How Do We Follow Up Patients With Endometrial Cancer?

Autor: Jeppesen MM; Department of Gynecology and Obstetrics, Lillebaelt Hospital, Kolding, Sygehusvej 24, 6000, Kolding, Denmark. Mette.M.Jeppesen@dadlnet.dk., Mogensen O; Department of Gynecology and Obstetrics, Aarhus University Hospital, Aarhus, Palle Juul-Jensens Boulevard 99, 8200, Aarhus N, Denmark.; Faculty of Health, Institute for Clinical Medicine, Aarhus University, Aarhus, Denmark., Hansen DG; Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, J. B. Winsløws vej 9A, 5000, Odense C, Denmark., Bergholdt SH; Department of Gynecology and Obstetrics, Odense University Hospital, Sdr Boulevard, J.B. Winsløws vej 4, 5000, Odense C, Denmark., Jensen PT; Department of Gynecology and Obstetrics, Aarhus University Hospital, Aarhus, Palle Juul-Jensens Boulevard 99, 8200, Aarhus N, Denmark.; Faculty of Health, Institute for Clinical Medicine, Aarhus University, Aarhus, Denmark.
Jazyk: angličtina
Zdroj: Current oncology reports [Curr Oncol Rep] 2019 May 15; Vol. 21 (7), pp. 57. Date of Electronic Publication: 2019 May 15.
DOI: 10.1007/s11912-019-0805-3
Abstrakt: Purpose of Review: In this review, we present the existing evidence regarding follow-up care after endometrial cancer, including content of follow-up and type of provider. We furthermore discuss the future perspectives for follow-up care and research in the field.
Recent Findings: Recently published randomized controlled trials show that nurse-led telephone follow-up and patient-initiated follow-up are feasible alternatives to routine hospital-based follow-up. No randomized or prospective study has evaluated the effect of routine follow-up on survival. Hence, current knowledge is derived from retrospective studies with the inherent risk of bias. The most important method for recurrence detection is a review of symptoms. There is no evidence to support a survival benefit from the use of routine physical examinations, additional tests, or imaging. One in three of the women attending hospital-based follow-up experience unmet needs, and alternative models for follow-up focused on survivorship care and empowerment should be tested.
Databáze: MEDLINE
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