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Patient-led home-based follow-up after surgery for colorectal cancer:the protocol of the prospective, multicentre FUTURE-primary implementation study
- Source :
- Voigt , K R , Wullaert , L , Höppener , D J , Schreinemakers , J M J , Doornebosch , P G , Verseveld , M , Peeters , K , Verhoef , C , Husson , O & Grünhagen , D 2023 , ' Patient-led home-based follow-up after surgery for colorectal cancer : the protocol of the prospective, multicentre FUTURE-primary implementation study ' , BMJ open , vol. 13 , no. 10 , e074089 .
- Publication Year :
- 2023
-
Abstract
- INTRODUCTION: Colorectal cancer (CRC) is the third most common type of cancer in the Netherlands. Approximately 90% of patients can be treated with surgery, which is considered potentially curative. Postoperative surveillance during the first 5 years after surgery pursues to detect metastases in an early, asymptomatic and treatable stage. Multiple large randomised controlled trials have failed to show any (cancer-specific) survival benefit of intensive postoperative surveillance compared with a minimalistic approach in patients with CRC. This raises the question whether an (intensive) in-hospital postoperative surveillance strategy is still warranted from both a patient well-being and societal perspective. A more modern, home-based surveillance strategy could be beneficial in terms of patients' quality of life and healthcare costs. METHODS AND ANALYSIS: The multicentre, prospective FUTURE-primary study implements a patient-led home-based surveillance after curative CRC treatment. Here, patients are involved in the choice regarding three fundamental aspects of their postoperative surveillance. First regarding frequency, patients can opt for additional follow-up moments to the minimal requirement as outlined by the current Dutch national guidelines. Second regarding the setting, both in-hospital or predominantly home-based options are available. And third, concerning patient-doctor communication choices ranging from in-person to video chat, and even silent check-ups. The aim of the FUTURE-primary study is to evaluate if such a patient-led home-based follow-up approach is successful in terms of quality of life, satisfaction and anxiety compared with historic data. A successful implementation of the patient-led aspect will be assessed by the degree in which the additional, optional follow-up moments are actually utilised. Secondary objectives are to evaluate quality of life, anxiety, fear of cancer recurrence and cost-effectiveness.
Details
- Database :
- OAIster
- Journal :
- Voigt , K R , Wullaert , L , Höppener , D J , Schreinemakers , J M J , Doornebosch , P G , Verseveld , M , Peeters , K , Verhoef , C , Husson , O & Grünhagen , D 2023 , ' Patient-led home-based follow-up after surgery for colorectal cancer : the protocol of the prospective, multicentre FUTURE-primary implementation study ' , BMJ open , vol. 13 , no. 10 , e074089 .
- Notes :
- application/pdf, English
- Publication Type :
- Electronic Resource
- Accession number :
- edsoai.on1410090128
- Document Type :
- Electronic Resource