Follow-up of gynecological cancer patients after treatment - the views of European experts in gynecologic oncology.

Abstract:

OBJECTIVE:Follow-up after treatment for gynecological cancer demands large resources. There is a lack of evidence of efficacy. The aim of this survey was to explore follow-up routines and views on follow-up care among European experts in gynecological oncology. DESIGN:Web-based structured survey. SETTING:Survey distributed to members of the European Society of Gynecological Oncology (ESGO) and the Nordic Society of Gynecologic Oncology (NSGO). POPULATION:The study population comprised members of NSGO and ESGO. METHODS:An anonymous e-survey was sent with two additional reminders by e-mail through an electronic web-link to all members of both societies. MAIN OUTCOME MEASURES:Surveillance routines. The clinical experts' evaluation of evidence and view of follow-up in hospitals vs. at general practitioners (GPs). RESULTS:The number of visits recommended by a majority of the responders was in line with current guidelines. The use of surveillance tests varied considerably. Significantly more responders from low economy countries preferred conventional hospital follow-up for all patients compared with responders from high economy countries, who considered follow-up by GPs adequate in low-risk groups (p < 0.001). CONCLUSIONS:Follow-up routines after gynecological cancer vary in Europe. According to the majority of the responders of this survey targeting European experts in gynecological oncology, follow-up by GPs may be an option for low-risk patients. New follow-up routines should preferentially be based on prospective trials comparing conventional follow-up of gynecological cancer patients with alternative methods of care, assessing survival, detection of recurrence, and quality of life.

authors

Vistad I,Cvancarova M,Salvesen HB

doi

10.1111/j.1600-0412.2012.01523.x

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

1286-92

issue

11

eissn

0001-6349

issn

1600-0412

journal_volume

91

pub_type

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