{"id":13737,"date":"2025-04-22T14:05:03","date_gmt":"2025-04-22T12:05:03","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=13737"},"modified":"2026-05-06T13:08:44","modified_gmt":"2026-05-06T11:08:44","slug":"13737","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/04\/22\/13737\/","title":{"rendered":"Opbygning af sygeplejedrevet senf\u00f8lgecenter med fokus p\u00e5 behandling af senf\u00f8lger efter kolorektal- og analkr\u00e6ft"},"content":{"rendered":"

\"\"
\nMaria Lund-Tonnesen, sygeplejerske, cand. p\u00e6d. i p\u00e6dagogisk psykologi, ph.d.-studerende 1<\/strong> , Susanne Vahr Lauridsen, sygeplejerske, ph.d., seniorforsker og lektor 2<\/strong> , Birthe Thing Oggesen, l\u00e6ge, ph.d., faglig leder 1<\/strong> , Camilla Britt S\u00f8rensen, oversygeplejerske 1<\/strong><\/span><\/p>\n

1 <\/span><\/strong>K\u00f8benhavns Senf\u00f8lgecenter CARE, Afdelingen for Mave-, Tarm- og Leversygdomme, Herlev Hospital
\n<\/span>2 <\/span><\/strong>Afdelingen for Mave-, Tarm- og Leversygdomme og Afdeling for Urinvejskirurgi, Herlev Hospital, WHO-CC, Parker Instituttet, Frederiksberg Hospital, Institut for Klinisk Medicin, K\u00f8benhavns Universitet<\/span><\/p>\n

Download som PDF<\/a><\/p>\n

\n

Resum\u00e9
\n<\/span><\/strong>Baggrund
\n<\/span><\/strong>Tarmkr\u00e6ft er en af de hyppigste kr\u00e6ftformer i Danmark. Grundet stigende overlevelse ses flere patienter med senf\u00f8lger, hvilket n\u00f8dvendigg\u00f8r systematisk opsporing, s\u00e5 patienterne kan tilbydes behandling.
\n<\/span>Form\u00e5l
\n<\/span><\/strong>I<\/span> artiklen belyses de hyppigste senf\u00f8lger efter behandling af kolorektal- og analkr\u00e6ft og det beskrives, hvordan et m\u00e5lrettet senf\u00f8lgetilbud med sygeplejersker som prim\u00e6r kontakt, kan underst\u00f8tte behandlingen af senf\u00f8lger.
\n<\/span>Metode og Design
\n<\/span><\/strong>Prospektive data omkring hyppighed af senf\u00f8lger indsamlet i K\u00f8benhavns Senf\u00f8lgecenter CARE (Colon, Anal og REctum cancer) pr\u00e6senteres deskriptivt. Opbygningen af K\u00f8benhavns Senf\u00f8lgecenter CARE beskrives med centrering omkring opsporing, sygeplejerskens rolle som prim\u00e6r kontakt samt behandling af senf\u00f8lger.
\n<\/span>Resultater
\n<\/span><\/strong>Mere end halvdelen af patienterne \u00f8nsker kontakt med Senf\u00f8lgecenteret og de hyppigste senf\u00f8lger er aff\u00f8ringsproblemer og urindysfunktion. Sygeplejerskerne varetager den indledende konsultation og opstarter behandling med mulighed for at viderehenvise til specialiseret behandling. De fleste patienter kan afsluttes efter 1-2 konsultationer, som ofte foreg\u00e5r over telefon.
\n<\/span>Konklusion
\n<\/span><\/strong>Mange patienter oplever senf\u00f8lger efter kolorektal- og analkr\u00e6ft, s\u00e5som aff\u00f8ringsproblemer og urindysfunktion. Der kan tilbydes behandling for senf\u00f8lger, hvor sygeplejersker fungerer som prim\u00e6r kontakt. Systematisk opsporing, retningslinjer og tv\u00e6rfagligt samarbejde betyder, at de fleste patienter kun beh\u00f8ver f\u00e5 konsultationer, hvoraf de fleste kan foreg\u00e5 telefonisk.<\/span><\/p>\n

\n
\n
\n
\n
\n
\n
\n

English Abstract<\/p>\n

<\/strong><\/h4>\n

Establishing a nurse\u2011led late effects clinic focused on managing late effects after colorectal and anal cancer<\/strong><\/h5>\n


\nBackground<\/strong>
\nColorectal cancer is one of the most common cancer types in Denmark, and increasing survival means that more patients live with late effects, which necessitates systematic identification so that patients can be offered treatment.
\nAim<\/strong>
\nTo describe the most frequent late effects after treatment for colorectal and anal cancer and to show how a targeted late effects service with nurses as the primary contact can support the management of late effects.
\nMethod and design<\/strong>
\nProspective data on the frequency of late effects collected at Copenhagen Late Effects Centre CARE (Colon, Anal and REctum cancer) are presented descriptively. The establishment of Copenhagen Late Effects Centre CARE is described with a focus on systematic identification, the nurse\u2019s role as primary contact, and the treatment of late effects.
\nResults<\/strong>
\nMore than half of patients wish to be in contact with the Late Effects Centre, and the most frequent late effects are bowel problems and urinary dysfunction. Nurses conduct the initial consultation and initiate treatment, with the option of referring patients for specialised interventions when needed. Most patients can be discharged after 1\u20132 consultations, which most often take place by telephone.
\nConclusion<\/strong>
\nMany patients experience late effects after colorectal and anal cancer, particularly bowel problems and urinary dysfunction, for which targeted treatment can be offered with nurses as the primary contact. Systematic identification, clear guidelines, and interdisciplinary collaboration mean that most patients require only a few consultations, the majority of which can be conducted by telephone.<\/p>\n

Keywords:<\/strong> Late effects, colorectal cancer, anal cancer, nurse\u2011led clinic, bowel dysfunction, urinary dysfunction, survivorship, interdisciplinary care.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

Introduktion
\n<\/span><\/strong>I Danmark er tarmkr\u00e6ft en af de hyppigste kr\u00e6ftformer blandt b\u00e5de m\u00e6nd og kvinder med ca. 5000 nye tilf\u00e6lde af kolorektal kr\u00e6ft om \u00e5ret (1). I 2023 levede 22.557 m\u00e6nd og 21.280 kvinder med kolorektal kr\u00e6ft i Danmark (2). Hos gruppen med anal kr\u00e6ft ses der ca. 160 nye tilf\u00e6lde om \u00e5ret, hvor dobbelt s\u00e5 mange kvinder som m\u00e6nd rammes og i 2021 levede omkring 1600 med diagnosen analkr\u00e6ft (3). <\/span>I 2014 blev der indf\u00f8rt et nationalt screeningsprogram for at opspore og behandle kolorektal kr\u00e6ft tidligere (1), hvilket har medf\u00f8rt en stigende overlevelse (4,5) og derfor flere, som skal leve med senf\u00f8lger. Stigningen af patienter med senf\u00f8lger skal ogs\u00e5 ses i lyset af en \u00e6ndret demografi med generelt stigende levetid og store f\u00f8dsels\u00e5rgange fra efterkrigstiden (6). <\/span>Barometerunders\u00f8gelsen fra 2023 udarbejdet af Kr\u00e6ftens Bek\u00e6mpelse viste, at 70 % af alle kr\u00e6ftpatienter havde oplevet en eller flere senf\u00f8lger (7). Nogle af de hyppigste senf\u00f8lger blandt patienter med kolorektal- og analkr\u00e6ft er:<\/span><\/p>\n