Table 2.
Detailed characteristics of surveillance programmes used in five randomised trials of intensive versus control follow up of patients after curative resection for colorectal cancer
Study | Intensive follow up | Control follow up |
---|---|---|
Makela et al, 199517 | Seen in clinic 3 monthly for first 2 years, then 6 monthly: physical examination, full blood count, faecal occult blood test, carcinoembryonic antigen levels, and chest x ray. Yearly colonoscopy. Sigmoidoscopy 3 monthly for rectal and sigmoid cancers. Ultrasonography of liver 6 monthly. Computed tomography yearly. All followed up to 5 years | Seen in clinic 3 monthly for first 2 years, then 6 monthly: physical examination, full blood count, faecal occult blood test, carcinoembryonic antigen levels, and chest x ray. Yearly barium enema. Rigid sigmoidoscopy 3 monthly for rectal cancers. All followed up to 5 years |
Ohlsson et al, 199518 | Seen in clinic 3 monthly for the first 2 years, then 6 monthly: physical examination, rigid proctosigmoidoscopy, liver function tests, carcinoembryonic antigen levels, faecal occult blood test, chest x ray. Colonoscopy at 3, 15, 30, and 60 months, computed tomography after abdominoperineal resection at 3, 6, 12, 18, and 24 months. All followed up to 5 years | No systematic follow up. Patients were instructed to leave samples for faecal occult blood test testing every third month during the first 2 years and then every year. All accounted for to 5 years |
Schoemaker et al, 199819 | Seen in clinic 3 monthly for first 2 years, then 6 monthly for 5 years; physical examination, full blood count, liver function tests, and Haemoccult II. Yearly chest x ray and computed tomography of liver. Yearly colonoscopy. Carcinoembryonic antigen measurements were performed but not used to trigger further examinations. 94% followed up to 5 years | Seen in clinic 3 monthly for first 2 years, then 6 monthly for 5 years; physical examination, full blood count, liver function tests, carcinoembryonic antigen levels, and Haemoccult II. Carcinoembryonic antigen measurements were performed but not used to trigger further examinations. 95% followed up to 5 years |
Pietra et al, 199820 | Seen in clinic 3 monthly for first 2 years, then 6 monthly for next 3 years, thereafter yearly; physical examination, ultrasonography of liver, carcinoembryonic antigen levels. Yearly colonoscopy, chest x ray, and computed tomography. All followed up to 5 years | Seen in clinic 6 monthly for first year, then yearly; physical examination, ultrasonography of liver, carcinoembryonic antigen levels. Yearly colonoscopy and chest x ray. All followed up to 5 years |
Kjeldsen et al, 199721 | Physical examination, digital rectal examination, gynaecological examination, Haemoccult-II, colonoscopy, chest x ray, full blood count, erythrocyte sedimentation rate, liver function tests, at 6 monthly in first 3 years, then 12 monthly for next 2 years, then 5 yearly. 79% followed up to 5 years | Physical examination, digital rectal examination, gynaecological examination, Haemoccult-II, colonoscopy, chest x ray, full blood count, erythrocyte sedimentation rate, liver function tests, at 5 and 10 years. 73% followed up to 5 years |