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dc.contributor.authorAtaman, Ozlem U
dc.contributor.authorBarrett, Ann
dc.contributor.authorDavidson, Susan E
dc.contributor.authorDe Haas-Kock, Danielle
dc.contributor.authorDische, Stanley
dc.contributor.authorDubray, Bernard
dc.contributor.authorGrillo, Isabel M
dc.contributor.authorKramar, Andrew
dc.contributor.authorHaie-Meder, Christine
dc.contributor.authorHeeren, Germaine
dc.contributor.authorHideghety, Katalin
dc.contributor.authorLeVay, John
dc.contributor.authorMaher, Jane
dc.contributor.authorMarcenaro, Michela
dc.contributor.authorMuller, Rolf
dc.contributor.authorReguerio, Carlos A
dc.contributor.authorSaunders, Michele I
dc.contributor.authorTuresson, Ingela
dc.contributor.authorVan Houtte, Paul
dc.contributor.authorVitale, Vito
dc.date.accessioned2009-08-19T16:01:46Z
dc.date.available2009-08-19T16:01:46Z
dc.date.issued2004-11
dc.identifier.citationAudit of effectiveness of routine follow-up clinics after radiotherapy for cancer: a report of the REACT working group of ESTRO. 2004, 73 (2):237-49 Radiother Oncolen
dc.identifier.issn0167-8140
dc.identifier.pmid15542172
dc.identifier.doi10.1016/j.radonc.2004.05.001
dc.identifier.urihttp://hdl.handle.net/10541/77923
dc.description.abstractBACKGROUND AND PURPOSE: The European Society for Therapeutic Radiology and Oncology was funded by the EU for a project on recording providing education, and ameliorating the consequences of treatment (REACT). An European audit was carried out as part of which to assess the usefulness of current follow-up practices. PATIENTS AND METHODS: Over a 4-month period in 15 cancer centres in 10 countries, patients attending for routine follow-up completed a questionnaire covering their expectations of and satisfaction with the visit. This was matched with a questionnaire completed by the physician about the content and usefulness of the consultation. The feasibility of a short toxicity scale developed by Dische and Saunders was also investigated. RESULTS: In total, 2303 matched questionnaires were analysed. Forty percent of the patients had symptoms or medical problems related to their disease. In 18% there was a positive finding on clinical examination. In 28% investigations were undertaken part of departmental routine practice. Ten percent of the investigations showed an abnormal result. Ninety nine percent of physicians and 85% of the patients expressed satisfaction. Using the short toxicity scale rates of recording toxicity could be increased from 28 to 93%. CONCLUSIONS: There is wide variation in follow-up practices among European centres. There was a low incidence of positive findings clinically or with routine investigations. A simple scale for recording morbidity has proved easy to use by departments, which have not routinely used one of the standard measures. Further work will attempt to produce an European guideline for effective routine follow-up after radiotherapy.
dc.language.isoenen
dc.subjectCanceren
dc.subject.meshAmbulatory Care Facilities
dc.subject.meshCancer Care Facilities
dc.subject.meshContinuity of Patient Care
dc.subject.meshDiagnostic Tests, Routine
dc.subject.meshEurope
dc.subject.meshFollow-Up Studies
dc.subject.meshHealth Care Surveys
dc.subject.meshHumans
dc.subject.meshMedical Audit
dc.subject.meshNeoplasms
dc.subject.meshPatient Satisfaction
dc.subject.meshQuality of Health Care
dc.subject.meshQuestionnaires
dc.subject.meshRadiation Oncology
dc.titleAudit of effectiveness of routine follow-up clinics after radiotherapy for cancer: a report of the REACT working group of ESTRO.en
dc.typeArticleen
dc.contributor.departmentSchool of Medicine, Health Policy and Practice, University of East Anglia, Norwich NR4 7TJ, UK.en
dc.identifier.journalRadiotherapy and Oncologyen
html.description.abstractBACKGROUND AND PURPOSE: The European Society for Therapeutic Radiology and Oncology was funded by the EU for a project on recording providing education, and ameliorating the consequences of treatment (REACT). An European audit was carried out as part of which to assess the usefulness of current follow-up practices. PATIENTS AND METHODS: Over a 4-month period in 15 cancer centres in 10 countries, patients attending for routine follow-up completed a questionnaire covering their expectations of and satisfaction with the visit. This was matched with a questionnaire completed by the physician about the content and usefulness of the consultation. The feasibility of a short toxicity scale developed by Dische and Saunders was also investigated. RESULTS: In total, 2303 matched questionnaires were analysed. Forty percent of the patients had symptoms or medical problems related to their disease. In 18% there was a positive finding on clinical examination. In 28% investigations were undertaken part of departmental routine practice. Ten percent of the investigations showed an abnormal result. Ninety nine percent of physicians and 85% of the patients expressed satisfaction. Using the short toxicity scale rates of recording toxicity could be increased from 28 to 93%. CONCLUSIONS: There is wide variation in follow-up practices among European centres. There was a low incidence of positive findings clinically or with routine investigations. A simple scale for recording morbidity has proved easy to use by departments, which have not routinely used one of the standard measures. Further work will attempt to produce an European guideline for effective routine follow-up after radiotherapy.


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