Patient preference regarding assessment of clinical follow-up after percutaneous coronary intervention: the PAPAYA study

Marlies M. Kok, Clemens von Birgelen, Ming Kai Lam, Marije M. Löwik, K. Gert van Houwelingen, Martin G. Stoel, J. (Hans) W. Louwerenburg, Frits H.A.F. de Man, Marc Hartmann, Carine J.M. Doggen, Janine A. van Til, Maarten J. IJzerman

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Aims: To keep patients in long-term clinical follow-up programmes after percutaneous coronary intervention (PCI), knowledge of the patient-preferred mode for follow-up assessment is crucial. We systematically assessed patient preference, and explored potential relationships with age and gender.

Methods and results: In the prospective, observational PAPAYA study ( NCT02189070), 2,566 patients, treated by PCI between June 2008 and May 2012, were invited to participate in a postal survey on the patient-preferred mode (postal questionnaire, telephone or e-mail consultation) and frequency of follow-up assessment. A total of 1,797 (70.0%) patients responded. The vast majority preferred completing postal questionnaires (1,248 [69.9%]) as compared to telephone (240 [13.4%]) or e-mail-based approaches (227 [12.7%]) (p<0.001). With increasing age, there was a gradual decline in preference for e-mail (p<0.001); the youngest patients (≤60 years) preferred e-mail-based follow-up more often than the oldest (21.1% vs. 3.1%). Nevertheless, 79.9% of the youngest preferred to be approached in ways other than by e-mail. Women more often preferred approaches other than e-mail (94.1% vs. 87.3%, p<0.001).

Conclusions: Patients showed a distinct preference for completing postal questionnaires rather than being approached by telephone or e-mail. Younger patients accepted e-mail-based follow-up more often, but the majority of the youngest patients still preferred approaches other than by e-mail - See more at:

Original languageEnglish
Pages (from-to)1487-1494
Issue number13
Publication statusPublished - 1 Oct 2016


  • Follow-up assessment
  • Percutaneous Coronary Intervention (PCI)
  • Randomised clinical trial
  • Patient preference
  • Prsonalised (patient-centred) healthcare


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