老年结直肠癌患者术后近期门诊随访的影响因素分析

The Factors Associated with Clinic Follow-Up of Old Patients with Colorectal Cancer

目的探讨影响老年结直肠癌患者术后近期门诊随访的因素,以期为提高随访效率和质量提供一定的依据。方法回顾性分析2009年1月至2010年5月期间于我院胃肠外科中心行手术治疗的253例老年结直肠癌患者的资料,利用医院信息系统统计其术后半年内门诊随访日期和随访次数,计算随访率,分析可能影响随访次数和随访率的因素。结果本组患者总体随访率为84.2%(213/253),随访次数(4.08±0.03)次/人(0～24次/人)。随访次数方面:本市内患者高于本市外患者,有内科合并症者高于无内科合并症者,有术后并发症者高于无术后并发症者,造口患者低于非造口患者,其差异均有统计学意义(P<0.05),而其余各因素的组间差异均无统计学意义(P>0.05)。随访率方面:根治术患者高于非根治术者,造口患者低于非造口患者,差异均有统计学意义(P<0.05),而其余各因素组间差异均无统计学意义(P>0.05)。结论老年结直肠癌患者术后近期门诊随访情况尚不容乐观,可能影响其随访率或随访次数的因素包括患者居住地与就医地点的距离、有无内科合并症、有无术后并发症、是否行根治术以及是否造口。

Objective To explore the factors associated with clinic follow-up of old patients with colorectal cancer and provide more evidence to improve the efficiency and quality of clinic follow-up after sugery.Methods The data of 253 patients who were underwent sugery because of old colorectal cancer in our hospital from January 2009 to May 2010 were reviewed.Data about the rate and times of clinic follow-up within 6 months after operation were collected via Hospital Information Systerm,then the follow-up rate was calculated,and to analyse the possible factors associated with follow-up times and rate.Results The total follow-up rate was 84.2%（213/253）,and the total times of follow-up was between 0 to 24 times per one,（4.08±0.03）times on average.On the times of follow-up,patients inside the city was higher than that outside,patients with medical or postoperative complications were higher than those without,and patients with a stoma was lower than that without,and the differences were statistically significant（P 0.05）.While on the follow-up rate,patients underwent a radical sugery or with a stoma were lower than those not or without,and the differences were statistically significant（P 0.05）.Conclusions The clinic follow-up of old colorectal cancer patients is not satisfactory,and the possible factors associated with follow-up times or rate are the distance between residence and hospital,have medical complications or not,have postoperative complications or not,radical sugery or not,and with a stoma or without.