Richert-Boe K E
Department of Veterans Affairs Medical Center, Portland, OR 97207, USA.
Cancer. 1995 May 15;75(10):2605-12. doi: 10.1002/1097-0142(19950515)75:10<2605::aid-cncr2820751031>3.0.co;2-#.
Medical oncologists provide long term care for patients who have been treated for cancer and are in remission. However, little is known about how physicians use routine laboratory and imaging tests for detecting cancer recurrence in their patients.
To assess type and level of their surveillance testing of patients with cancer who are in remission, a cross-sectional survey of medical oncologists was performed. Seventy-three members of the American Society of Clinical Oncology residing in Washington and Oregon participated (70% response rate). Standardized questionnaires were mailed to medical oncologists using a multiple-mailing technique. Three scenarios, each describing a patient with cancer of the breast, colon, or prostate, were included. Participants were asked to indicate the frequency at which they would order seven different diagnostic tests in the routine follow-up of such patients.
Virtually all respondents would practice some level of follow-up testing of their patients. Although testing practices did not vary significantly according to physician age, year of graduation, practice type, or state of residence, there was considerable variability from physician to physician.
These results suggest that optimal cancer-surveillance testing programs for patients with cancer of the breast, colon, or prostate have not yet been satisfactorily defined.
医学肿瘤学家为接受过癌症治疗且处于缓解期的患者提供长期护理。然而，对于医生如何使用常规实验室检查和影像学检查来检测患者的癌症复发情况，我们知之甚少。
为评估他们对缓解期癌症患者进行监测检查的类型和水平，对医学肿瘤学家进行了一项横断面调查。居住在华盛顿和俄勒冈州的73名美国临床肿瘤学会成员参与了调查（回复率为70%）。使用多次邮寄技术向医学肿瘤学家邮寄标准化问卷。问卷包含三种情景，每种情景描述一名患有乳腺癌、结肠癌或前列腺癌的患者。参与者被要求指出他们在对此类患者进行常规随访时，会安排七种不同诊断检查的频率。
几乎所有受访者都会对他们的患者进行一定程度的随访检查。尽管检查实践并未因医生年龄、毕业年份、执业类型或居住州而有显著差异，但医生之间存在相当大的差异。
这些结果表明，针对乳腺癌、结肠癌或前列腺癌患者的最佳癌症监测检查方案尚未得到令人满意的界定。
