Audit of effectiveness of routine follow-up clinics after radiotherapy for cancer: A report of the REACT working group of ESTRO

Özlem Uruk Ataman, Ann Barrett, Susan Davidson, Danielle De Haas-Kock, Stanley Dische, Bernard Dubray, Isabel M. Grillo, Andrew Kramar, Christine Haie-Meder, Germaine Heeren, Katalin Hideghety, John LeVay, Jane Maher, Michela Marcenaro, Rolf Peter Muller, Carlos A. Reguerio, Michele I. Saunders, Ingela Turesson, Paul Van Houtte, Vito Vitale

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16 Citations (Scopus)

Abstract

Background and purpose The European Society for Therapeutic Radiology and Oncology was funded by the EU for a project on recording providing education, and ameliorating the consequences of treatment (REACT). An European audit was carried out as part of which to assess the usefulness of current follow-up practices. Patients and methods Over a 4-month period in 15 cancer centres in 10 countries, patients attending for routine follow-up completed a questionnaire covering their expectations of and satisfaction with the visit. This was matched with a questionnaire completed by the physician about the content and usefulness of the consultation. The feasibility of a short toxicity scale developed by Dische and Saunders was also investigated. Results In total, 2303 matched questionnaires were analysed. Forty percent of the patients had symptoms or medical problems related to their disease. In 18% there was a positive finding on clinical examination. In 28% investigations were undertaken part of departmental routine practice. Ten percent of the investigations showed an abnormal result. Ninety nine percent of physicians and 85% of the patients expressed satisfaction. Using the short toxicity scale rates of recording toxicity could be increased from 28 to 93%. Conclusions There is wide variation in follow-up practices among European centres. There was a low incidence of positive findings clinically or with routine investigations. A simple scale for recording morbidity has proved easy to use by departments, which have not routinely used one of the standard measures. Further work will attempt to produce an European guideline for effective routine follow-up after radiotherapy.

Original languageEnglish
Pages (from-to)237-249
Number of pages13
JournalRadiotherapy and Oncology
Volume73
Issue number2
DOIs
Publication statusPublished - Nov 2004

Keywords

  • Audit
  • Cancer outcomes
  • Follow-up clinics
  • Radiotherapy
  • Surveillance

ASJC Scopus subject areas

  • Hematology
  • Oncology
  • Radiology Nuclear Medicine and imaging

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    Uruk Ataman, Ö., Barrett, A., Davidson, S., De Haas-Kock, D., Dische, S., Dubray, B., Grillo, I. M., Kramar, A., Haie-Meder, C., Heeren, G., Hideghety, K., LeVay, J., Maher, J., Marcenaro, M., Muller, R. P., Reguerio, C. A., Saunders, M. I., Turesson, I., Van Houtte, P., & Vitale, V. (2004). Audit of effectiveness of routine follow-up clinics after radiotherapy for cancer: A report of the REACT working group of ESTRO. Radiotherapy and Oncology, 73(2), 237-249. https://doi.org/10.1016/j.radonc.2004.05.001