Follow-up care, surveillance protocol, and secondary prevention measures for survivors of colorectal cancer / : EBS 26-2

"Questions: In colorectal cancer (CRC) survivors (adult patients who have completed primary treatment for stage II or III CRC and who are without evidence of disease): 1. Which evaluations (e.g., colonoscopy, computed tomography [CT], carcinoembryonic antigen [CEA], liver function, complete blood count [CBC], chest x-ray, history, physical exam) should be performed for surveillance for recurrence of cancer? 2. What is a reasonable frequency of these evaluations for surveillance? 3. Which symptoms and/or signs potentially signify a recurrence of CRC and warrant investigation? 4. What are the common and/or significant long-term and late effects of CRC treatment? 5. On what secondary prevention measures should CRC survivors be counselled? 6. 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, advanced practice nurse, physician assistant, or primary care provider (e.g., family physician, nurse practitioner, family practice nurse)?"--Page 1.