Abstract
Background
It is expected that in 2020 more than 17,000 cases of colorectal cancer will be diagnosed in The Netherlands. To date, patients are included in a surgeon-led follow-up programme whose main focus is recurrence detection. However, patients often experience multiple physical and psychosocial problems. Currently, these problems are not always encountered. More care by a generalist is suggested as a solution. Furthermore, patients prefer to undergo rehabilitation in their own environment and to be more involved in their own health care. eHealth applications might enhance this. Oncokompas2.0 is an online self-management application which facilitates access to supportive care. This study aims to evaluate primary care follow-up and aftercare in comparison with secondary care follow-up and aftercare for patients with colon cancer. Second, the added value of Oncokompas2.0 to care will be assessed.
Methods/Design
This is a multi-centre 2 × 2 factorial randomised controlled trial with a calculated sample size of 300 patients. Patients with stage I, II, or III colon carcinoma are eligible. Patients will be randomly assigned in four groups: (1) usual follow-up visits and aftercare provided in secondary care, (2) usual follow-up visits and aftercare provided in secondary care with additional use of Oncokompas2.0, (3) follow-up and aftercare in primary care, and (4) follow-up and aftercare in primary care with additional use of Oncokompas2.0. The primary outcome is quality of life. Secondary outcomes include physical outcomes, psychosocial outcomes, number of investigations, referrals and related communication between secondary and primary care, (time of) recurrence detection and protocol adherence, attention to preventive care, self-management of patients, patient satisfaction, and preference of care at the end of the trial. Data collection will be done by questionnaires and extractions from electronic medical records.
Discussion
The results of this study will provide evidence, which has been scarce to date, on prominent general practitioner involvement in care for colon cancer patients after initial treatment. Also, it evaluates the efficacy of an eHealth application to enhance patient empowerment.
Dutch trial register
NTR4860 (registered on 2 October 2014)
You have requested "on-the-fly" machine translation of selected content from our databases. This functionality is provided solely for your convenience and is in no way intended to replace human translation. Show full disclaimer
Neither ProQuest nor its licensors make any representations or warranties with respect to the translations. The translations are automatically generated "AS IS" and "AS AVAILABLE" and are not retained in our systems. PROQUEST AND ITS LICENSORS SPECIFICALLY DISCLAIM ANY AND ALL EXPRESS OR IMPLIED WARRANTIES, INCLUDING WITHOUT LIMITATION, ANY WARRANTIES FOR AVAILABILITY, ACCURACY, TIMELINESS, COMPLETENESS, NON-INFRINGMENT, MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Your use of the translations is subject to all use restrictions contained in your Electronic Products License Agreement and by using the translation functionality you agree to forgo any and all claims against ProQuest or its licensors for your use of the translation functionality and any output derived there from. Hide full disclaimer
Details
1 University of Amsterdam, Academic Medical Centre, Department of Primary Care, Amsterdam, The Netherlands (GRID:grid.7177.6) (ISNI:0000000084992262)
2 OLVG, Department of Surgery, Amsterdam, The Netherlands (GRID:grid.440209.b)
3 Flevoziekenhuis, Department of Surgery, Almere, The Netherlands (GRID:grid.440159.d)
4 St. Antonius Hospital, Department of Surgery, Nieuwegein, The Netherlands (GRID:grid.415960.f) (ISNI:0000000406221269)
5 Tergooi Hospital, Department of Surgery, Hilversum, The Netherlands (GRID:grid.415960.f)
6 Academic Medical Centre, Department of Surgery, Amsterdam, The Netherlands (GRID:grid.5650.6) (ISNI:0000000404654431)
7 Vlietland Hospital, Department of Surgery, Schiedam, The Netherlands (GRID:grid.5650.6)
8 St Lucas Andreas Hospital, Department of Surgery, Amsterdam, The Netherlands (GRID:grid.415973.d) (ISNI:0000000403693324)
9 Westfriesgasthuis, Department of Surgery, Hoorn, The Netherlands (GRID:grid.476832.c)
10 Faculty of Earth and Life Sciences, VU University Amsterdam, VU University Medical Centre, Department of Health Sciences and the EMGO Institute for Health and Care Research, Amsterdam, The Netherlands (GRID:grid.12380.38) (ISNI:0000000417549227)
11 VU University, Department of Clinical Psychology, Amsterdam, The Netherlands (GRID:grid.12380.38) (ISNI:0000000417549227)