Objective To explore the factors associated with clinic follow-up of old patients with colorectal cancer and provide more evidence to improve the efficiency and quality of clinic follow-up after sugery.
Methods The data of 253 patients who were underwent sugery because of old colorectal cancer in our hospital from January 2009 to May 2010 were reviewed. Data about the rate and times of clinic follow-up within 6 months after operation were collected via Hospital Information Systerm, then the follow-up rate was calculated, and to analyse the possible factors associated with follow-up times and rate.
Results The total follow-up rate was 84.2%(213/253), and the total times of follow-up was between 0 to 24 times per one, (4.08±0.03)times on average. On the times of follow-up, patients inside the city was higher than that outside, patients with medical or postoperative complications were higher than those without, and patients with a stoma was lower than that without, and the differences were statistically significant (P<0.05).While on the follow-up rate, patients underwent a radical sugery or with a stoma were lower than those not or without, and the differences were statistically significant (P<0.05).
Conclusions The clinic follow-up of old colorectal cancer patients is not satisfactory, and the possible factors associated with follow-up times or rate are the distance between residence and hospital, have medical complications or not, have postoperative complications or not, radical sugery or not, and with a stoma or without.
Citation:
CHEN Fengjiao,ZHANG Xiaoyan,HU Qiulan,PENG Wei,WANG Xiaodong,LI Li.. The Factors Associated with Clinic Follow-Up of Old Patients with Colorectal Cancer. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2012, 19(3): 305-309. doi:
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Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
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- 1. 汪晓东, 冯硕, 游小林, 等. 结直肠肿瘤多学科协作诊治模式下的随访体系建设 [J]. 中国普外基础与临床杂志, 2007,14(6):709-712..
- 2. 卢亦成, 张光霁.临床随访的重要性[ J]. 中华神经外科杂志,2005, 21(3):129-130..
- 3. 黄明君, 陈凤姣, 杨苹, 等. NRS-2002 评估术前直肠癌患者营养状况和护理对策 [J]. 护士进修杂志, 2009, 24(20):1854-1855..
- 4. 李卡, 黄智, 席望荣, 等. 老年直肠癌患者术前不同营养状态对术后康复影响的研究 [J]. 护士进修杂志, 2010, 25(10):870-872..
- 5. 鲁兵, 傅传刚, 刘连杰, 等. 高龄低位直肠癌患者保肛手术后控便功能分析 [J]. 癌症, 2005, 24(10):1257-1260..
- 6. 梁显军, 郭帅, 孟祥仁, 等. 大肠癌伴糖尿病的外科治疗 [J]. 中国老年学杂志, 2007, 27(18):1820-1821..
- 7. 徐学虎, 李穗, 李汝权. 82 例老年大肠癌患者临床特点与误诊分析 [J]. 广东医学, 2000, 21(9):763-764..
- 8. Kievit J, Bruinvels DJ. Detection of recurrence after surgery for colorectal cancer [J]. Eur J Cancer, 1995, 31A(7-8): 1222-1225.
- 9. Desch CE, Benson AB 3rd, Somerfield MR, et al. Colorectal cancer surveillance: 2005 update of an American Society of Clinical Oncology practice guideline [J]. J Clin Oncol, 2005,23(33): 8512-8519.
- 10. Tan IT, So BY. Value of intensive follow-up of patients after curative surgery for gastric carcinoma [J]. J Surg Oncol, 2007,96(6): 503-506.
- 11. 汪晓东, 谢尧, 肖军, 等. 快速流程在结直肠外科手术后管理中的应用 [J]. 中国普通外科杂志, 2008, 17(4):394-396.
- 12. Beaver K, Wilson C, Procter D, et al. Colorectal cancer follow-up: patient satisfaction and amenability to telephone after care [J]. Eur J Oncol Nurs, 2011, 15(1): 23-30..
- 13. Papagrigoriadis S, Heyman B. Patients’ views on follow up of colorectal cancer: implications for risk communication and decision making [J]. Postgrad Med J, 2003, 79(933): 403-407.
- 14. 俞桃英. 电话随访出院患者的护理效果 [J]. 中国实用护理杂志, 2007, 23(9):67-68.
- 15. 关琼瑶, 缪云仙, 代佑果. 院外随访对肿瘤复诊率的影响 [J]. 中国误诊学杂志, 2009, 9(19):4604-4605..
- 16. 李忆璇, 林连兴. 恶性肿瘤放疗病人随访率影响因素分析[J]. 齐齐哈尔医学院学报, 2005, 26(4):377-378..
- 17. 宁小红, 王毓洲, 应红艳, 等. 肿瘤生存者随访模式和数据管理的初步探讨 [J]. 癌症进展, 2010, 8(3):304-308.
- 18. 李文桦, 张文. 老年结直肠癌的化疗进展 [J]. 肿瘤, 2010,30(11):976-979..
- 19. 宿茂伟, 潘运龙, 席亚鸣, 等. 低位直肠癌保肛手术后近期排便功能的探讨 [J]. 广东医学, 2006, 27(9):1380-1381..
- 20. 丛进春, 戴显伟, 张宏, 等. 超低位直肠癌经括约肌间切除术中国普外基础与临床杂志2012 年3 月第19 卷第3 期 Chin J Bases Clin General Surg, Vol. 19, No. 3, Mar. 2012 ? 309 ?后的肛门功能评价[ J]. 中国现代医学杂志, 2008, 18(6):795-798..
- 21. 温登瑰, 赵秀清, 魏丽珍, 等. 提高随访质量控制失访比例 [J]. 中国病案, 2005, 6(4):10-11..
- 22. Coelho JJ, Arnold A, Nayler J, et al. An assessment of the efficacy of cancer genetic counselling using real-time videoconferencing technology (telemedicine) compared to face-toface consultations [J]. Eur J Cancer, 2005, 41(15): 2257-2261.
- 23. 张丽彬, 梁彬影, 喻瑛. 肿瘤医院随访工作的一点思考 [J]. 中国病案, 2007, 8(3):13-14..
- 24. 梁彬影, 张丽彬. 肿瘤随访管理系统的设计与实现 [J]. 中国肿瘤, 2009, 18(8):640-642..
- 25. 王新民, 周汉新, 曹海波. 我国开展病人随访工作的紧迫感与国内外进展 [J]. 中国卫生质量管理, 2006, 13(6):41-43.
- 26. 王健生, 张明鑫, 王昌燕, 等. 疾病防治协作网络对肿瘤病人随访工作的促进作用 [J]. 现代医院管理, 2010, 8(4):18-20.