Examining Adherence With Recommendations for Follow-Up in the Prevention Among Colorectal Cancer Survivors Study.

摘要: People diagnosed with colorectal cancer (CRC) are now living longer after diagnosis than they did 30 years ago (Howlader et al., 2013), but heightened risks for recurrence, second primary cancers, and other health problems a concern during this lengthened phase of survivorship. To manage these facilitate early detection subsequent disease, survivors advised to follow schedule routine medical checkups, screenings, surveillance (Desch 2005; National Comprehensive Cancer Network [NCCN], 2012). Compared non-cancer controls, generally report higher rates recommended screenings (Bellizzi, Rowland, Jeffery, & McNeel, Fairley, Hawk, Pierre, 2006; Hudson 2009; Trask 2005). However, systematic review on post-treatment CRC concluded that 20%–49% nonadherent recommendations colonoscopy at five postdiagnosis, as many 23% attend fewer the number office visits (Carpentier, Vernon, Bartholomew, Murphy, Bluethmann, 2013). Given potential benefits (e.g., increased survival) associated undergoing treatments (Figueredo 2003; Hickey, Hider, 2007; Renehan, Egger, Saunders, O’Dwyer, 2002; Tjandra Chan, 2007), underuse appropriate follow-up is an issue growing public concern. Research has revealed who African American, under- or uninsured, have more comorbidities among least likely undergo (Carpentier 2013; Rolnick Rulyak, Mandelson, Brentnall, Rutter, Wagner, 2004). Other characteristics been inconsistently reported across studies, need remains identify modifiable factors care survivors. A driver involves in form survivorship plans (SCPs). In From Patient Survivor: Lost Transition, Institute Medicine (Hewitt, Greenfield, Stovall, 2006) every patient completing treatment be provided comprehensive summary written plan, referred SCP, details evidence-based standards protecting cancer. According IOM, SCPs should include performed routinely ceases, detailing how often where seen their screening tests. Although IOM received widespread acclaim launched nationwide call SCPs, progress slow, continue never receiving documents materials resembling (Jabson Bowen, Sabatino The slow rate SCP uptake driven investigations barriers developing delivering which uncovered logistical challenges implementing (Dulko There lack evidence demonstrating efficacy affect survivor outcomes post-treatment. Only few studies directly examined issue, one used Health Interview Survey (NHIS) data found instructions was provider breast cervical survivors, not actual completion (Sabatino Commission ([COC], 2012) required all COC-accredited programs began increasing proportions eligible patients beginning 2015. While research general, populations demonstrated professional’s recommendation powerful influence behavior (Brawarsky, Brooks, Mucci, Wood, 2004; Guessous 2010; Subramanian, Klosterman, Amonkar, Hunt, 2004), scant exists phenomenon survivors. An assumption underlying push use will lead greater adherence guidelines follow-up; however, little support presumption. Therefore, goal current study examine association between professionals’ by population-based sample. The Prevention Among Colorectal Survivors (PACCS) Centers Disease Control (CDC) initiated assess status, behaviors, practicing healthy behaviors CRC. This sample survivors’ self-reported function made them professionals. authors also method were given, whether not. expected any would improve relationship stronger if given writing.