title: Psychological effects of routine follow up on cancer patients after surgery.
abstract: OBJECTIVE
  To assess the subjective value that patients with cancer place on regular follow up after operation; to see what effects regular follow up visits have on the patient's physical and psychological wellbeing; and to find out which variables influence patients wellbeing and attitudes to follow up.
  
  
  METHODS
  Survey by questionnaire.
  
  
  METHODS
  University Hospital Leiden, the Netherlands.
  
  
  METHODS
  127 Patients who had been operated on for cancer.
  
  
  METHODS
  67 Patients were assessed one month before a routine follow up visit, and 60 on the day of the follow up; 46 of the second group were assessed again two weeks later.
  
  
  METHODS
  Answers to questions about physical and psychological wellbeing.
  
  
  RESULTS
  Most patients were in favour of regular follow up visits at the hospital, and thought that the advantages outweighed the disadvantages. There were more reports of psychological than physical distress one month beforehand, but these were significantly less two weeks after the appointment compared with one month before (p = 0.003) and on the day of the appointment (p < 0.001). Regular follow up visits do not temporarily increase physical or psychological distress; rather there is a temporary decrease, less fear of recurrence, and less perception of any disadvantages. Women in general, and those with breast cancer in particular and patients with a lower educational standard in particular, had significantly more psychological complaints.
  
  
  CONCLUSIONS
  Regular follow up visits are in general welcomed by patients who have had operations for cancer.
authors.affiliation: Medical Decision Making Unit, Faculty of Medicine, University of Leiden, The Netherlands.
authors.forename: G M
authors.initials: GM
authors.lastname: Kiebert
authors.forename: K
authors.initials: K
authors.lastname: Welvaart
authors.forename: J
authors.initials: J
authors.lastname: Kievit
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D005239:Fear; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology* / Q000601:surgery; D009819:Office Visits; D011184:Postoperative Period; D011788:Quality of Life; D013315:Stress, Psychological; D011795:Surveys and Questionnaires