Optimal scheduling of post-therapeutic follow-up of patients treated for cancer for early detection of relapses.

Abstract:

:Post-therapeutic surveillance is one important component of cancer care. However, there still is no evidence-based strategies to schedule patients' follow-up examinations. Our approach is based on the modeling of the probability of the onset of relapse at an early asymptotic or preclinical stage and its transition to a clinical stage. For that we consider a multistate homogeneous Markov model, which includes the natural history of relapse. The model also handles separately the different types of possible relapses. The optimal schedule is provided by the calendar visit that maximizes a utility function. The methodology has been applied to laryngeal cancer. The different follow-up strategies revealed to be more efficient than those proposed by different scientific societies.

journal_name

Stat Methods Med Res

authors

Somda SM,Leconte E,Boher JM,Asselain B,Kramar A,Filleron T

doi

10.1177/0962280214524178

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

2457-2471

issue

6

eissn

0962-2802

issn

1477-0334

pii

0962280214524178

journal_volume

25

pub_type

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