Risk-stratified intensive follow up for treated colorectal cancer - Realistic and cost saving?

Colorectal Disease

Volumn 10, Issue 3, 2008, Pages 222-230

  Macafee, D A L ^a   Whynes, D K ^b   Scholefield, J H ^c  

^a JAMES COOK UNIVERSITY HOSPITAL   (United Kingdom)

^b UNIVERSITY OF NOTTINGHAM   (United Kingdom)

^c QUEEN S MEDICAL CENTRE   (United Kingdom)

Author keywords

Ageing population; Colorectal cancer; Cost; Dukes stage; Follow up

Indexed keywords

CARCINOEMBRYONIC ANTIGEN;

ARTICLE; CANCER PALLIATIVE THERAPY; CANCER RECURRENCE; CANCER SCREENING; CLINICAL TRIAL; COLONOSCOPY; COLORECTAL CANCER; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; COST CONTROL; FOLLOW UP; HEALTH CARE COST; HEALTH CARE POLICY; HIGH RISK PATIENT; HUMAN; NATIONAL HEALTH SERVICE; OCCULT BLOOD TEST; OUTPATIENT CARE; POSTOPERATIVE PERIOD; PRACTICE GUIDELINE; PRIORITY JOURNAL; RECURRENCE RISK; RESOURCE MANAGEMENT; RISK ASSESSMENT; UNITED KINGDOM;

COHORT STUDIES; COLECTOMY; COLORECTAL NEOPLASMS; COST SAVINGS; COST-BENEFIT ANALYSIS; FEMALE; FOLLOW-UP STUDIES; GREAT BRITAIN; HUMANS; MALE; MASS SCREENING; NEOPLASM RECURRENCE, LOCAL; NEOPLASM STAGING; RISK MANAGEMENT; SENSITIVITY AND SPECIFICITY; SURVIVAL ANALYSIS;

EID: 39649098069     PISSN: 14628910     EISSN: 14631318     Source Type: Journal    
DOI: 10.1111/j.1463-1318.2007.01297.x     Document Type: Article

References (35)

