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.
- Information-seeking behavior,
- Colorectal neoplasms,
- Early detection of cancer,
- Neoplasm recurrence,
- Guideline adherence,
- Follow-up studies
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