Exploring Factors Influencing Non-Compliance in Melanoma Patients’ Postoperative Follow-Up

Introduction: Effective postoperative follow-up in melanoma patients is integral to comprehensive cancer care; however, patient non-compliance with follow-up appointments poses a considerable challenge. This multifaceted issue involves psychological, socio-economic, and healthcare system-related elements. Existing studies emphasize the importance of understanding patient perspectives, such as fear of recurrence and logistical barriers, to design interventions enhancing adherence to post-surgical monitoring. A current research gap lies in the absence of standardized frameworks and comprehensive investigations, necessitating an exploration to inform tailored interventions and improve adherence to follow-up protocols in melanoma patients. Methods: To address the research gap, a literature analysis was conducted utilizing a systematic approach. Relevant databases were systematically searched for studies focusing on postoperative follow-up in melanoma patients. The search encompassed keywords such as “melanoma”, “postoperative follow-up”, and “patient compliance”. Inclusion criteria comprised studies investigating psychological, socio-economic, and healthcare system-related factors contributing to patient non-compliance. Results: The literature analysis revealed a wealth of studies highlighting the multifactorial nature of patient non-compliance with postoperative follow-up in melanoma. Psychological factors, including fear of recurrence, emerged as a prominent deterrent. Socio-economic elements, such as lack of awareness and barriers in access to specialized care, were identified as significant contributors. Healthcare system-related factors, such as insufficient postoperative support, fragmented care coordination, and inadequate patient education, also played critical roles in influencing patient adherence to follow-up protocols. Conclusion: In conclusion, the analysis emphasizes the imperative of a comprehensive research agenda to expand upon the diverse challenges hindering melanoma patients’ adherence to postoperative follow-up protocols. The identified factors, including fear of recurrence and logistical barriers, necessitate tailored interventions to enhance adherence. This research agenda aims to inform healthcare practices and policies, ultimately improving the postoperative care continuum for melanoma patients.