Follow-up After Surgery for Colorectal Cancer

Launched by ERASMUS MEDICAL CENTER · Dec 9, 2022

Keywords

ClinConnect Summary

As the available literature implies that intensive postoperative surveillance has no impact on (cancer-specific) survival outcomes in patients after curative intent surgery for CRC, critical appraisal of the current follow-up practice and guidelines is needed. Although patients in the referenced randomized controlled trials were included roughly 5 - 15 years ago, treatment for recurrent colorectal cancer has seen little to no change since then. Therefore, efforts to improve the current standard of follow-up in patients with CRC should focus on ameliorating quality of life and cost-effective...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Histologically confirmed colorectal adenocarcinoma without distant metastasis and treated with curative intent surgical resection less than 6 months ago
• • Scheduled or currently undergoing postoperative surveillance according to national guidelines
• • Written informed consent by the patient
• Exclusion Criteria:
• • Patients with a severely complicated postoperative course, needing in hospital follow-up longer than 6 months postoperatively
• • Patients enrolled in other studies that require strict adherence to any specific follow-up practice with regular imaging - yearly or more frequent - of the abdomen and/or thorax
• • Patients with comorbidity or other malignancy that requires imaging of the abdomen and/or thorax every year or more frequent
• • Inability to complete the questionnaires due to illiteracy and/or insufficient proficiency of the Dutch language

Trial Officials