Schorr M, Siebeck M, Zoller W G
Chirurgische Klinik und Poliklinik, Klinikum Innenstadt, Ludwig-Maximilians-Universität München.
Z Gastroenterol. 1997 Nov;35(11):1019-27.
Follow-up programs in patients with colorectal cancer have been criticized concerning their efficacy. Uniform programs for all patients as practised during the last decade did neither influence survival nor did they improve the number of secondary tumor resection for cure. Therefore we developed a follow-up program that considers patient's healthiness, status of resection in primary operative therapy and the risk of tumor recurrence depending on postoperative tumor staging. Because of these considerations we divided patients into three groups: Patients with low risk, high risk and patients treated with palliative aspects. Thus costs of follow-up programs could be reduced to more than 50%.
结直肠癌患者的随访计划的有效性一直受到批评。过去十年实施的针对所有患者的统一计划既没有影响生存率，也没有提高为治愈而进行的二次肿瘤切除的数量。因此，我们制定了一个随访计划，该计划考虑患者的健康状况、初次手术治疗中的切除情况以及根据术后肿瘤分期的肿瘤复发风险。基于这些考虑，我们将患者分为三组：低风险患者、高风险患者和接受姑息治疗的患者。这样，随访计划的成本可以降低50%以上。
