Beaver, Kinta, Williamson, Susan, Sutton, Chris J, Hollingworth, William, Gardner, Anne, Allton, Barbara, Abdel-Aty, Mohamed, Blackwood, Karen, Burns, Sean, Curwen, Debbie, Ghani, Rauf, Keating, Patrick, Murray, Sandra, Tomlinson, Anne, Walker, Beverley, Willett, Mark, Wood, Nick and Martin-Hirsch, Pierre (2017) Comparing hospital and telephone follow-up for patients treated for Stage I endometrial cancer 3 (ENDCAT Trial): a randomised, multicentre, non-inferiority trial. Bjog : An International Journal Of Obstetrics & Gynaecology, 124 (1). pp. 150-160. ISSN 1470-0328
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Official URL: http://doi.org/10.1111/1471-0528.14000
To evaluate the effectiveness of nurse-led telephone follow-up (TFU) for Stage I endometrial cancer patients.
Multicentre, randomised, non-inferiority trial
Five centres in the North West of England
259 women treated for Stage I endometrial cancer attending hospital outpatient clinics for routine follow-up
Participants were randomly allocated to receive traditional hospital based follow-up (HFU) or nurse-led TFU.
Main outcome measures
Primary outcomes were psychological morbidity (State Trait Anxiety Inventory, STAI-S) and patient satisfaction with information. Secondary outcomes included patient satisfaction with service, quality of life, and time to detection of recurrence.
STAI-S scores post-randomisation were similar between groups (mean [SD] TFU 33.0 [11·0], HFU 35.5 [13.0]). The estimated between group difference in STAI was 0·7 (95%CI -1·9 to 3·3); the CI lies above the non-inferiority limit (-3·5) indicating non-inferiority of TFU. There was no significant difference between groups in reported satisfaction with information (OR 0·9, 95% CI 0·4 to 2·1, p=0·83). The HFU group were more likely to report being kept waiting for their appointment (p=0.001), that they did not need any information (p=0.003) and were less likely to report that the nurse knew about their particular case and situation (p=0.005).
TFU provides an effective alternative to HFU for Stage I endometrial cancer patients, with no reported physical or psychological detriment. Patient satisfaction with information was high, with similar levels between groups
|Uncontrolled Keywords (separate with ;):||Endometrial cancer; telephone follow-up; gynaecology; oncology; patient satisfaction; psychological morbidity|
|Subjects:||B - Subjects allied to medicine > B700 - Nursing|
|Schools:||Faculty of Health and Wellbeing > School of Health Sciences|
|Deposited By:||Simone Finley|
|Deposited On:||29 Feb 2016 16:29|
|Last Modified:||06 Apr 2017 06:57|
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