Department of Surgery, Herlev Hospital, University of Copenhagen, 2730, Herlev, Denmark.
Support Care Cancer. 2022 Jul;30(7):6243-6250. doi: 10.1007/s00520-022-07061-y. Epub 2022 Apr 21.
Survival rates after colorectal and anal cancer are increasing and more patients have late complications to treatment. This represents a clinical field under development, and we have established a specialized clinic for late complications after colorectal and anal cancer. With this paper, we want to give our experiences and present the organizational setup with a nurse as the primary contact person.
We have established a multidisciplinary clinic for the treatment of late complications and the clinic is organized with specialized nurses as the front persons. The structure includes a stepwise increase in expertise level when needed, and the patient has one common entry regardless of symptoms. Initial screening is performed by an electronic questionnaire which is followed up by a consultation with the nurse. The nurse can provide primary treatment according to local algorithms developed in the clinic and refer the patient to more specialized care if needed.
Experiences from the first year of service show that more than half of the patients needs this and wants consultation in the late complication clinic. We also found that most of the consultations were performed successfully by phone instead of by physical visits, and the most common clinical problem was bowel symptoms including diarrhea and urge.
We have established a nurse-led clinic for late complications after colorectal and anal cancer. There seems to be a high need for this function in a department taking care of colorectal and anal cancer.
结直肠癌和肛门癌患者的生存率正在提高，更多的患者出现治疗后的晚期并发症。这代表着一个不断发展的临床领域，我们已经成立了一个专门针对结直肠癌和肛门癌晚期并发症的诊所。本文旨在介绍我们的经验，并展示以护士为主要联系人的组织设置。
我们已经成立了一个多学科的晚期并发症治疗诊所，该诊所由专门的护士作为主要联系人进行组织。该结构包括根据需要逐步增加专业水平，并且患者无论症状如何都有一个共同的入口。初步筛查是通过电子问卷进行的，然后由护士进行咨询。护士可以根据诊所制定的本地算法提供初步治疗，如果需要，还可以将患者转介到更专业的护理。
服务的第一年经验表明，超过一半的患者需要并希望在晚期并发症诊所进行咨询。我们还发现，大多数咨询都是通过电话而不是面对面进行的，最常见的临床问题是肠症状，包括腹泻和紧迫感。
我们已经成立了一个由护士主导的结直肠癌和肛门癌晚期并发症诊所。在一个专门治疗结直肠癌和肛门癌的科室中，似乎对这种功能有很高的需求。
