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Article: Nurse-led follow-up in survivorship care of gynaecological malignancies-A randomised controlled trial

TitleNurse-led follow-up in survivorship care of gynaecological malignancies-A randomised controlled trial
Authors
Keywordsendometrial cancer
follow‐up
gynaecological cancer
ovarian cancer
quality of life
Issue Date2020
PublisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at https://onlinelibrary.wiley.com/journal/13652354
Citation
European Journal of Cancer Care, 2020, v. 29 n. 6, p. article no. e13325 How to Cite?
AbstractObjective: To assess clinical and psychosocial outcomes of nurse-led follow-up in survivorship care of gynaecological malignancies. Methods: Women with endometrial or ovarian cancer who were attending regular post-treatment follow-up at a tertiary referral centre were randomised into two groups-group-1: telephone follow-up by nurses and group-2: gynaecologists-led clinic follow-up. Women in group-1 were asked about their symptoms and quality of life (QoL) by nurses. Women in group-2 were followed up by gynaecologists and underwent symptom reviews and physical examinations. All ovarian cancer patients in both groups also had CA125 measured. All recruited women completed a QoL questionnaire (EORTC QLQ-C30), HADS-anxiety questionnaire and symptom checklist. Results: 385 women (215 with endometrial and 170 with ovarian cancer) were randomised. There was no significant difference in the detection of recurrence according to the two follow-up protocols. However, women in the nurse-led arm scored higher on emotional (p = 0.023) and cognitive functioning (p = 0.012). Those in the gynaecologist-led arm scored higher on the HADS-anxiety scale (p = 0.001) and were more likely to report symptoms. Conclusions: Our results demonstrate a preliminary non-inferiority of nurse-led follow-up, with improved psychological morbidity and QoL. Thus, nurse-led follow-up can be considered an effective substitute for hospital-based care.
Persistent Identifierhttp://hdl.handle.net/10722/288198
ISSN
2019 Impact Factor: 2.161
2015 SCImago Journal Rankings: 0.819

 

DC FieldValueLanguage
dc.contributor.authorNgu, SF-
dc.contributor.authorWei, N-
dc.contributor.authorLi, J-
dc.contributor.authorChu, MMY-
dc.contributor.authorTse, KY-
dc.contributor.authorNgan, HYS-
dc.contributor.authorChan, KKL-
dc.date.accessioned2020-10-05T12:09:18Z-
dc.date.available2020-10-05T12:09:18Z-
dc.date.issued2020-
dc.identifier.citationEuropean Journal of Cancer Care, 2020, v. 29 n. 6, p. article no. e13325-
dc.identifier.issn0961-5423-
dc.identifier.urihttp://hdl.handle.net/10722/288198-
dc.description.abstractObjective: To assess clinical and psychosocial outcomes of nurse-led follow-up in survivorship care of gynaecological malignancies. Methods: Women with endometrial or ovarian cancer who were attending regular post-treatment follow-up at a tertiary referral centre were randomised into two groups-group-1: telephone follow-up by nurses and group-2: gynaecologists-led clinic follow-up. Women in group-1 were asked about their symptoms and quality of life (QoL) by nurses. Women in group-2 were followed up by gynaecologists and underwent symptom reviews and physical examinations. All ovarian cancer patients in both groups also had CA125 measured. All recruited women completed a QoL questionnaire (EORTC QLQ-C30), HADS-anxiety questionnaire and symptom checklist. Results: 385 women (215 with endometrial and 170 with ovarian cancer) were randomised. There was no significant difference in the detection of recurrence according to the two follow-up protocols. However, women in the nurse-led arm scored higher on emotional (p = 0.023) and cognitive functioning (p = 0.012). Those in the gynaecologist-led arm scored higher on the HADS-anxiety scale (p = 0.001) and were more likely to report symptoms. Conclusions: Our results demonstrate a preliminary non-inferiority of nurse-led follow-up, with improved psychological morbidity and QoL. Thus, nurse-led follow-up can be considered an effective substitute for hospital-based care.-
dc.languageeng-
dc.publisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at https://onlinelibrary.wiley.com/journal/13652354-
dc.relation.ispartofEuropean Journal of Cancer Care-
dc.rightsPreprint This is the pre-peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. Postprint This is the peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.-
dc.subjectendometrial cancer-
dc.subjectfollow‐up-
dc.subjectgynaecological cancer-
dc.subjectovarian cancer-
dc.subjectquality of life-
dc.titleNurse-led follow-up in survivorship care of gynaecological malignancies-A randomised controlled trial-
dc.typeArticle-
dc.identifier.emailNgu, SF: ngusiewf@hku.hk-
dc.identifier.emailWei, N: tinawei@hku.hk-
dc.identifier.emailChu, MMY: chumy@hku.hk-
dc.identifier.emailTse, KY: tseky@hku.hk-
dc.identifier.emailNgan, HYS: hysngan@hkucc.hku.hk-
dc.identifier.emailChan, KKL: kklchan@hkucc.hku.hk-
dc.identifier.authorityNgu, SF=rp01367-
dc.identifier.authorityTse, KY=rp02391-
dc.identifier.authorityNgan, HYS=rp00346-
dc.identifier.authorityChan, KKL=rp00499-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/ecc.13325-
dc.identifier.pmid32888339-
dc.identifier.scopuseid_2-s2.0-85090116996-
dc.identifier.hkuros314985-
dc.identifier.volume29-
dc.identifier.issue6-
dc.identifier.spagearticle no. e13325-
dc.identifier.epagearticle no. e13325-
dc.publisher.placeUnited Kingdom-

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