Pick Topic
Review Topic
List Experts
Examine Expert
Save Expert
  Site Guide ··   
Pancreatic Neoplasms: HELP
Articles by Els M. L. Verschuur
Based on 2 articles published since 2010
(Why 2 articles?)
||||

Between 2010 and 2020, Els M. L. Verschuur wrote the following 2 articles about Pancreatic Neoplasms.
 
+ Citations + Abstracts
1 Clinical Trial Nurse-led follow-up at home vs. conventional medical outpatient clinic follow-up in patients with incurable upper gastrointestinal cancer: a randomized study. 2014

Uitdehaag, Madeleen J / van Putten, Paul G / van Eijck, Casper H J / Verschuur, Els M L / van der Gaast, Ate / Pek, Chulja J / van der Rijt, Carin C D / de Man, Rob A / Steyerberg, Ewout W / Laheij, Robert J F / Siersema, Peter D / Spaander, Manon C W / Kuipers, Ernst J. ·Erasmus MC University Medical Center Rotterdam, The Netherlands. Electronic address: uitdehaag@go-spirit.nl. · Erasmus MC University Medical Center Rotterdam, The Netherlands. ·J Pain Symptom Manage · Pubmed #23880585.

ABSTRACT: CONTEXT: Upper gastrointestinal cancer is associated with a poor prognosis. The multidimensional problems of incurable patients require close monitoring and frequent support, which cannot sufficiently be provided during conventional one to two month follow-up visits to the outpatient clinic. OBJECTIVES: To compare nurse-led follow-up at home with conventional medical follow-up in the outpatient clinic for patients with incurable primary or recurrent esophageal, pancreatic, or hepatobiliary cancer. METHODS: Patients were randomized to nurse-led follow-up at home or conventional medical follow-up in the outpatient clinic. Outcome parameters were quality of life (QoL), patient satisfaction, and health care consumption, measured by different questionnaires at one and a half and four months after randomization. As well, cost analyses were done for both follow-up strategies in the first four months. RESULTS: In total, 138 patients were randomized, of which 66 (48%) were evaluable. At baseline, both groups were similar with respect to clinical and sociodemographic characteristics and health-related QoL. Patients in the nurse-led follow-up group were significantly more satisfied with the visits, whereas QoL and health care consumption within the first four months were comparable between the two groups. Nurse-led follow-up was less expensive than conventional medical follow-up. However, the total costs for the first four months of follow-up in this study were higher in the nurse-led follow-up group because of a higher frequency of visits. CONCLUSION: The results suggest that conventional medical follow-up is interchangeable with nurse-led follow-up. A cost utility study is necessary to determine the preferred frequency and duration of the home visits.

2 Article Problems and needs in patients with incurable esophageal and pancreaticobiliary cancer: a descriptive study. 2015

Uitdehaag, Madeleen J / Verschuur, Els M L / van Eijck, Casper H J / van der Gaast, Ate / van der Rijt, Carin C D / de Man, Rob A / Steyerberg, Ewout W / Kuipers, Ernst J / Siersema, Peter D. ·Madeleen J. Uitdehaag, PhD, RN, is with Departments of Gastroenterology and Hepatology, Erasmus MC, University Medical Center Rotterdam, the Netherlands, and Department Nursing, Saxion University of Applied Science, Deventer/Enschede, the Netherlands. Els M. L. Verschuur, PhD, RN, is with Departments of Gastroenterology and Hepatology, Erasmus MC, University Medical Center Rotterdam; the Netherlands. Casper H. J. van Eijck, PhD, MD, is with Department of Surgery, Erasmus MC, University Medical Center Rotterdam; the Netherlands. Ate van der Gaast, PhD, MD, is with Department of Medical Oncology, Erasmus MC, University Medical Center Rotterdam; the Netherlands. Carin C. D. van der Rijt, PhD, MD, is with Department of Medical Oncology, Erasmus MC, University Medical Center Rotterdam; the Netherlands. Rob A. de Man, PhD, MD, is with Departments of Gastroenterology and Hepatology, Erasmus MC, University Medical Center Rotterdam, the Netherlands. Ewout W. Steyerberg, PhD, is with Department of Public Health, Erasmus MC, University Medical Center Rotterdam; the Netherlands. Ernst J. Kuipers, PhD, MD, is with Departments of Gastroenterology and Hepatology, Erasmus MC, University Medical Center Rotterdam, the Netherlands. Peter D. Siersema, PhD, MD, is with Departments of Gastroenterology and Hepatology, Erasmus MC, University Medical Center Rotterdam, the Netherlands, and Department of Gastroenterology and Hepatology, University Medical Center Utrecht, the Netherlands. ·Gastroenterol Nurs · Pubmed #25636012.

ABSTRACT: Patients with incurable esophageal cancer (EC) or pancreaticobiliary cancer (PBC) often have multiple symptoms and their quality of life is poor. We investigated which problems these patients experience and how often care is expected for these problems to provide optimal professional care. Fifty-seven patients with incurable EC (N = 24) or PBC (N = 33) from our outpatient clinic completed the validated "Problems and Needs for Palliative Care" (PNPC) questionnaire and two disease-specific quality of life questionnaires, European Organization for Research and Treatment in Cancer (EORTC). Although patients in general had several problems, physical, emotional, and loss of autonomy (LOA) problems were most common. For these physical and emotional problems, patients also expected professional care, although to a lesser extent for LOA problems. Inadequate care was received for fatigue, fear, frustration, and uncertainty. We conclude that an individualized approach based on problems related to physical, emotional, and LOA issues and anticipated problems with healthcare providers has priority in the follow-up policy of patients with incurable upper gastrointestinal cancer. Caregivers should be alert to discuss needs for fatigue, feelings of fear, frustration, and uncertainty.