Influence of follow-up on health-related quality of life after radical surgery for colorectal cancer

被引:53
作者
Kjeldsen, BJ [1 ]
Thorsen, H
Whalley, D
Kronborg, O
机构
[1] Odense Univ Hosp, Surg Dept A, DK-5000 Odense C, Denmark
[2] Univ Copenhagen, Dept Gen Practice, Copenhagen, Denmark
[3] Galen Res, Manchester, Lancs, England
关键词
colorectal neoplasms; follow-up studies; health status; quality of life;
D O I
10.1080/003655299750026254
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background: The possible benefit for patients of follow-up examinations after curative surgery for colorectal cancer is at present not proven. The purpose of this study was to evaluate the influence of follow-up examinations on health-related quality of life and to assess the attitude of the patients to checkups. Methods: A total of 350 patients who had had curative surgery for colorectal cancer and who had been subsequently randomized to either frequent follow-up or virtually no follow-up completed the Nottingham Health Profile and a second questionnaire assessing their attitude to the follow-up visits. Results: The patients who were receiving more frequent follow-up had greater confidence in the checkups, but the improvement in the health-related quality of life was only marginally better than that of those receiving few follow-up visits. Conclusion: The relatively small benefit for health-related quality of life does not justify expensive frequent routine examinations after surgery for colorectal cancer. The Nottingham Health Profile proved to be a reliable instrument within this patient group.
引用
收藏
页码:509 / 515
页数:7
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