title: Comparing hospital and telephone follow-up for patients treated for stage-I endometrial cancer (ENDCAT trial): a randomised, multicentre, non-inferiority trial.
abstract: OBJECTIVE
  To evaluate the effectiveness of nurse-led telephone follow-up (TFU) for patients with stage-I endometrial cancer.
  
  
  METHODS
  Multicentre, randomised, non-inferiority trial.
  
  
  METHODS
  Five centres in the North West of England.
  
  
  METHODS
  A cohort of 259 women treated for stage-I endometrial cancer attending hospital outpatient clinics for routine follow-up.
  
  
  METHODS
  Participants were randomly allocated to receive traditional hospital based follow-up (HFU) or nurse-led TFU.
  
  
  METHODS
  Primary outcomes were psychological morbidity (State Trait Anxiety Inventory, STAI-S) and patient satisfaction with the information provided. Secondary outcomes included patient satisfaction with service, quality of life, and time to detection of recurrence.
  
  
  RESULTS
  The STAI-S scores post-randomisation were similar between groups [mean (SD): TFU 33.0 (11.0); HFU 35.5 (13.0)]. The estimated between-group difference in STAI-S was 0.7 (95% confidence interval, 95% CI -1.9 to 3.3); the confidence interval lies above the non-inferiority limit (-3.5), indicating the non-inferiority of TFU. There was no significant difference between groups in reported satisfaction with information (odds ratio, OR 0.9; 95% CI 0.4-2.1; P = 0.83). Women in the HFU group were more likely to report being kept waiting for their appointment (P = 0.001), that they did not need any information (P = 0.003), and were less likely to report that the nurse knew about their particular case and situation (P = 0.005).
  
  
  CONCLUSIONS
  The TFU provides an effective alternative to HFU for patients with stage-I endometrial cancer, with no reported physical or psychological detriment. Patient satisfaction with information was high, with similar levels between groups.
  
  
  CONCLUSIONS
  ENDCAT trial shows effectiveness of nurse-led telephone follow-up for patients with stage-I endometrial cancer.
authors.affiliation: School of Health Sciences, University of Central Lancashire, Preston, UK.
authors.forename: K
authors.initials: K
authors.lastname: Beaver
authors.affiliation: School of Health Sciences, University of Central Lancashire, Preston, UK.
authors.forename: S
authors.initials: S
authors.lastname: Williamson
authors.affiliation: Lancashire Clinical Trials Unit, University of Central Lancashire, Preston, UK.
authors.forename: C
authors.initials: C
authors.lastname: Sutton
authors.affiliation: School of Social and Community Medicine, University of Bristol, Bristol, UK.
authors.forename: W
authors.initials: W
authors.lastname: Hollingworth
authors.affiliation: Women's Health Research Department, Lancashire Teaching Hospitals NHS Foundation Trust, Royal Preston Hospital, Preston, UK.
authors.forename: A
authors.initials: A
authors.lastname: Gardner
authors.affiliation: Department of Obstetrics & Gynaecology, University Hospitals of Morecambe Bay NHS Foundation Trust, Royal Lancaster Infirmary, Lancaster, UK.
authors.forename: B
authors.initials: B
authors.lastname: Allton
authors.affiliation: Gynaecology Department, East Lancashire Hospitals NHS Trust, Burnley General Hospital, Burnley, UK.
authors.forename: M
authors.initials: M
authors.lastname: Abdel-Aty
authors.affiliation: Women's Healthcare Unit, Wrightington, Wigan & Leigh NHS Foundation Trust, Hanover Diagnostic and Treatment Centre, Wigan, UK.
authors.forename: K
authors.initials: K
authors.lastname: Blackwood
authors.affiliation: Women's Healthcare Unit, Wrightington, Wigan & Leigh NHS Foundation Trust, Hanover Diagnostic and Treatment Centre, Wigan, UK.
authors.forename: S
authors.initials: S
authors.lastname: Burns
authors.affiliation: Gynaecological Unit, Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool, UK.
authors.forename: D
authors.initials: D
authors.lastname: Curwen
authors.affiliation: Department of Obstetrics & Gynaecology, University Hospitals of Morecambe Bay NHS Foundation Trust, Royal Lancaster Infirmary, Lancaster, UK.
authors.forename: R
authors.initials: R
authors.lastname: Ghani
authors.affiliation: Women's Health Directorate, Lancashire Teaching Hospitals NHS Foundation Trust, Royal Preston Hospital, Preston, UK.
authors.forename: P
authors.initials: P
authors.lastname: Keating
authors.affiliation: Women's Health Directorate, Lancashire Teaching Hospitals NHS Foundation Trust, Royal Preston Hospital, Preston, UK.
authors.forename: S
authors.initials: S
authors.lastname: Murray
authors.affiliation: Corporate Cancer Team, Lancashire Teaching Hospitals NHS Foundation Trust, Royal Preston Hospital, Preston, UK.
authors.forename: A
authors.initials: A
authors.lastname: Tomlinson
authors.affiliation: Gynaecology Department, East Lancashire Hospitals NHS Trust, Burnley General Hospital, Burnley, UK.
authors.forename: B
authors.initials: B
authors.lastname: Walker
authors.affiliation: Gynaecology Department, East Lancashire Hospitals NHS Trust, Burnley General Hospital, Burnley, UK.
authors.forename: M
authors.initials: M
authors.lastname: Willett
authors.affiliation: Women's Health Directorate, Lancashire Teaching Hospitals NHS Foundation Trust, Royal Preston Hospital, Preston, UK.
authors.forename: N
authors.initials: N
authors.lastname: Wood
authors.affiliation: Women's Health Directorate, Lancashire Teaching Hospitals NHS Foundation Trust, Royal Preston Hospital, Preston, UK.
authors.forename: P
authors.initials: P
authors.lastname: Martin-Hirsch
mesh_terms: D016889:Endometrial Neoplasms / Q000453:epidemiology / Q000451:nursing*; D004739:England / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D009367:Neoplasm Staging; D024802:Nurse's Role; D010044:Outpatient Clinics, Hospital; D010045:Outpatients / Q000706:statistics & numerical data; D017060:Patient Satisfaction; D011788:Quality of Life; D013689:Telephone / Q000706:statistics & numerical data; D000078329:Workforce
keywords: Endometrial cancer; gynaecology; morbidity; oncology; patient satisfaction; psychological; telephone follow-up