Aarhus Universitets segl

Pernille Tine Jensen

Self-management and adherence to recommended follow-up after gynaecological cancer: results from the international InCHARGE study

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

DOI

  • Mette Skorstad, Sorlandet Hospital Kristiansand
  • ,
  • Belle H de Rooij, Netherlands Comprehensive Cancer Organisation (IKNL), Tilburg University
  • ,
  • Mette Moustgaard Jeppesen, Syddansk Universitet
  • ,
  • Stinne Holm Bergholdt, Syddansk Universitet
  • ,
  • Nicole Paulina Maria Ezendam, Netherlands Comprehensive Cancer Organisation (IKNL), Tilburg University
  • ,
  • Tonje Bohlin, Vestfold Hospital Trust
  • ,
  • Pernille Tine Jensen
  • Kristina Lindemann, University of Oslo
  • ,
  • Lonneke van de Poll, Netherlands Comprehensive Cancer Organisation (IKNL), Tilburg University, The Netherlands Cancer Institute
  • ,
  • Ingvild Vistad, Sorlandet Hospital Kristiansand, University of Bergen

OBJECTIVE: To assess the relationship between self-management skills and adherence to follow-up guidelines among gynecological cancer survivors in the Netherlands, Norway, and Denmark, and to assess the relationship between adherence to follow-up programs and use of additional healthcare services.

METHODS: For this international, multicenter, cross-sectional study, we recruited gynecological cancer survivors 1-5 years after completion of treatment. Information on follow-up visits, use of healthcare resources, self-management (measured by the Health Education Impact Questionnaire), clinical characteristics, and demographics were obtained by validated questionnaires. Participants were categorized as adherent if they attended the number of follow-up visits recommended by national guidelines, non-adherent if they had fewer visits than recommended, or over-users if they had more visits than recommended.

RESULTS: Of 4455 invited survivors, 2428 (55%) returned the questionnaires, and 911 survivors were included in the analyses. Survivors with high self-management most frequently adhered to recommended follow-up. Non-adherent survivors showed lower self-management in the health-directed activity domain (OR 1.54, 95% CI 1.03 to 2.32) than adherent survivors. No other associations between self-management and follow-up adherence were revealed. Non-adherent survivors tended to have endometrial cancer, surgical treatment only, be older, and be Danish residents. Over-users reported more follow-up visits and also used additional healthcare services more frequently than adherent survivors.

CONCLUSION: Low self-management appears to reduce the likelihood of adherence to national guidelines for gynecological cancer follow-up. Focusing on patient education for survivors at risk of low self-management to ensure adherence to recommended follow-up may improve personalization of follow-up.

OriginalsprogEngelsk
TidsskriftInternational journal of gynecological cancer : official journal of the International Gynecological Cancer Society
Vol/bind31
Nummer8
Sider (fra-til)1106-1115
Antal sider10
ISSN1048-891X
DOI
StatusUdgivet - aug. 2021

Bibliografisk note

© IGCS and ESGO 2021. No commercial re-use. See rights and permissions. Published by BMJ.

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