7 February 2019

Seyed Qaderi and Hans de Wilt together with the department of Surgical Oncology developed and implemented a new patient centered follow up schedule for colorectal cancer survivors.

After treatment, colorectal cancer patients remain under surveillance in the hospital for at least 5 years. This is performed according to the national guidelines.
The purpose of these appointments is to screen for symptoms and explore patient wellbeing, and to detect metastases or recurrent disease as early as possible.
 
Research demonstrates that periodic outpatient clinic visits are not always useful. It leads to long waiting times and it can lead to more (unnecessary) treatments, anxiety among patients and higher healthcare costs without improving patient survival.
Patient organizations and health professionals call for new patient-oriented follow up schedules. In these new schemes emphasis should be on quality of life, attention to the consequences of operative interventions on daily life, psychosocial wellbeing.
 
More involvement of patients in decision making and follow up improves the emotional and social well-being of patients and gives the patient more autonomy and (self-) confidence.
 
The follow up policy of colorectal cancer patients treated at Radboudumc has changed. After being followed, undergoing the necessary tests in the first year, patients do not longer have to come to the hospital for the results of the tests hereafter. The results will be made available through our electronic mijnRadboud platform in a patient-friendly manner. When experiencing symptoms, having questions, or noticing abnormal test results, patients are advised to call our nurse practitioner and when necessary, telephone, video-chat, or a physical clinical visit will be planned.
 
With adequate patient training and written information and instructions on what to do and when to do (self management), we aim at increasing patient involvement and satisfaction during bowel cancer follow up!
 
More information can be found (in Dutch): www.radboudumc.nl/darmkanker

 Seyed Qaderi and Hans de Wilt are both members of theme Tumors of digestive tract.

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