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Patient–clinician information engagement improves adherence to colorectal cancer surveillance after curative treatment: Results from a longitudinal study.
The Oncologist (2012)
  • Andy SL Tan, University of Pennsylvania
  • Mihaela Moldovan-Johnson, University of Pennsylvania
  • Sarah Parvanta, University of Pennsylvania
  • Stacy W Gray
  • Katrina Armstrong, University of Pennsylvania
  • Robert C Hornik, University of Pennsylvania
Abstract

Introduction. Follow-up surveillance after curative treatment for colorectal cancer (CRC) patients is recommended to detect early cancer recurrences and improve survival outcomes. However, a substantial proportion of CRC patients do not undergo cancer surveillance. Several demographic and disease-related factors have been associated with cancer surveillance adherence. Thus far, patient centered communication has not been studied as a determinant for undergoing cancer surveillance. The purpose of this study is to determine whether patient– clinician information engagement (PCIE) influences patients’ self-reported adherence to recommended CRC surveillance procedures.

Methods. The study was a longitudinal survey among

Pennsylvanian patients diagnosed with CRC in 2005.

CRC patients who were eligible for surveillance and

participated in both the baseline and 1-year follow-up

surveys were included in this analysis (n=305). The

main outcome measure was self-reported adherence to

physical examination, carcinoembryonic antigen testing,

and colonoscopy according to recommended guidelines.

Results. Controlling for potential confounders, higher

PCIE at baseline predicted a higher odds for CRC patients

reporting adherence to recommended surveillance 1 year

later by 2.8 times. Other significant predictors of adhering

to recommended surveillance were a higher education level and having received systemic therapy.

Discussion. In this longitudinal study among CRC patients

who received curative treatment, greater patient engagement with clinicians about cancer-related information was found to improve patients’ subsequent adherence to recommended surveillance. This finding

provides support for encouraging greater patient–physician

communication among CRC patients.

Keywords
  • Information-seeking behavior,
  • Colorectal neoplasms,
  • Early detection of cancer,
  • Neoplasm recurrence,
  • Guideline adherence,
  • Follow-up studies
Publication Date
2012
Citation Information
Andy SL Tan, Mihaela Moldovan-Johnson, Sarah Parvanta, Stacy W Gray, et al.. "Patient–clinician information engagement improves adherence to colorectal cancer surveillance after curative treatment: Results from a longitudinal study." The Oncologist (2012)
Available at: http://works.bepress.com/andysltan/1/