TY - JOUR
T1 - Follow-up of colon cancer patients; causes of distress and need for supportive care: Results from the ICARE Cohort Study
AU - Wieldraaijer, T.
AU - Duineveld, L. A. M.
AU - van Asselt, K. M.
AU - van Geloven, A. A. W.
AU - Bemelman, W. A.
AU - van Weert, H. C. P. M.
AU - Wind, J.
AU - Group, AUTHOR
AU - Courant, E.
AU - Smits, A. B.
AU - Pruim, J.
AU - van de Ven, A. W. H.
AU - Richards, M.
AU - Donkervoort, S. C.
AU - van Nes, M. E.
AU - Muller, M.
AU - Govaert, M. J. P. M.
AU - Koole-Mussche, H.
N1 - Publisher Copyright:
© 2016 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology
PY - 2017
Y1 - 2017
N2 - Background Colon cancer survivors experience physical and psychosocial problems that are currently not adequately addressed. This study investigated distress in patients after curative surgery for colon cancer and studied how this corresponds with the need for supportive care. Methods Prospective cohort of patients with stage I–III colon carcinoma, treated with curative intent, currently in follow-up at 6 different hospitals. A survey recorded symptoms, experienced problems, and (un)expressed needs. Satisfaction with supportive care was recorded. Results Two hundred eighty four patients were included; 155 males and 129 females, with a mean age of 68 years (range 33–95), and a median follow-up of 7 months. 227 patients completed the survey. Patients experienced a median of 23 symptoms in the week before the survey, consisting of a median of 10 physical, 8 psychological and 4 social symptoms. About a third of these symptoms was felt to be a problem. Patients with physical problems seek supportive care in one in three cases, while patients with psychosocial problems only seek help in one in eight cases. Patients who recently finished treatment, finished adjuvant chemotherapy, or had a stoma, had more symptoms and needed more help in all domains. Patients most frequently consulted general practitioners (GPs) and surgeons, and were satisfied with the help they received. Conclusion Colon cancer survivors experience many symptoms, but significantly fewer patients seek help for a psychosocial problem than for a physical problem. Consultations with supportive care are mainly with GPs or surgeons, and both healthcare providers are assessed as providing satisfying care.
AB - Background Colon cancer survivors experience physical and psychosocial problems that are currently not adequately addressed. This study investigated distress in patients after curative surgery for colon cancer and studied how this corresponds with the need for supportive care. Methods Prospective cohort of patients with stage I–III colon carcinoma, treated with curative intent, currently in follow-up at 6 different hospitals. A survey recorded symptoms, experienced problems, and (un)expressed needs. Satisfaction with supportive care was recorded. Results Two hundred eighty four patients were included; 155 males and 129 females, with a mean age of 68 years (range 33–95), and a median follow-up of 7 months. 227 patients completed the survey. Patients experienced a median of 23 symptoms in the week before the survey, consisting of a median of 10 physical, 8 psychological and 4 social symptoms. About a third of these symptoms was felt to be a problem. Patients with physical problems seek supportive care in one in three cases, while patients with psychosocial problems only seek help in one in eight cases. Patients who recently finished treatment, finished adjuvant chemotherapy, or had a stoma, had more symptoms and needed more help in all domains. Patients most frequently consulted general practitioners (GPs) and surgeons, and were satisfied with the help they received. Conclusion Colon cancer survivors experience many symptoms, but significantly fewer patients seek help for a psychosocial problem than for a physical problem. Consultations with supportive care are mainly with GPs or surgeons, and both healthcare providers are assessed as providing satisfying care.
KW - Colon cancer
KW - Follow-up
KW - Needs
KW - Patients
KW - Supportive care
KW - Symptoms
U2 - 10.1016/j.ejso.2016.08.011
DO - 10.1016/j.ejso.2016.08.011
M3 - Article
SN - 0748-7983
VL - 43
SP - 118
EP - 125
JO - European Journal of Surgical Oncology
JF - European Journal of Surgical Oncology
IS - 1
ER -