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A UK‐wide survey of follow‐up practices for patients with high‐grade glioma treated with radical intent
Author(s) -
Catt Susan L.,
Anderson John L.,
Chalmers Anthony J.,
Fallowfield Lesley J.
Publication year - 2011
Publication title -
journal of evaluation in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.737
H-Index - 73
eISSN - 1365-2753
pISSN - 1356-1294
DOI - 10.1111/j.1365-2753.2009.01292.x
Subject(s) - medicine , audit , multidisciplinary approach , family medicine , multidisciplinary team , nursing , social science , management , sociology , economics
Abstract Rationale and objective High‐grade glioma profoundly affects patients and their families. The best ongoing care for patients completing radical treatment is uncertain. To address this issue a UK‐wide audit surveying the follow‐up practices of multidisciplinary cancer teams was conducted. Method An online survey package was used with a paper version available. Results Of 102 clinicians approached 86 replied, a response rate of 84%. Three‐monthly outpatient department appointments led by an oncologist and a specialist nurse were the norm, but more controversially, some centres conduct joint clinics with the whole neurosurgical/oncology team present or available. Nurse‐led telephone follow‐up in place of hospital visits is uncommon. Regular scanning is conducted despite the clinical benefits being contentious. Access to a range of allied services providing supportive care is considered, but the actual levels of need and the efficiency with which they are delivered require further investigation. Conclusions The picture of UK follow‐up practices revealed by this survey demonstrates that research is now needed to determine what preferences patients and families have for follow‐up and their satisfaction with these.