title: Factors influencing response enthusiasm to telephone follow-up in patients with oesophageal carcinoma after oesophagectomy.
abstract: Response enthusiasm to telephone follow-up is a precondition for obtaining exhaustive information; however, no study has yet examined this specific issue. This study aimed to investigate possible factors influencing response enthusiasm to telephone follow-up in patients with oesophageal carcinoma after oesophagectomy and to propose corresponding countermeasures. A telephone follow-up was conducted on patients who underwent oesophagectomy. The possible factors influencing response enthusiasm grades were investigated by univariate and logistic regression analyses. The study enrolled 346 eligible patients. Univariate analysis showed that the tumour, nodes, metastasis (TNM) staging (P = 0.004); survival status (P < 0.001); survival time (P < 0.001); complications/co-morbidities (P = 0.001); and the relationship between the patient and his/her contact person (P < 0.001) were significantly different among the three groups. The first group of patients had high response enthusiasm, the second group had moderate response enthusiasm, and the third group had low response enthusiasm. Logistic regression analysis demonstrated that only the complications/co-morbidities [confidence interval (CI) = -2.310 to -0.665, P < 0.001] and dysphagia status (CI = 0.039-1.509, P = 0.039) were independent factors affecting the response enthusiasm grades. The primary therapeutic results and the current complications and co-morbidities, especially the dysphagia status, were important factors influencing response enthusiasm grades. Planning a follow-up schedule with proper health instructions could be crucial to the quality of follow-up.
authors.affiliation: West China Medical School, Sichuan University, Cheng Du, Sichuan, China; Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
authors.forename: Q
authors.initials: Q
authors.lastname: Gao
authors.forename: L
authors.initials: L
authors.lastname: Yuan
authors.forename: W-P
authors.initials: WP
authors.lastname: Wang
authors.forename: H
authors.initials: H
authors.lastname: Shi
authors.forename: L-Q
authors.initials: LQ
authors.lastname: Chen
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000523:psychology* / Q000601:surgery; D000368:Aged; D001290:Attitude; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000523:psychology* / Q000601:surgery; D015897:Comorbidity; D003680:Deglutition Disorders; D004938:Esophageal Neoplasms / Q000473:pathology / Q000523:psychology* / Q000601:surgery; D000077277:Esophageal Squamous Cell Carcinoma; D016629:Esophagectomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D013689:Telephone
keywords: follow-up; oesophageal neoplasms; response grades