title: Examining Adherence With Recommendations for Follow-Up in the Prevention Among Colorectal Cancer Survivors Study.
abstract: OBJECTIVE
  To explore the impact of health professionals' recommendations for medical follow-up among colorectal cancer (CRC) survivors.
  
  
  METHODS
  Cross-sectional survey.
  
  
  METHODS
  Mailed surveys and telephone interviews with CRC survivors in California.
  
  
  METHODS
  593 adults diagnosed with a primary CRC six to seven years before the time of the study.
  
  
  METHODS
  Participants were identified through California Cancer Registry records and invited to take part in a survey delivered via mail or through telephone interview.
  
  
  METHODS
  The survey assessed cancer history, current preventive health practices, health status, demographics, and other cancer-related experiences.
  
  
  RESULTS
  More than 70% of CRC survivors received recommendations for routine checkups, surveillance colonoscopy, or other cancer screenings after completing CRC treatment, and 18%-22% received no such recommendations. Recommendations were sometimes given in writing. Receiving a recommendation for a specific type of follow-up was associated with greater adherence to corresponding guidelines for routine checkups, colonoscopy, mammography, and Papanicolaou testing. Receiving written (versus unwritten) recommendations led to greater adherence only for colonoscopy.
  
  
  CONCLUSIONS
  Most CRC survivors reported receiving recommendations for long-term medical follow-up and largely adhered to guidelines for follow-up. Receiving a health professional's recommendation for follow-up was consistently associated with patient adherence, and limited evidence showed that recommendations in written form led to greater adherence than unwritten recommendations.
  
  
  CONCLUSIONS
  Given the increasingly important role of the oncology nurse in survivorship care, nurses can be instrumental in ensuring appropriate surveillance and follow-up care among CRC survivors. Conveying recommendations in written form, as is done in survivorship care plans, may be particularly effective.
authors.affiliation: Centers for Disease Control and Prevention in Atlanta, GA.
authors.forename: Nikki A
authors.initials: NA
authors.lastname: Hawkins
authors.affiliation: Centers for Disease Control and Prevention in Atlanta, GA.
authors.forename: Zahava
authors.initials: Z
authors.lastname: Berkowitz
authors.forename: Juan
authors.initials: J
authors.lastname: Rodriguez
authors.affiliation: Centers for Disease Control and Prevention in Atlanta, GA.
authors.forename: Jacqueline W
authors.initials: JW
authors.lastname: Miller
authors.affiliation: Centers for Disease Control and Prevention in Atlanta, GA.
authors.forename: Susan A
authors.initials: SA
authors.lastname: Sabatino
authors.affiliation: Centers for Disease Control and Prevention in Atlanta, GA.
authors.forename: Lori A
authors.initials: LA
authors.lastname: Pollack
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002140:California; D015179:Colorectal Neoplasms / Q000517:prevention & control*; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009859:Oncology Nursing / Q000379:methods*; D010349:Patient Compliance / Q000523:psychology*; D011897:Random Allocation; D040242:Risk Reduction Behavior; D017741:Survivors / Q000523:psychology*; D055815:Young Adult
keywords: adherence; cancer surveillance; cancer survivorship; colorectal cancer; long-term care; public health