Follow-up Care, Surveillance Protocols and Secondary Prevention Measures for Survivors of Colorectal Cancer
This guideline is an update to a previous version (i.e., GL 26-2 Version 2). The main objectives are:
- To determine the surveillance regimen that leads to the largest benefit for stage I-IV colorectal cancer survivors treated with curative intent.
- To determine preferred models of follow-up care in Ontario.
- To identify signs and symptoms of potential recurrence and determine when to investigate.
- To evaluate patient information and support needs during the survivorship phase.
Adult colorectal cancer survivors defined as patients who have completed primary, curative treatment for colorectal cancer stages I to IV and are without evidence of disease.
This guideline is targeted to:
- Clinicians (e.g., medical oncologist, radiation oncologist, surgeon, advanced practice nurse, physician assistant, primary care provider [family physician, nurse practitioner, family practice nurse]) involved in the delivery of care for colorectal cancer survivors.
- Healthcare organizations and system leaders responsible for offering, monitoring, or providing resources for colorectal cancer survivorship protocols.
This guideline is an update to a previous version (i.e., GL 26-2 V2) and the research questions were adapted from it.
- What is the surveillance regimen for stage I-IV colorectal cancer survivors resected with curative intent providing the largest benefit?
- What is the evidence comparing higher-intensity versus lower-intensity surveillance programs for colorectal cancer survivors treated with curative intent?
- What specific surveillance regimens provided the largest overall benefit for colorectal cancer survivors treated with curative intent?
- Are there preferred models of follow-up care in Ontario, i.e., should patient follow-up be done by a medical oncologist, radiation oncologist, surgeon, nurse practitioner, physician assistant, or family physician.
- Which symptoms and/or signs signify a potential recurrence of colorectal cancer and warrant investigation?
- What are the individual needs and long-term and late effects for colorectal cancer survivors?
- What are the post-treatment informational and support needs for patients regarding local recurrence and common long-term and late effects of colorectal cancer?
- What are the common and/or substantial long-term and late treatment effects of colorectal cancer?