Patient-led follow-up reduces outpatient doctor visits and improves patient satisfaction. One-year analysis of secondary outcomes in the randomised trial Follow-Up after Rectal CAncer (FURCA)
| Autor: | Christoffer Johansen, Ida Hovdenak Jakobsen, Therese Juul, Søren Laurberg, Henriette Vind Thaysen |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Clinical variables Rectal Neoplasms business.industry Colorectal cancer Hematology General Medicine Tailored Intervention medicine.disease Bowel dysfunction Patient satisfaction Oncology Patient Satisfaction Intervention (counseling) Outpatients Health care Physical therapy Humans Medicine Radiology Nuclear Medicine and imaging business Referral and Consultation Follow-Up Studies Rectal Neoplasms/therapy |
| Zdroj: | Hovdenak, I, Thaysen, H V, Laurberg, S, Johansen, C, Juul, T & FURCA Steering Group 2021, ' Patient-led follow-up reduces outpatient doctor visits and improves patient satisfaction : One-year analysis of secondary outcomes in the randomised trial Follow-Up after Rectal CAncer (FURCA) ', Acta Oncologica, vol. 60, no. 9, pp. 1130-1139 . https://doi.org/10.1080/0284186X.2021.1950924 Hovdenak, I, Thaysen, H V, Laurberg, S, Johansen, C & Juul, T 2021, ' Patient-led follow-up reduces outpatient doctor visits and improves patient satisfaction. One-year analysis of secondary outcomes in the randomised trial Follow-Up after Rectal CAncer (FURCA) ', Acta Oncologica, vol. 60, no. 9, pp. 1130 . https://doi.org/10.1080/0284186X.2021.1950924 |
| ISSN: | 1651-226X 0284-186X |
| Popis: | Background: FURCA (Follow-Up after Rectal Cancer) is a multi-centre randomised trial comparing patient-led follow-up with standard outpatient follow-up. This paper reports one-year follow-up data from the FURCA trial on selected secondary outcomes including type and number of contacts, patientreported involvement and satisfaction with health care services during follow-up.Material and methods: Patients with rectal cancer (stage< IV) from four Danish surgical centres were randomised (1:1) into intervention (education and self-referral to project nurse) or standard follow-up (routine clinical doctor visits). The present analysis involved data on hospital contacts during the first year after surgery, patient involvement and satisfaction measured at one year, and baseline patient-reported and clinical variables.Results: Of 512 eligible patients, 168 were allocated to patient-led follow-up (intervention) and 168 to standard follow-up (control). The total number of hospital contacts in the intervention arm did not differ significantly from the number of contacts in the control arm (p = 0.44). More patients had =>15 contacts in the intervention arm than in the control arm (p = 0.004). The total number of outpatient doctor visits was significantly lower in the intervention arm (p < 0.001). Patients in both arms rated involvement and satisfaction high; yet patients in the intervention arm scored significantly higher on two of six items regarding involvement and all five items regarding satisfaction. Of the 168 patients in the intervention arm, 43% made direct contact (self-referral) to the project nurse, and 14 of these patients (8%) had =>4 contacts. The primary reason for self-referral was bowel dysfunction.Discussion: The findings indicate the value of a patient-led follow-up program in terms of direct access and more individually tailored intervention based on patients’ needs, with most tasks being managed by nurses. Patient-led follow-up came with improved patient-perceived involvement and satisfaction; thus, it was both acceptable and favourable for the patients. |
| Databáze: | OpenAIRE |
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