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Abstract
Objective: To evaluate the effectiveness of nurse-led telephone follow-up (TFU) for patients with stage-I endometrial cancer.
Design: Multicentre, randomised, non-inferiority trial.
Setting: Five centres in the North West of England.
Sample: A cohort of 259 women treated for stage-I endometrial cancer attending hospital outpatient clinics for routine follow-up.
Methods: Participants were randomly allocated to receive traditional hospital based follow-up (HFU) or nurse-led TFU.
Main outcome measures: Primary outcomes were psychological morbidity (State Trait Anxiety Inventory, STAI-S) and patient satisfaction with the information provided. Secondary outcomes included patient satisfaction with service, quality of life, and time to detection of recurrence.
Results: The STAI-S scores post-randomisation were similar between groups [mean (SD): TFU 33.0 (11.0); HFU 35.5 (13.0)]. The estimated between-group difference in STAI-S was 0.7 (95% confidence interval, 95% CI -1.9 to 3.3); the confidence interval lies above the non-inferiority limit (-3.5), indicating the non-inferiority of TFU. There was no significant difference between groups in reported satisfaction with information (odds ratio, OR 0.9; 95% CI 0.4-2.1; P = 0.83). Women in the HFU group were more likely to report being kept waiting for their appointment (P = 0.001), that they did not need any information (P = 0.003), and were less likely to report that the nurse knew about their particular case and situation (P = 0.005).
Conclusions: The TFU provides an effective alternative to HFU for patients with stage-I endometrial cancer, with no reported physical or psychological detriment. Patient satisfaction with information was high, with similar levels between groups.
Tweetable abstract: ENDCAT trial shows effectiveness of nurse-led telephone follow-up for patients with stage-I endometrial cancer.
Original language | English |
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Pages (from-to) | 150-160 |
Number of pages | 11 |
Journal | BJOG: An International Journal of Obstetrics and Gynaecology |
Volume | 124 |
Issue number | 1 |
Early online date | 7 Apr 2016 |
DOIs | |
Publication status | Published - Jan 2017 |
Keywords
- Endometrial cancer
- Gynaecology
- Morbidity
- Oncology
- Patient satisfaction
- Psychological
- Telephone follow-up
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Profiles
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Professor William Hollingworth
- Bristol Population Health Science Institute
- Health Economics at Bristol
- NIHR Applied Research Collaboration West (NIHR ARC West)
- Bristol Medical School (PHS) - Professor of Health Economics
- Cancer
Person: Academic , Member