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How Do We Follow Up Patients With Endometrial Cancer?

  • Mette Moustgaard JeppesenEmail author
  • Ole Mogensen
  • Dorte G. Hansen
  • Stinne H. Bergholdt
  • Pernille T. Jensen
Gynecologic Cancers (NS Reed, Section Editor)
  • 106 Downloads
Part of the following topical collections:
  1. Topical Collection on Gynecologic Cancers

Abstract

Purpose of Review

In this review, we present the existing evidence regarding follow-up care after endometrial cancer, including content of follow-up and type of provider. We furthermore discuss the future perspectives for follow-up care and research in the field.

Recent Findings

Recently published randomized controlled trials show that nurse-led telephone follow-up and patient-initiated follow-up are feasible alternatives to routine hospital-based follow-up.

Summary

No randomized or prospective study has evaluated the effect of routine follow-up on survival. Hence, current knowledge is derived from retrospective studies with the inherent risk of bias. The most important method for recurrence detection is a review of symptoms. There is no evidence to support a survival benefit from the use of routine physical examinations, additional tests, or imaging. One in three of the women attending hospital-based follow-up experience unmet needs, and alternative models for follow-up focused on survivorship care and empowerment should be tested.

Keywords

Endometrial cancer Follow-up Post-treatment surveillance Recurrence, gynecologic malignancy 

Notes

Compliance With Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Mette Moustgaard Jeppesen
    • 1
    Email author
  • Ole Mogensen
    • 2
    • 3
  • Dorte G. Hansen
    • 4
  • Stinne H. Bergholdt
    • 5
  • Pernille T. Jensen
    • 2
    • 3
  1. 1.Department of Gynecology and ObstetricsLillebaelt Hospital, KoldingKoldingDenmark
  2. 2.Department of Gynecology and ObstetricsAarhus University HospitalAarhus NDenmark
  3. 3.Faculty of Health, Institute for Clinical MedicineAarhus UniversityAarhusDenmark
  4. 4.Research Unit of General Practice, Institute of Public HealthUniversity of Southern DenmarkOdense CDenmark
  5. 5.Department of Gynecology and ObstetricsOdense University HospitalOdense CDenmark

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