Thomassen Britt J M, Gielen Anke H C, Baak Jasmijn, Sosef Meindert, Ancion Ester, Gielen Christel M J, Gidding-Slok Annerika H M, Breukink Stephanie O, Kimman Merel L
Department of Surgery, Maastricht University Medical Centre+, Universiteitssingel 50 (UNS50) K5.442, 6229 ER, Maastricht, The Netherlands.
Department of Gastroenterology and Hepatology, Maastricht University Medical Centre+, Maastricht, The Netherlands.
J Cancer Surviv. 2024 Aug 16. doi: 10.1007/s11764-024-01652-w.
The Assessment of Burden of ColoRectal Cancer (ABCRC)-tool is a unique tool that includes a PROM focused on health-related quality of life (HRQoL), functional outcomes and lifestyle assessment. Furthermore, it provides visualization of results and treatment advice. The tool aims to support follow-up consultations of colorectal cancer (CRC) patients. The purpose of this study was to evaluate the first experiences of patients and healthcare professionals (HCPs) with the ABCRC-tool.
The ABCRC-tool was implemented in two Dutch hospitals and used by 25 patients and 5 HCPs during follow-up care. Consultations were audio-recorded and their content was analyzed independently by two researchers. Semi-structured interviews with patients and HCPs were conducted after the consultation. Interviews focused on the overall experience with the tool, ease of use, interpretation of the PROM and the visualized results and on the added value of the tool.
Audio recording revealed that multiple topics, relevant to patients, were discussed during consultations with the ABCRC-tool. Patients and HCPs appreciated the ABCRC-tool as it added structure to the consultation, was helpful in the preparation of consultations and provided useful and convenient treatment options. The tool was easy to use, and the visualization was clear and informative. HCPs suggested that the tool is likely to be most relevant for patients in the first year of follow-up.
This study implies that the ABCRC-tool is of added value for patients and their HCPs. Future research should focus on the evaluation of broad implementation, across a wide range of CRC patients.
The ABCRC-tool is a valid tool to support CRC survivors and HCPs to monitor and visualize experienced burden of disease and lifestyle parameters in order to optimize personalized care.
结直肠癌负担评估（ABCRC）工具是一种独特的工具，它包含一个关注健康相关生活质量（HRQoL）、功能结局和生活方式评估的患者报告结局量表（PROM）。此外，它还能呈现结果并提供治疗建议。该工具旨在辅助结直肠癌（CRC）患者的随访咨询。本研究的目的是评估患者和医护人员（HCPs）使用ABCRC工具的初次体验。
ABCRC工具在两家荷兰医院实施，25名患者和5名医护人员在后续护理中使用。咨询过程进行了音频录制，两名研究人员独立分析其内容。咨询后对患者和医护人员进行了半结构化访谈。访谈重点围绕对该工具的总体体验、易用性、PROM及可视化结果的解读以及该工具的附加价值。
音频记录显示，在使用ABCRC工具进行咨询期间讨论了多个与患者相关的话题。患者和医护人员对ABCRC工具表示赞赏，因为它为咨询增添了条理，有助于咨询准备，并提供了有用且便捷的治疗选择。该工具易于使用，可视化清晰且信息丰富。医护人员建议该工具可能对随访第一年的患者最为适用。
本研究表明ABCRC工具对患者及其医护人员具有附加价值。未来研究应聚焦于对广泛的CRC患者群体进行广泛实施的评估。
ABCRC工具是一种有效的工具，可支持CRC幸存者和医护人员监测并直观呈现所经历的疾病负担和生活方式参数，以优化个性化护理。
