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The efficacy of a shared-care model of follow-up for survivors of colorectal cancer.


ABSTRACT: Interventions: The intervention is a shared care model where 2 of the 4 routine hospital visits in the year after end of treatment (EOT) are replaced by GP visits (30 minutes) at the 3 and 9-month post EOT. An additional GP visit at 2 weeks post-EOT is included to discuss the follow up plan and establish common ground about the model of shared care. The following core elements will support shared care: 1. Survivorship care plan (SCP). The SCP is tailored to each participant by the research team which may include a nurse, research assistant and/or data manager and comprises a summary of the patient’s diagnosis of treatment, recommendations for follow up and strategies to remain well. The patient and GP will receive copies. 2. GP clinical management guidelines. Guidelines are in line with the Australian Cancer Network Colorectal Cancer Guidelines and recommendations from the American Cancer Society of Clinical Oncology and include guidance about tests to detect recurrence, possible late and long-term effects of treatments and how to manage these, as well as how to re-refer patients to a rapid review clinic. 3. Assessment will be based on issues frequently encountered by cancer survivors (e.g. fatigue, fear and cancer recurrence) and issues experienced by colorectal cancer survivors (e.g. bowel disturbance, sexual problems). Primary outcome(s): Patient Quality of Life as measured by the European Organisation for Research and Treatment of Cancer Core Questionnaire (EORTC QLQ CR30) together with the European Organisation fro Research and Treatment of Colorectal Cancer Module (EORTC QLQ CR-29). [Baseline, 6-month and 12-month follow-ups.] Study Design: Purpose: Treatment; Allocation: Randomised controlled trial; Masking: Open (masking not used);Assignment: Parallel;Type of endpoint: Efficacy

DISEASE(S): Unmet Needs,Public Health-health Service Research,Colorectal Cancer,Cancer-bowel-back Passage (rectum) Or Large Bowel (colon)

PROVIDER: 2464777 | ecrin-mdr-crc |

REPOSITORIES: ECRIN MDR

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