title: Patient preference regarding assessment of clinical follow-up after percutaneous coronary intervention: the PAPAYA study.
abstract: OBJECTIVE
  To keep patients in long-term clinical follow-up programmes after percutaneous coronary intervention (PCI), knowledge of the patient-preferred mode for follow-up assessment is crucial. We systematically assessed patient preference, and explored potential relationships with age and gender.
  
  
  RESULTS
  In the prospective, observational PAPAYA study (ClinicalTrials.gov: NCT02189070), 2,566 patients, treated by PCI between June 2008 and May 2012, were invited to participate in a postal survey on the patient-preferred mode (postal questionnaire, telephone or e-mail consultation) and frequency of follow-up assessment. A total of 1,797 (70.0%) patients responded. The vast majority preferred completing postal questionnaires (1,248 [69.9%]) as compared to telephone (240 [13.4%]) or e-mail-based approaches (227 [12.7%]) (p<0.001). With increasing age, there was a gradual decline in preference for e-mail (p<0.001); the youngest patients (≤60 years) preferred e-mail-based follow-up more often than the oldest (21.1% vs. 3.1%). Nevertheless, 79.9% of the youngest preferred to be approached in ways other than by e-mail. Women more often preferred approaches other than e-mail (94.1% vs. 87.3%, p<0.001).
  
  
  CONCLUSIONS
  Patients showed a distinct preference for completing postal questionnaires rather than being approached by telephone or e-mail. Younger patients accepted e-mail-based follow-up more often, but the majority of the youngest patients still preferred approaches other than by e-mail.
authors.affiliation: Department of Cardiology, Thoraxcentrum Twente, Medisch Spectrum Twente, Enschede, The Netherlands.
authors.forename: Marlies M
authors.initials: MM
authors.lastname: Kok
authors.forename: Clemens
authors.initials: C
authors.lastname: von Birgelen
authors.forename: Ming Kai
authors.initials: MK
authors.lastname: Lam
authors.forename: Marije M
authors.initials: MM
authors.lastname: Löwik
authors.forename: K Gert M
authors.initials: KG
authors.lastname: van Houwelingen
authors.forename: Martin G
authors.initials: MG
authors.lastname: Stoel
authors.forename: J Hans W
authors.initials: JH
authors.lastname: Louwerenburg
authors.forename: Frits H A F
authors.initials: FH
authors.lastname: de Man
authors.forename: Marc
authors.initials: M
authors.lastname: Hartmann
authors.forename: Carine J M
authors.initials: CJ
authors.lastname: Doggen
authors.forename: Janine A
authors.initials: JA
authors.lastname: van Til
authors.forename: Maarten J
authors.initials: MJ
authors.lastname: IJzerman
mesh_terms: D003327:Coronary Disease / Q000628:therapy*; D034742:Electronic Mail; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D057240:Patient Preference / Q000706:statistics & numerical data*; D062645:Percutaneous Coronary Intervention; D011446:Prospective Studies; D012737:Sex Factors; D011795:Surveys and Questionnaires; D013689:Telephone