title: [Psychological stress on patients in tumor after-care after R0 resection of colorectal carcinomas].
abstract: In a prospective study 70 patients after curative resection for colorectal carcinoma were asked about the psychological strain in the follow-up program. Of these patients, 80.1% felt that they did the right thing and 70% were optimistic and confident regarding the follow-up examinations. Only 5 patients (7.1%) had no intention of keeping the follow-up appointment and 12 patients (17.1%) were thinking about recurrence. The patients were afraid of further examinations, and the majority (45 patients) hoped that further invasive examinations would not be necessary. Patients with a higher frequency of follow-up examinations did not report with more stress than patients fewer follow-up visits (P = 0.7 fisher exact). Older, single and female patients are special risk groups with a high level of psychological strain and should receive special attention within the follow-up (P < 0.08, fisher exact). In spite of the disappointing medical effectiveness of the regular follow-up program, psychological support in coping with cancer is the main result of regular follow-up visits to the hospital after curative resection of colorectal carcinoma and should be maintained.
authors.affiliation: Chirurgische Abteilung, Marien-Hospital Düsseldorf.
authors.forename: F
authors.initials: F
authors.lastname: Graupe
authors.forename: W
authors.initials: W
authors.lastname: Schwenk
authors.forename: B
authors.initials: B
authors.lastname: Bracht
authors.forename: B
authors.initials: B
authors.lastname: Kröner-Herwig
authors.forename: W
authors.initials: W
authors.lastname: Stock
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000359:Aftercare / Q000523:psychology*; D000368:Aged; D003082:Colectomy / Q000523:psychology; D003113:Colonoscopy / Q000523:psychology; D015179:Colorectal Neoplasms / Q000473:pathology / Q000523:psychology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000523:psychology / Q000601:surgery; D010348:Patient Care Team; D010349:Patient Compliance / Q000523:psychology*; D010352:Patient Dropouts / Q000523:psychology; D011183:Postoperative Complications / Q000523:psychology*; D011446:Prospective Studies; D011788:Quality of Life; D012086:Reoperation / Q000523:psychology; D012803:Sick Role; D013315:Stress, Psychological / Q000150:complications*; D016896:Treatment Outcome
vernacular_title: Die psychische Belastung von Patienten in der Tumornachsorge nach R0-Resektion colorectaler Carcinome.