医学
家庭医学
人口统计学的
丹麦语
自我管理
癌症
生存曲线
横断面研究
医疗保健
子宫内膜癌
物理疗法
老年学
人口学
内科学
病理
经济
社会学
哲学
机器学习
经济增长
语言学
计算机科学
作者
Mette Skorstad,Belle H. de Rooij,Mette Moustgaard Jeppesen,Stinne Holm Bergholdt,Nicole P. M. Ezendam,T Bohlin,Pernille Tine Jensen,Kristina Lindemann,L. Poll,Ingvild Vistad
出处
期刊:International Journal of Gynecological Cancer
[BMJ]
日期:2021-04-15
卷期号:31 (8): 1106-1115
被引量:2
标识
DOI:10.1136/ijgc-2020-002377
摘要
Objective To assess the relationship between self-management skills and adherence to follow-up guidelines among gynecological cancer survivors in the Netherlands, Norway, and Denmark, and to assess the relationship between adherence to follow-up programs and use of additional healthcare services. Methods For this international, multicenter, cross-sectional study, we recruited gynecological cancer survivors 1–5 years after completion of treatment. Information on follow-up visits, use of healthcare resources, self-management (measured by the Health Education Impact Questionnaire), clinical characteristics, and demographics were obtained by validated questionnaires. Participants were categorized as adherent if they attended the number of follow-up visits recommended by national guidelines, non-adherent if they had fewer visits than recommended, or over-users if they had more visits than recommended. Results Of 4455 invited survivors, 2428 (55%) returned the questionnaires, and 911 survivors were included in the analyses. Survivors with high self-management most frequently adhered to recommended follow-up. Non-adherent survivors showed lower self-management in the health-directed activity domain (OR 1.54, 95% CI 1.03 to 2.32) than adherent survivors. No other associations between self-management and follow-up adherence were revealed. Non-adherent survivors tended to have endometrial cancer, surgical treatment only, be older, and be Danish residents. Over-users reported more follow-up visits and also used additional healthcare services more frequently than adherent survivors. Conclusion Low self-management appears to reduce the likelihood of adherence to national guidelines for gynecological cancer follow-up. Focusing on patient education for survivors at risk of low self-management to ensure adherence to recommended follow-up may improve personalization of follow-up.
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