Effect of Counseling and Call-recall on Posttreatment Surveillance in Gynecological Cancers: A Prospective and...

Globally, the leading causes of female morbidity and mortality include endometrial, ovarian, and cervical cancers. Even while posttreatment follow-up is crucial for managing problems and detecting recurrences early, adherence is still below ideal, especially in the low-resource countries. The aim of the study was to evaluate the impact of structured counseling and call-recall interventions on follow-up compliance in gynecological cancer survivors and identify barriers contributing to nonadherence.

A prospective observational study was conducted over 18 months at Northern Indian tertiary care facility. A total of 187 women who had completed primary treatment for gynecological cancers that were histologically confirmed. Small-group counseling was provided through interactive sessions and printed materials, and after 3 and 6 months, follow-up reminders were sent out through a structured call-recall system.

The most common cancers were ovarian (47.1%) and cervical (28.9%), 65.2% presented in early stages. Counseling was given to 64.2%, follow-up adherence was improved significantly (P = 0.002). Mean follow-up increased from 34.3% to 53.8% postintervention (P = 0.001). Following call recall, attendance increased by 57.5% and 62.4% at 3 and 6 months, respectively. Major barriers were reported, including limited awareness, lack of career assistance, and financial limitations. Younger age, greater socioeconomic status, literacy, and early-stage disease were all substantially correlated with better compliance (P < 0.05). After counseling, 68.3% of patients expressed high satisfaction, but there were mixed reviews of the call-recall system.

Among survivors of gynecological cancer, counseling and call-recall interventions significantly improved follow-up compliance. In order to maintain surveillance adherence, this approach addresses logistical, financial, and awareness-related barriers.