How Do We Follow Up Patients With Endometrial Cancer?

Mette Moustgaard Jeppesen*, Ole Mogensen, Dorte G. Hansen, Stinne H. Bergholdt, Pernille T. Jensen

*Corresponding author for this work

Research output: Contribution to journalReviewResearchpeer-review

Abstract

PURPOSE OF REVIEW: In this review, we present the existing evidence regarding follow-up care after endometrial cancer, including content of follow-up and type of provider. We furthermore discuss the future perspectives for follow-up care and research in the field.

RECENT FINDINGS: Recently published randomized controlled trials show that nurse-led telephone follow-up and patient-initiated follow-up are feasible alternatives to routine hospital-based follow-up. No randomized or prospective study has evaluated the effect of routine follow-up on survival. Hence, current knowledge is derived from retrospective studies with the inherent risk of bias. The most important method for recurrence detection is a review of symptoms. There is no evidence to support a survival benefit from the use of routine physical examinations, additional tests, or imaging. One in three of the women attending hospital-based follow-up experience unmet needs, and alternative models for follow-up focused on survivorship care and empowerment should be tested.

Original languageEnglish
Article number57
JournalCurrent Oncology Reports
Volume21
Issue number7
Number of pages8
ISSN1523-3790
DOIs
Publication statusPublished - 15. May 2019

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Keywords

  • Endometrial cancer
  • Follow-up
  • Post-treatment surveillance
  • Recurrence, gynecologic malignancy

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