1. Northover J. (2003) Follow-up After Curative Surgery for Colorectal Cancer. The Association of Coloproctology of Great Britain and Ireland, London.
2. Scholefield JH, Steele RJC. British Society of Gastroenterology, Association of Coloproctology for Great Britain and Ireland. Guidelines for follow up after resection of colorectal cancer. Gut 2002; 51: V3-v5.
3. Renehan AG, O'Dwyer PJ, Whynes DK. Cost effectiveness analysis of intensive versus conventional follow up after curative resection for colorectal cancer. Br Med J 2004; 328: 81-4.
4. FACS Trial Investigators (2007) Follow up after colorectal surgery trial. Personal communication http://www.facs.soton.ac.uk/ accessed 3 March 2007.
5. Memon MA, Beckingham IJ. Surgical resection of colorectal liver metastases. Colorectal Dis 2001; 3: 361-72.
6. Primrose JN. (2001) Randomised Controlled Trial to Assess the Cost Effectiveness of Intensive Versus no Scheduled Follow up in Patients Who have Undergone Resection for Colorectal Cancer with Curative Intent (FACS trial) Southampton, http://www.som.soton.ac.uk.
7. Cancer Research UK. Bowel Cancer Factsheet. [Website] 2003 [cited; Available from: http://www.cancerresearchuk.org
8. Office of National Statistics. Population and Fertility. 2006 [cited; Available from:
9. Quinn MJ, Babb PJ, Brock A, Kirby EA, Jones J. (2005) Cancer Trends Update for England and Wales, 1950-1999 with Incidence Data to 2001 and Mortality Data to 2003. Office of National Statistics; Studies on Medical and Population subjects No 66, London.
10. Office of National Statistics. (2006) Mid 2003 Population Estimates: England and Wales; Estimated Resident Population by Single Year of Age and Sex. [cited; Available from: http://www.statistics.gov.uk
11. Tekkis PP, Poloniecki JD, Thompson MR, Stamatakis JD. (2002) ACPGBI Colorectal Cancer Study 2002. Part B: Risk Adjusted Outcomes. The Association of Coloproctology of Great Britain and Ireland, London.
12. Kjeldsen BJ, Kronborg O, Fenger C, Jorgensen OD. A prospective randomized study of follow-up after radical surgery for colorectal cancer. Br J Surg 1997; 84: 666-9.
13. Makela JT, Laitinen SO, Kairaluoma MI. Five year follow up after radical surgery for colorectal cancer. Results of a prospective randomized trial. Arch Surg 1995; 130: 1062-7.
14. Ohlsson B, Breland U, Ekberg H, Graffner H, Tranberg KG. Follow up after curative surgery for colorectal carcinoma. Randomized comparison with no follow up. Dis Colon Rectum 1995; 38: 619-26.
15. Schoemaker D, Black R, Giles L, Toouli J. Yearly colonoscopy, liver CT and chest radiograph do not influence 5-year survival of colorectal cancer patients. Gastroenterology 1998; 114: 7-14.
16. Northover J, Slack WW. A randomised trial of CEA prompted second look surgery in recurrent colorectal cancer. A preliminary report. Dis Colon Rectum 1984; 27: 576.
17. Bruinvels DJ, Stigglebout AM, Kievit J. Follow-up patients with colorectal cancer. Ann Surg 1994; 219: 174-82.
18. Jeffery GM, Hickey BE, Hider P. Follow-up strategies for patients treated for non-metastatic colorectal cancer. Cochrane Database Syst Rev 2002; 1: (CD002200).
19. Winawer SJ, National Polyp Study Workgroup. Randomized comparison of surveillance intervals after colonoscopic removal of newly diagnosed adenomatous polyps. The National Polyp Study Workgroup. N Engl J Med 1993; 328: 901-6.
20. Khoury DA, Opelka FG, Beck DE, Hicks TC, Timmcke AE, Gathright JBJ. Colon surveillance after colorectal cancer surgery. Dis Colon Rectum 1996; 39: 252-6.
21. Penna C, Nordlinger B. Colorectal metastasis (liver and lung). Surg Clin North Am 2002; 82: 1075-90.
22. Alexander F, Weller D. (2003) Evaluation of the UK colorectal cancer screening pilot. http://www.cancerscreening.nhs.uk/colorectal/ pilot.html, Edinburgh.
23. Hardcastle JD, Chamberlain JO, Robinson MHE, Moss SM, Amar SS, Balfour TW et al. Randomised controlled trial of faecal-occult-blood screening for colorectal cancer. The Lancet 1996; 348: 1472-7.
24. Department of Health. (2005) NHS reference costs. http://www.doh.gov.uk/ nhsexec/refcosts.htm.
25. Hale JP, Cohen DR, Maughan TS, Stephens RJ. Costs and consequences of different chemotherapy regimens in metastatic colorectal cancer. Br J Cancer 2002; 86: 1684-90.
26. HM Treasury. Green Book, Appraisal and Evaluation in Central Government. (2004) Available from: http://greenbooktreasury.gov.uk
27. Korner H, Soreide K, Stokkeland PJ, Soreide JA. Systematic follow-up after curative surgery for colorectal cancer in Norway: A population-based audit of effectiveness, costs, and compliance. J Gastrointest Surg 2005; 9: 320-8.
28. Scottish Executive. (2001) Cancer Scenarios: An Aid to Planning Cancer Services in Scotland. http://www.scotland.gov.uk/Resource/Doc/30859/ 0012657.pdf/ (accessed 17 Nov 2006).
29. Renehan AG, Egger M, Saunders MP, O'Dwyer ST. Impact on survival of intensive follow up after curative resection for colorectal cancer: systematic review and meta-analysis of randomised trials. Br Med J 2002; 324: 813-6.
30. Figueredo A, Rumble RB, Maroun J, Earle CC, Cummings B, McLeod RS et al. Follow-up of patients with curatively resected colorectal cancer: A Practice Guideline. BMC Cancer 2003; 3: 26-39.
31. Secco GB, Fardelli R, Rovida S, Gianquinto D, Baldi E, Bonfante P et al. Is intensive follow-up really able to improve prognosis of patients with local recurrence after curative surgery for rectal cancer? Ann Surg Oncol 2000; 7: 32-7.
32. Department of Health. (2000) The NHS Cancer Plan: A Plan for Investment, a Plan for Reform. Available from: http://www.dh.gov.uk/ PublicationsAndStatistics
33. Florey CV, Yule B, Fogg A, Napier A, Orbell S, Cuschieri A. A randomized trial of immediate discharge of surgical patients to general practice. J Public Health Med 1994; 16: 455-64.
34. Wichmann MW, Muller C, Hornung HM, Lau-Werner U, Schildberg FW, Colorectal cancer study group. Gender differences in long-term survival of patients with colorectal cancer. Br J Surg 2001; 88: 1092-8.
35. Secco GB, Fardelli R, Gianquinto D, Bonfante P, Baldi E, Ravera G et al. Efficacy and cost of risk-adapted follow-up in patients after colorectal cancer surgery: A prospective, randomized and controlled trial. Eur J Surg Oncol 2002; 28: 418-23.