cohort Study of the Patterns and Documented Content of Follow-Up Visits.
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DOI：
10.3390/jcm9092725
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发表时间：
2020-08-24
影响因子：
3.9
通讯作者：
Jefford M
中科院分区：
文献类型：
--
作者：
Garwood V;Lisy K;Jefford M
结直肠癌（CRC）的幸存者可能会经历一系列的身体，心理和实际的挑战，因为他们的诊断结果。我们评估了治疗后前三年内随访的模式和记录内容，并与生存护理指南进行了比较。2015年7月至2018年1月在Peter MacCallum癌症中心接受根治性切除术的I-III期CRC幸存者随访长达1080天。通过记录每次访视的日期和专业来计算随访模式;使用研究特定稽查工具评估第一年（360天）随访的记录内容。48名幸存者组成了研究人群，其中34人（71%）在第一年参加了推荐的2至4次随访。访视记录记录了新症状（96%）、身体变化（85%）、体格检查（63%）和检查（56%-90%）;没有记录其他原发性癌症筛查或定期健康检查和/或筛查的讨论。每个幸存者至少有一封门诊信件被送到他们的初级保健医生，但责任没有充分界定（31%）。虽然幸存者在第一年有定期随访，但文件并没有始终如一地涉及更广泛的幸存者护理方面。
Survivors of colorectal cancer (CRC) may experience a range of physical, psychosocial, and practical challenges as a consequence of their diagnosis. We assessed the patterns and documented content of follow-up visits within the first three years following treatment, in comparison to survivorship care guidelines. Survivors with stage I-III CRC who underwent curative resection at Peter MacCallum Cancer Centre from July 2015 to January 2018 were followed for up to 1080 days. Patterns of follow-up were calculated by recording the date and specialty of each visit; documented content was assessed using a study-specific audit tool for the first year (360 days) of follow-up. Forty-eight survivors comprised the study population, 34 of whom (71%) attended the recommended two to four follow-up visits in their first year. Visit notes documented new symptoms (96%), physical changes (85%), physical examination (63%), and investigations (56%–90%); none had documented discussions of screening for other primary cancers, or regular health checks and/or screening. Each survivor had at least one outpatient letter that was sent to their primary care physician, but responsibilities were not adequately defined (31%). Although survivors had regular follow-up in their first year, documentation did not consistently address aspects of wider survivorship care.
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DOI：
10.1007/s11764-013-0290-x
发表时间：
2013-09
期刊：
Journal of cancer survivorship : research and practice
影响因子：
--
作者：
Carpentier MY;Vernon SW;Bartholomew LK;Murphy CC;Bluethmann SM
通讯作者：
Bluethmann SM
影响因子：
3
作者：
Cooper, Gregory S.;Schultz, Lonni;Lafata, Jennifer Elston
通讯作者：
Lafata, Jennifer Elston
影响因子：
3.4
作者：
Leong, Kai;Hartley, John;Karandikar, Sharad
通讯作者：
Karandikar, Sharad
影响因子：
2.2
作者：
Fox, Justin P.;Jeffrey, Diana D.;Gross, Cary P.
通讯作者：
Gross, Cary P.
影响因子：
3.4
作者：
Frew, G.;Smith, A.;Maher, E. J.
通讯作者：
Maher, E. J.