Colorectal cancer Quality of life Shared decision making Follow-up Cost-effectiveness
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Age = 18 years • Histologically confirmed colorectal adenocarcinoma without distant metastasis and treated with curative intent surgical resection less than 6 months ago • Scheduled or currently undergoing postoperative surveillance according to national guidelines • Written informed consent by the patient
Exclusion criteria
Exclusion criteria: • Patients with a severely complicated postoperative course, needing in hospital follow-up longer than 6 months postoperatively • Patients enrolled in other studies that require strict adherence to any specific follow-up practice with regular imaging – yearly or more frequent – of the abdomen and/or thorax • Patients with comorbidity or other malignancy that requires imaging of the abdomen and/or thorax every year or more frequent • Inability to complete the questionnaires due to illiteracy and/or insufficient proficiency of the Dutch language
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary objective of this study is to implement a patient-led home-based follow-up approach in patients treated surgically for CRC. A successful implementation of the patient-led aspect is defined as 75% or less of optional follow-up moments (i.e. CEA measurements) utilized. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary objectives of this study are: • To measure successful implementation of out of hospital CEA measurement A successful implementation of the home-based aspect is defined as 25% or more of all CEA measurements actually being performed at home by the patients themselves. • To compare the quality of life with an in-hospital standard of care related cohort • To compare anxiety • To compare the fear of cancer • To compare overall and cancer-specific survival • To determine and compare the cost-effectiveness of follow-up • To predict follow-up preferences based on patients’ coping style • To measure patient satisfaction at the end of the follow-up period | — |
Contacts
Erasmus MC