The association of cognitive coping style with patient preferences in a patient-led follow-up study among colorectal cancer survivors

  • 0Department of Surgical Oncology and Gastrointestinal Surgery, Erasmus MC Cancer Institute, Doctor Molewaterplein 40, 3015 GD, Rotterdam, Netherlands. k.voigt@erasmusmc.nl.

Summary

This summary is machine-generated.

Colorectal cancer (CRC) follow-up preferences are not linked to patient coping styles. Low-intensity surveillance may suit most patients after curative surgery, regardless of their coping mechanisms.

Area Of Science

  • Oncology
  • Psycho-oncology
  • Health Services Research

Background

  • Optimizing follow-up strategies for colorectal cancer (CRC) survivors is essential due to increasing survivor numbers and healthcare workforce shortages.
  • Intensive follow-up protocols do not improve survival rates, highlighting the need for patient-centered approaches.
  • Patient coping styles may influence preferences for cancer follow-up care.

Purpose Of The Study

  • To evaluate patient preferences for colorectal cancer (CRC) follow-up care.
  • To identify patient coping styles and associated demographic and clinical factors.
  • To explore the relationship between coping style and follow-up preferences in CRC patients.

Main Methods

  • Prospective, multicenter implementation study involving 188 patients.
  • Assessed coping styles using the Threatening Medical Situations Inventory (TMSI).
  • Collected patient preferences regarding follow-up frequency, blood sampling, and contact methods.

Main Results

  • 71.5% of patients preferred more intensive follow-up.
  • 52.0% exhibited a 'blunting' coping style, and 34.0% a 'monitoring' style.
  • No significant association was found between patients' coping styles and their follow-up preferences.

Conclusions

  • Patient-led follow-up options appear suitable for most primary colorectal cancer (CRC) survivors post-curative surgery.
  • Coping style, assessed at baseline, does not preclude suitability for specific follow-up strategies.
  • Low-intensity surveillance could be a viable option for a broad spectrum of CRC patients after resection.

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