Patient experience of follow-up after surgery for kidney cancer: a focus group study.
Hannah HarrisonGrant D StewartJuliet A Usher-SmithPublished in: BJU international (2023)
We identified six themes (feelings of abandonment, uncertainty about the plan, anxiety about appointments, variation in care, a need for information and a need for emotional support) that described current patient experience and areas in which current care could be improved. In particular, while most of the participants felt that their physical needs had been met, many had struggled with unmet emotional needs and a lack of information and resources. This was especially noted in the period immediately following surgery, when feelings of abandonment were common, and around follow-up scans and routine appointments, which were a source of anxiety. Our participants also described concerns about the lack of consistency between different hospitals and centres around the UK, with differences in the content and quality of follow-up care. Based on the results we developed a list of recommendations to address some of the challenges described through relatively minor changes to the care pathway CONCLUSIONS: We identified gaps and variability in current follow-up care after kidney cancer surgery, and have developed a set of recommendations that, if implemented, would improve the follow-up care experience for these patients.
Keyphrases
- healthcare
- palliative care
- quality improvement
- affordable care act
- end stage renal disease
- papillary thyroid
- computed tomography
- physical activity
- squamous cell carcinoma
- newly diagnosed
- mental health
- peritoneal dialysis
- magnetic resonance
- atrial fibrillation
- health insurance
- prognostic factors
- social media
- tyrosine kinase
- surgical site infection