An exploratory study of the follow‐up care needs of patients treated for colorectal cancer

Beaver, Kinta; Latif, Saima; Williamson, Susan; Procter, D.; Sheridan, J.; Heath, Jonathan; Susnerwala, Shabbir; Luker, Karen A.

doi:10.1111/j.1365-2702.2010.03407.x

Cited by 98 publications

(126 citation statements)

References 39 publications

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“…[20–23, 37] Benefits to nurse-led follow up included improved access to care, continuity, patient education and perceived support in coping with their disease. [21, 23] Four studies suggested willingness to engage the GP or FP in a larger role in follow-up[26, 27, 33, 40]. This was particularly favored among patients who endorsed a strong patient-physician relationship with their GPs[33], however, some patients expressed concern about losing contact with specialists [27].…”

Section: Resultsmentioning

confidence: 99%

A systematic review of patient perspectives on surveillance after colorectal cancer treatment

et al. 2017

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Purpose Surveillance after colorectal cancer (CRC) treatment is routine, but intensive follow-up may offer little-to-no overall survival benefit. Given the growing population of CRC survivors, we aimed to systematically evaluate the literature for the patient perspective on 2 questions: (1) How do CRC patients perceive routine surveillance following curative treatment and what do they expect to gain from their surveillance testing or visits? (2) Which providers (specialists, nursing, primary care) are preferred by CRC survivors to guide post-treatment surveillance? Methods Systematic searches of PubMed MEDLINE, Embase, the CENTRAL Register of Controlled Trials, CINAHL and PsycINFO were conducted. Studies were screened for inclusion by 2 reviewers, with discrepancies adjudicated by a third reviewer. Data were abstracted and evaluated utilizing validated reporting tools (CONSORT, STROBE, CASP) appropriate to study design. Results 3691 citations were screened, 91 full-text articles reviewed, and 23 studies included in the final review, 15 quantitative and 8 qualitative. Overall, 12 studies indicated CRC patients perceive routine surveillance positively, expecting to gain reassurance of continued disease suppression. Negative perceptions described in 6 studies included anxiety and dissatisfaction related to quality of life or psychosocial issues during follow-up. Although 5 studies supported specialist-led care, 9 studies indicated patient willingness to have follow-up with non-specialist providers (primary care or nursing). Conclusions Patients’ perceptions of follow-up after CRC are predominantly positive, although unmet needs included psychosocial support and quality of life. Implications for Cancer Survivors Survivors perceived follow-up as reassuring, however, surveillance care should be more informative and focused on survivor-specific needs.

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Section: Resultsmentioning

confidence: 99%

A systematic review of patient perspectives on surveillance after colorectal cancer treatment

et al. 2017

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“…This supports previous reports describing uncertainty throughout the illness journey and in relation to the future, families, treatment, coping mechanisms, worsening illness (Beaver et al., 2010; Browne et al., 2011; McCaughan et al., 2011; Shaha, Cox, Talman, & Kelly, 2008; Taylor et al., 2010). Feeling uncertain is common to the experience of many diseases (Etkind, Bristow, Bailey, Selman, & Murtagh, 2016; Kimbell, Boyd, Kendall, Iredale, & Murray, 2015; Taylor, Wells, Hubbard, & Worth, 2016).…”

Section: Discussionmentioning

confidence: 99%

Living and dying with metastatic bowel cancer: Serial in-depth interviews with patients

2017

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Colorectal cancer is the second highest cause of cancer deaths. There are significant physical and psycho‐social effects on quality of life with advanced disease. Despite this, there are few accounts of the patient experience from advanced illness through to dying. We elicited the longitudinal experiences of living and dying with incurable metastatic colorectal cancer by conducting serial interviews with patients for 12 months or until they died. The interviews were analysed, using a narrative approach, longitudinally as case studies and then together. Thirty‐six interviews with 16 patients were conducted. Patients experience metastatic colorectal cancer in three phases; (1) Diagnosis and initial treatment; (2) Deterioration and social isolation and (3) Death and dying. Many patients initially said they hoped to survive, but, as “private” and in‐depth accounts of the experience emerged in further interviews, so did the understanding that this hope co‐existed with the knowledge that death was near. Palliative chemotherapy and the challenge of accessing private accounts of patient experience can inhibit care planning and prevent patients benefitting from an active holistic palliative care approach earlier in the disease trajectory. This study has immediate clinical relevance for health care professionals in oncology, palliative care and primary care.

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“…Qualitative studies have helped to explore various aspects of individuals' experiences of colorectal cancer such as the psychosocial impact and quality of life (Dunn et al, 2005;Ramfelt et al, 2002;Sahay et al, 2001), adjustment to diagnosis and treatment (Hubbard et al, 2010;Taylor et al, 2001Taylor et al, , 2010 including an ostomy or stoma (McMullen et al, 2008(McMullen et al, , 2014, and healthcare needs or preferences (Beaver et al, 2010;McCaughan et al, 2011McCaughan et al, , 2012Rozmovits et al, 2004). Some studies have included partners or other relatives, describing issues such as their information needs (Broughton et al, 2004), the impact of treatment (Emslie et al, 2009;Ohlsson-Nevo et al, 2011, caregiving and daily life (Houldin, 2007;Sjovall et al, 2011), along with the economic and emotional consequences (Céilleachair et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Shared recovery: Couples' experiences after treatment for colorectal cancer

White

Newman

2016

European Journal of Oncology Nursing

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DisclosureThe authors declare no conflict of interest or external funding. COUPLES' EXPERIENCES AFTER COLORECTAL CANCER AbstractPurpose: Completing cancer treatment involves significant challenges for patients as well as their families. This study aimed to explore couples' experiences of colorectal (bowel) cancer, focusing on the transition after treatment.Method: Separate, semi-structured interviews were conducted within 12 months of completing treatment with a purposeful sample of ten participants, comprising five patientpartner dyads. Data were analysed using the Framework approach, incorporating dyadic analysis to compare narratives within as well as between couples.Results: Three main themes were elaborated: the process of recovery, the relationship dynamics, and the mixed experiences of healthcare services. The lasting impact of cancer following completion of treatment was evident for patients as well as their partners, and was shaped by their reciprocal influence on each other.Conclusions: The findings underscore the value of a systemic approach for supporting couples during recovery from colorectal cancer and demonstrate the need for consistency of healthcare provision across the cancer trajectory, including post-treatment.

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An exploratory study of the follow‐up care needs of patients treated for colorectal cancer

Abstract: Nurse-led clinics and/or telephone follow-up by specialist nurses may be effective models of care for this particular patient group, providing appropriate access for meeting clinical, psycho-social and information needs.

Cited by 98 publications

References 39 publications

A systematic review of patient perspectives on surveillance after colorectal cancer treatment

A systematic review of patient perspectives on surveillance after colorectal cancer treatment

Living and dying with metastatic bowel cancer: Serial in-depth interviews with patients

Shared recovery: Couples' experiences after treatment for colorectal cancer

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