2011

GEC program of postoperative follow up of patient with colorectal cancer

Meena Tharwat Resident Mansoura University GEC 8/21/2011

GEC program of postoperative follow up of patient with colorectal cancer

Aims Early detection of curable local and/or distant recurrence. Monitoring for metachronus lesions. Management of curable recurrent and/or metachronus disease. Survey of population at risk (relatives of colorectal cancer patients of hereditary element) Documentation of long-term outcomes of cure intended surgery for research purposes.

Target group: Primary target group:

Patients underwent cure intended colorectal cancer resection in GEC in the period from 1-1-2008 till current date. Patients undergoing cure intended colorectal cancer resection in GEC in the future.

Secondary target group:

Patients underwent cure intended colorectal cancer resection in GEC before 1-1-2008. Relatives of colorectal cancer patients of hereditary element.

Objective One: establishm ent of GEC protocol of follow up.

Action plan 1- Assembling of responsible team. 2- Literature review of researches related to follow up protocol selection. 3- Defining GEC protocol. 4- Approval of the protocol from GEC technical and executive managers.

Responsible parties GEC technical manager. GEC executive manager. Protocol team: o 2 residents o 2 assistant lecturers o Lecturer o Supervisor professor

Resources Budget for extra time efforts for the responsible team.

Time Septemb er 2011

Monitoring indices 1- Minutes of meetings of the preparatio n team. 2- Final protocol approved by the end of September 2011

Two: Data collection of patients underwent cure intended colorectal cancer resection in GEC in the period

1- Assembling of responsible team. 2- Design of Microsoft Access data base for basic data of patients to be followed up. 3- Data entry of this data from GEC patient archives. 4- Contacting patients to acquire approval on sharing in follow up

GEC technical manager Data base team o 2 residents o 1 assistant lecturer o Supervisor lecturer o 2 employers of GEC archives for

Septemb Budget er 2011 for extra time efforts for the responsible team. PC for data entry Mobile phone account for contacting

1- Data base with full data 2- Final report with patient willing to participate and their schedule of visits

from 1-12008 till launching date of the program.

5-

6Three: Design of forms needed during patients follow up. 1-

2-

program and to schedule meetings in outpatient clinic. Data analysis to exclude patients who died or unwilling to participate in the program. Final report of patient participating in the program. Design of the following forms according to GEC protocol. Basic follow up sheet with scheduled follow up regimen (both hardcopy to be handed to the patient and softcopy as a Microsoft Access data base for GEC archive) Referral form to adjuvant chemo and/or radiotherapy centers. Approval on those forms from GEC Technical and executive managers.

data entry o 1 employer of computer unit for technical support.

patients

GEC technical manager. GEC executive manager. Protocol team. Employer of computer unit for technical support

Budget for extra time efforts for the responsible team. Budget for printing the hardcopies.

Mid October 2011

1- Hardcopies of basic follow up sheet and referral form. 2- Softcopy of Microsoft Access database

3- Printing of hardcopy sheets. Four: Launching of follow up program and offering follow up services. 1- meeting scheduled patient in outpatient clinic (Thursday) 2- Including patients recently undergo resection on discharge. 3- Carrying out follow up services 4- Management of positive findings. GEC technical manager GEC executive manager Scheduled residents and assistant lecturers (a schedule of 1 resident and 1 supervising assistant lecturer in each Thursday clinic) M&E team of 2 residents and 1 supervisor assistant lecturer Budget for extra time efforts for the responsible team. Mid October 2011 ongoing 1- Outpatient clinic log of patient 2- Weekly report of follow up findings

Five: Monitoring and evaluation

1- Regular reporting of work plan progress to GEC technical and executive managers of GEC 2- Biannual reports of program activities

Budget for extra time efforts for the responsible team.

Ongoing

1- Regular reports of monitoring 2- Biannual reports

Future extension: 1- Partnership with other surgical center (colorectal unit in MUH oncology center) to pass the experience, copy the program or referral of their cases to be included in GEC program. 2- Publishing papers and articles about GEC local experience in follow up.

3- Sharing in national and international societies related to follow up of colorectal cancer patients (LiverMetSurvey) 4- Widening spectrum of follow up to cover more diseases.