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- Title
Patient-Clinician Information Engagement Improves Adherence to Colorectal Cancer Surveillance after Curative Treatment: Results from a Longitudinal Study.
- Authors
Tan, Andy S. L.; Moldovan-Johnson, Mihaela; Parvanta, Sarah; Gray, Stacy W.; Armstrong, Katrina; Hornik, Robert C.
- Abstract
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, patient-centered 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 main outcome measure was self-reported adherence to physical examination, carcinoembryonic antigen testing, and colonoscopy according to recommended guidelines. Results. Controlling for potential confounders, higher PCIE at baseline predicted a higher odds for CRC patients reporting adherence to recommended surveillance 1 year later by 2.8 times. Other significant predictors of adhering to recommended surveillance were a higher education level and having received systemic therapy. Discussion. In this longitudinal study among CRC patients who received curative treatment, greater patient engagement with clinicians about cancer-related information was found to improve patients' subsequent adherence to recommended surveillance. This finding provides support for encouraging greater patient-physician communication among CRC patients.
- Subjects
PENNSYLVANIA; CANCER relapse; CANCER patients; COLON tumors; COMMUNICATION; LONGITUDINAL method; HEALTH outcome assessment; PATIENT compliance; PATIENT education; PHYSICIAN-patient relations; PUBLIC health surveillance; QUESTIONNAIRES; RECTUM tumors; RESEARCH funding; SELF-evaluation; SURVEYS; TOMOGRAPHY; MATHEMATICAL variables; LOGISTIC regression analysis; INFORMATION-seeking behavior; DATA analysis software; DESCRIPTIVE statistics; DIAGNOSIS
- Publication
Oncologist, 2012, Vol 17, Issue 9, p1155
- ISSN
1083-7159
- Publication type
Article
- DOI
10.1634/theoncologist.2012-0173