Routine Surveillance Care After Cancer Treatment With Curative Intent

Lafata, Jennifer Elston; Simpkins, Jan; Schultz, Lonni; Chase, Gary A.; Johnson, Christine Cole; Yood, Marianne Ulcickas; Lamerato, Lois; Nathanson, David; Cooper, Greg

doi:10.1097/01.mlr.0000163656.62562.c4

Cited by 74 publications

(60 citation statements)

References 18 publications

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“…Following the approach of Cooper et al 2007, 10 Lafata et al, 17 and Keating et al, 12 adherence to guideline recommendations for oncologist visits, surveillance mammograms, and surveillance imaging investigations were classified as consistent with recommendations, less than recommended, or greater than recommended. Adherence per year was defined as three or four visits per year in years 2 and 3, two visits per year in years 4 and 5, one mammogram per year, and no imaging for metastatic disease.…”

Section: Discussionmentioning

confidence: 99%

Population-Based Longitudinal Study of Follow-Up Care for Breast Cancer Survivors

Grunfeld

Hodgson

Giudice

et al. 2010

JOP

120

102

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Purpose: To describe the patterns of follow-up care provided to a population-based cohort of breast cancer survivors, and to assess factors associated with adherence to guidelines on follow-up care. Patients and Methods:We conducted a retrospective longitudinal study of all women with surgically treated breast cancer who were without evidence of recurrence, advanced breast cancer, or new primary cancer and were diagnosed in Ontario, Canada, within a 2-year period (n ϭ 11,219). They were followed for 5 years. The cohort was identified through the Ontario Cancer Registry, and individuals were linked across population-based administrative health databases. Frequency of and adherence to guideline recommendations for oncologist and primary care physician (PCP) visits; surveillance imaging for metastatic disease; and surveillance mammograms by year from diagnosis, age group, and income quintile were analyzed. Factors associated with adherence to guideline recommendations were analyzed. Results: Most women saw both oncologists and PCPs in eachfollow-up year. Approximately two thirds had surveillance mammograms in each follow-up year. Overall, two thirds had either fewer or greater than recommended oncology visits, one quarter had fewer than recommended surveillance mammograms, and half had greater than recommended surveillance imaging for metastatic disease. Conclusion:This population-based study shows substantial variation in adherence to guideline recommendations, with both overuse and underuse of surveillance visits and tests. Most importantly, a substantial proportion are receiving more than recommended imaging for metastatic disease but fewer than recommended mammograms for detection of local recurrence or new primary cancer, for which effective intervention is possible.

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Section: Discussionmentioning

confidence: 99%

Population-Based Longitudinal Study of Follow-Up Care for Breast Cancer Survivors

Grunfeld

Hodgson

Giudice

et al. 2010

JOP

120

102

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“…A study among a large cohort of SEER-Medicare patients found that 39.8% received physical examinations, CEA tests, and colonoscopy at the minimum recommended levels or higher 6 -42 months after diagnosis [6]. Other studies reported the prevalence of CRC patients undergoing postoperative colonoscopy, sigmoidoscopy, or barium enema to be in the range of 50%-60% [7][8][9][10][11], whereas estimates of receiving at least one CEA test were in the range of 35%-71% [6 -8]. Direct comparisons of these results with those in our study were not possible because of wide variation in designs, patient populations, surveillance procedures, and follow-up periods.…”

Section: Discussionmentioning

confidence: 99%

Patient–Clinician Information Engagement Improves Adherence to Colorectal Cancer Surveillance after Curative Treatment: Results from a Longitudinal Study

et al. 2012

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Introduction. Follow-up surveillance after curative treatment for colorectal cancer (CRC) patients is recommended to detect early cancer recurrences and improve survival outcomes. However, a substantial proportion of CRC patients do not undergo cancer surveillance. Several demographic and disease-related factors have been associated with cancer surveillance adherence. Thus far, patientcentered communication has not been studied as a determinant for undergoing cancer surveillance. The purpose of this study is to determine whether patient-clinician information engagement (PCIE) influences patients' self-reported adherence to recommended CRC surveillance procedures.Methods. The study was a longitudinal survey among Pennsylvanian patients diagnosed with CRC in 2005. CRC patients who were eligible for surveillance and participated in both the baseline and 1-year follow-up surveys were included in this analysis (n ‫؍‬ 305). The

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“…A patient who remains cancer-free thereafter is considered to be cured and the frequency of routine work-up is drastically reduced (11,12). Subsequent examinations aim at detecting signs of relapse or progression of the malignant disorder but not on the identification of therapy-related effects.…”

Section: Introductionmentioning

confidence: 99%

Self-reported endocrine late effects in adults treated for brain tumours, Hodgkin and non-Hodgkin lymphoma: a registry based study in Northern Germany

Gebauer

Fick

Waldmann

et al. 2015

European Journal of Endocrinology

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Objective: Due to the increasing success and survival rates in the primary treatment of malignancies derived from the CNS as well as the hematopoietic system, endocrine late effects of cancer and its therapy are of growing importance. Despite evaluation of these late effects in patients treated for cancer in childhood, the impact on adults remains largely unclear. Methods: 1035 adult patients primarily diagnosed with a CNS malignancy, a Hodgkin (HL) or non-Hodgkin lymphoma (NHL) between 1998 and 2008 were recruited via the regional epidemiological cancer registry covering w2.8 million inhabitants in the federal state of Schleswig-Holstein, Northern Germany. The prevalence of endocrine disorders and current psychosocial impairment was assessed employing several questionnaires (SF-36v1, WHO-5). Results: Fully completed questionnaires of 558 patients were available for subsequent analysis showing markedly reduced overall performance and psychological status when compared to German reference data. Thyroid disorders were reported in 16.3% of patients with 10.4% suffering from hypo-and 5.9% from hyperthyroidism. Overall, 17.6% stated to be affected by diabetes mellitus with an increased rate of 21.1% among NHL patients and 11.5% of participants were affected by osteoporosis. Conclusion: Compared to German population based studies on the prevalence of diabetes mellitus, osteoporosis and thyroid disorders the frequency of all these endocrine problems was significantly increased in CNS, HL, and NHL cancer survivors. These data confirm that not only children and adolescents but also adult cancer patients are at risk for therapy associated endocrine late effects.

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Routine Surveillance Care After Cancer Treatment With Curative Intent

Cited by 74 publications

References 18 publications

Population-Based Longitudinal Study of Follow-Up Care for Breast Cancer Survivors

Population-Based Longitudinal Study of Follow-Up Care for Breast Cancer Survivors

Patient–Clinician Information Engagement Improves Adherence to Colorectal Cancer Surveillance after Curative Treatment: Results from a Longitudinal Study

Self-reported endocrine late effects in adults treated for brain tumours, Hodgkin and non-Hodgkin lymphoma: a registry based study in Northern Germany

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