Imperial College London
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Professor Maria Kyrgiou

Faculty of Medicine, Department of Metabolism, Digestion and Reproduction

Chair in Gynaecologic Oncology
 
 
 
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Contact

 

+44 (0)20 7594 2177m.kyrgiou Website

 
 
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Location

 

Institute of Reproductive and Developmental BiologyHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Beaver:2020:10.1016/j.ejon.2019.101704,
author = {Beaver, K and Martin-Hirsch, P and Williamson, S and Kyrgiou, M},
doi = {10.1016/j.ejon.2019.101704},
journal = {European Journal of Oncology Nursing (EJON)},
title = {Exploring the acceptability and feasibility of patient-initiated follow-up for women treated for stage I endometrial cancer},
url = {http://dx.doi.org/10.1016/j.ejon.2019.101704},
volume = {44},
year = {2020}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - PURPOSE: There is a strong shift away from hospital-based approaches to follow-up after active treatment for cancer with supported self-management being promoted as an approach to long term recovery. We aimed to determine the acceptability and feasibility of patient-initiated follow-up (PIFU), supported by a self-management approach, for patients treated for Stage I endometrial cancer. METHODS: A mixed methods study was undertaken. Participants were asked to forego hospital outpatient follow-up appointments, supported by a self-management approach. Outcome measures included satisfaction with information and service, psychological morbidity, quality of life and preferences for follow-up. Qualitative interviews were carried out with study participants to determine their views on follow-up in general and PIFU in particular. RESULTS: We recruited 17 patients. High levels of satisfaction were evident with no physical or psychological detriment. Self-management was a favoured option. Participants questioned the value of hospital follow-up and were willing to engage in self-management if they knew who to contact if they had a problem and were aware of the signs and symptoms of recurrence. However, uptake to the study was low and further work is needed to explore if recruitment to a randomised controlled trial (RCT) is a viable option. CONCLUSIONS: Alternative approaches to hospital-based follow-up need to demonstrate that patients feel supported, knowing what symptoms to report and to whom. This study shows acceptability of a supported self-management approach but raises some concerns about the feasibility of recruitment to a future RCT.
AU  - Beaver,K
AU  - Martin-Hirsch,P
AU  - Williamson,S
AU  - Kyrgiou,M
DO  - 10.1016/j.ejon.2019.101704
PY  - 2020///
SN  - 1462-3889
TI  - Exploring the acceptability and feasibility of patient-initiated follow-up for women treated for stage I endometrial cancer
T2  - European Journal of Oncology Nursing (EJON)
UR  - http://dx.doi.org/10.1016/j.ejon.2019.101704
UR  - https://www.ncbi.nlm.nih.gov/pubmed/31812918
UR  - http://hdl.handle.net/10044/1/76377
VL  - 44
ER  -
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