1) What is the variation in follow-up care practice since 2011 for cervical cancer patients?2) What physician-, patient- and informal caregiver -factors are associated with differences in follow-up care schedules? Regarding patient/ informal…
ID
Source
Brief title
Condition
- Reproductive neoplasms female malignant and unspecified
- Cervix disorders (excl infections and inflammations)
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Survey health care providers
Outcomes included are provider characteristics (age, years experience, gender),
hospital characteristics (hospital, type of hospital), provided follow-up
schedule in the past years, reasons for deviation/compliance from guidelines,
preference for future follow-up, content of follow-up consult (aim of consult,
content of follow-up care consult, psychosocial functioning, late effects), and
attitudes toward the guideline on follow-up care.
Study among cervical cancer patients and their informal caregiver
Measures include demographic characteristics, questions on follow-up care
(schedule, preference, attitudes, satisfaction), and psychosocial
characteristics (quality of life, fear of recurrence and worry, illness
perceptions, self-management abilities, self-efficacy, relationship quality,
dyadic coping). In addition, a feasibility study will be conducted in a
subsample of participants (120 patients when 50% response). They will be asked
to donate a hair sample (1,5mm) and complete additional questions about hair
care and perceived stress. Finally, data on participant's follow-up care
practice will be collected from the medical files.
Secondary outcome
NA
Background summary
Follow-up care in cancer survivors serves several purposes, including timely
detection of treatable recurrences and providing support and information for
psychosocial problems and late effects. In 2012, the guidelines regarding
follow-up care for patients with cervical cancer were changed from 10-13 visits
in 5 years to 8 visits in 2 years. Among health care providers, variation exist
in follow-up care practice after this guideline was issued. We hypothesize that
variation in follow-up care is influenced by the health care providers on the
one hand, and by the patients and their informal caregivers (i.e. main person
that provides support to the patient) on the other hand.
Study objective
1) What is the variation in follow-up care practice since 2011 for cervical
cancer patients?
2) What physician-, patient- and informal caregiver -factors are associated
with differences in follow-up care schedules? Regarding patient/ informal
caregiver factors this relates to functioning, symptoms, needs and abilities.
Study design
We will conduct two studies to answer our research questions. The first study
is a cross-sectional survey study among health care providers; the second study
is a cross-sectional study among cervical cancer patients and their informal
caregivers. For the second study, we will sample patients from the Netherlands
Cancer Registry and collect patient-reported outcomes and data from the medical
files from the patients and self-reported outcomes from the informal caregiver
within PROFILES. In a subsample of patients, we additionally conduct a
feasibility study for assessment of cortisol concentrations in scalp hair.
Study burden and risks
De burden of this study is the completion of the questionnaires, which takes
about 20 to 60 minutes.
Warandelaan 2
Tilburg 5037AB
NL
Warandelaan 2
Tilburg 5037AB
NL
Listed location countries
Age
Inclusion criteria
- Diagnosed with stage I-III cervical cancer between 1st January 2011 and 31st
December 2016.
- Being able to complete a Dutch questionnaire.
- Being at least 18 years of age.
Exclusion criteria
- Living in nursing home.
- Unknown address.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL66076.028.18 |