Follow-up after colorectal cancer: current practice in The Netherlands

Eur J Surg. 1995 Nov;161(11):827-31.

Abstract

Objective: To assess the current practice of follow-up after operations for colorectal cancer in The Netherlands in comparison with other countries.

Design: Postal survey.

Setting: All surgical departments in The Netherlands.

Main outcome measures: Attitudes of surgeons towards detection and treatment of recurrences after colorectal cancer.

Results: Of the 139 questionnaires sent out, 136 (98%) were returned. History taking, physical examination, and colonoscopy for local recurrence and metachronous tumours were used by 90% of the hospitals. Attitudes towards screening for hepatic and pulmonary metastases and regional recurrence varied considerably between hospitals. Similar findings were found in seven surveys from other countries.

Conclusion: There is no consensus among surgeons regarding the follow-up of patients with colorectal cancer. Randomised controlled trials comparing different follow-up strategies and cost-effectiveness analyses are needed to identify groups of patients that will benefit most from follow-up. Identification of these patients may lead to more agreement between surgeons.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Colorectal Neoplasms / surgery*
  • Humans
  • Neoplasm Recurrence, Local / prevention & control
  • Netherlands
  • Population Surveillance
  • Postoperative Period