[The value of follow-up in surgical oncology].
Follow-up after surgical interventions for cancer is essential for the early detection of recurrent (2nd) primary and metastatic disease; patient coaching, including psychosocial coaching; and treatment quality control. As the incidence of cancer increases, cost-benefit analyses become increasingly important. The most effective period of follow-up is 5 years. An intensive follow-up schedule has been shown to increase life expectancy in colorectal cancer patients through early detection and timely intervention for recurrent disease. In melanoma patients, self-detection plays an important role. Nurse practitioners are increasingly involved in follow-up to reduce costs and specialist time. A differential follow-up schedule that takes into account the initial tumour stage can further enhance the cost-benefit ratio of follow-up.
van Hillegersberg
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Universitair Medisch Centrum Utrecht, afd. Heelkunde, G04.228, Heidelberglaan 100, 3584 CX Utrecht. r.vanhillegersberg@umcutrecht.nl
D003362:Cost-Benefit Analysis; D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis; D009369:Neoplasms / Q000523:psychology / Q000601:surgery*; D011182:Postoperative Care / Q000592:standards*; D011787:Quality of Health Care; D011788:Quality of Life