Effect of reduced follow-up care on patient satisfaction with care among patients with endometrial cancer: The ENSURE randomized controlled trial

被引：0

作者：

Ezendam, Nicole P. M. ^{[1
,2
]}

de Rooij, Belle H. ^{[1
,2
]}

Creutzberg, Carien L. ^{[3
]}

Kruitwagen, Roy F. P. M. ^{[4
,5
]}

van Lonkhuijzen, Luc R. P. M. ^{[6
]}

Apperloo, Mirjam J. A. ^{[7
]}

Gerestein, Kees ^{[8
]}

Baalbergen, Astrid ^{[9
]}

Boll, Dorry ^{[10
]}

Vos, M. Caroline ^{[11
]}

van de Poll-franse, Lonneke V. ^{[1
,2
,12
]}

机构：

[1] Netherlands Comprehens Canc Org IKNL, Utrecht, Netherlands

[2] Tilburg Univ, CoRPS Ctr Res Psychol Disorders & Somat Dis, Med & Clin Psychol, Tilburg, Netherlands

[3] Leiden Univ Med Ctr, Dept Radiat Oncol, Leiden, Netherlands

[4] Maastricht Univ Med Ctr, Dept Obstet & Gynecol, Maastricht, Netherlands

[5] Maastricht Univ, Grow Sch Oncol & Reprod, Maastricht, Netherlands

[6] Amsterdam Univ Med Ctr, Ctr Gynecol Oncol Amsterdam, Amsterdam, Netherlands

[7] Med Ctr Leeuwarden, Dept Obstet & Gynecol, Leeuwarden, Netherlands

[8] Univ Med Ctr Utrecht, Dept Obstet & Gynecol, Utrecht, Netherlands

[9] Reinier Graaf Grp, Dept Obstet & Gynecol, Delft, Netherlands

[10] Catharina Hosp, Gynecol Oncol Ctr South, Dept Obstet & Gynecol, Eindhoven, Netherlands

[11] Elisabeth TweeSteden Hosp, Gynecol Oncol Ctr South, Dept Obstet & Gynecol, Tilburg, Netherlands

[12] Netherlands Canc Inst, Dept Psychosocial Res & Epidemiol, Amsterdam, Netherlands

来源：

GYNECOLOGIC ONCOLOGY | 2024年 / 188卷

关键词：

Endometrial cancer; Follow-up; RCT; Patient satisfaction; Health care use; Worry; GYNECOLOGICAL CANCER; QUESTIONNAIRE; VIEWS; OUTCOMES; WOMEN;

D O I：

10.1016/j.ygyno.2024.06.020

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Background. Evidence on the optimal follow-up schedule after endometrial cancer is lacking. The study aim was to compare satisfaction with care between women who received reduced follow-up care and women who received usual guideline-directed follow-up care for three years after surgery. Methods. The ENSURE (ENdometrial cancer SURvivors' follow-up carE) trial was a non-inferiority randomized controlled multicenter trial in 42 hospitals in the Netherlands. The intervention arm received reduced follow-up care (4 visits/3 years), while the control group received usual follow-up care (8 -11 visits/3 years). Primary outcome was overall satisfaction with care, PSQIII score, over three years follow-up, with a non-inferiority margin of 6. Mixed linear regression, intention-to-treat and per-protocol analyses (presented below) were used. Results. Among 316 women included, overall satisfaction with care was not lower in the reduced follow-up (mean 82; SD = 15) compared with the usual follow-up group (mean 80; SD = 15) group (B = 1.80 ( -2.09;5.68)). At 6,12 and 36 months, more women (93/94/90%) in the reduced follow-up group were satisfied with their follow-up schedule than in the usual follow-up group (79/79/82%; p < 0.001; p < 0.001; p = 0.050). Conclusions and relevance. Women with low-risk, early-stage endometrial cancer who received reduced follow-up care were no less satisfied with their care than women receiving usual follow-up care. Compared with usual follow-up, women in the reduced follow-up group had fewer clinical visits and, at the same time, more often reported being satisfied with their follow-up schedule. Findings suggest that reduced follow-up care may be the new standard, but should be tailored to meet additional needs where indicated. (c) 2024 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http:// creativecommons.org/licenses/by/4.0/).

引用

页码：169 / 183

页数：15

共 33 条

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