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- Title
Risk Stratified Follow-Up for Endometrial Cancer: The Clinicians' Perspective.
- Authors
Amirthanayagam, Anumithra; Boulter, Louise; Millet, Nessa; McDermott, Hilary J.; Morrison, Jo; Taylor, Alexandra; Miles, Tracie; Coton, Lorna; Moss, Esther L.
- Abstract
Risk-stratified follow-up for endometrial cancer (EC) is being introduced in many cancer centres; however, there appears to be diversity in the structure and availability of schemes across the UK. This study aimed to investigate clinicians' and clinical specialist nurses' (CNS) experiences of follow-up schemes for EC, including patient-initiated follow-up (PIFU), telephone follow-up (TFU) and clinician-led hospital follow-up (HFU). A mixed-methods study was conducted, consisting of an online questionnaire to CNSs, an audience survey of participants attending a national "Personalising Endometrial Cancer Follow-up" educational meeting, and qualitative semi-structured telephone interviews with clinicians involved in the follow-up of EC. Thematic analysis identified three main themes to describe clinicians' views: appropriate patient selection; changing from HFU to PIFU schemes; and the future of EC follow-up schemes. Many participants reported that the COVID-19 pandemic impacted EC follow-up by accelerating the transition to PIFU/TFU. Overall, there was increasing support for non-HFU schemes for patients who have completed primary treatment of EC; however, barriers were identified for non-English-speaking patients and those who had communication challenges. Given the good long-term outcome associated with EC, greater focus is needed to develop resources to support patients post-treatment and individualise follow-up according to patients' personal needs and preferences.
- Subjects
ENDOMETRIAL cancer; LONG-term health care; TREATMENT effectiveness; COVID-19 pandemic; FOLLOW-up studies (Medicine); PATIENT reported outcome measures
- Publication
Current Oncology, 2023, Vol 30, Issue 2, p2237
- ISSN
1198-0052
- Publication type
Article
- DOI
10.3390/curroncol30020173