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Concordance between General Practitioners and Radiation Oncologists for Cancer Follow-Up Care

(1) Background: Patients treated with radiotherapy require follow-up care to detect and treat acute and late side effects, and to monitor for recurrence. The increasing demand for follow-up care poses a challenge for specialists and general practitioners. There is a perception that general practitio...

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Autores principales: Sandell, Tiffany, Miller, Andrew, Schütze, Heike
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819474/
https://www.ncbi.nlm.nih.gov/pubmed/36612430
http://dx.doi.org/10.3390/ijerph20010108
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author Sandell, Tiffany
Miller, Andrew
Schütze, Heike
author_facet Sandell, Tiffany
Miller, Andrew
Schütze, Heike
author_sort Sandell, Tiffany
collection PubMed
description (1) Background: Patients treated with radiotherapy require follow-up care to detect and treat acute and late side effects, and to monitor for recurrence. The increasing demand for follow-up care poses a challenge for specialists and general practitioners. There is a perception that general practitioners do not have the specialised knowledge of treatment side effects and how to manage these. Knowing the concordance between general practitioner and oncologist clinical assessments can improve confidence in healthcare professionals. This study aimed to measure the level of agreement between general practitioners and radiation oncologists using a standardised clinical assessment; (2) Methods: a cross-sectional clinical practice study; sample aim of 20 breast, prostate or colorectal patients, three years post-radiotherapy treatment; their general practitioner and radiation oncologist; (3) Results: There was acceptable percent agreement (>75%) and a moderate to almost perfect agreement (Fleiss kappa) for all variables between the 15 general practitioner-radiation oncologist dyads; (4) Conclusions: The general practitioner and radiation oncologist concordance of a clinical follow-up assessment for radiation oncology patients is an important finding. These results can reassure both general practitioners and oncologists that general practitioners can provide cancer follow-up care. However, further studies are warranted to confirm the findings and improve reassurance for health professionals.
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spelling pubmed-98194742023-01-07 Concordance between General Practitioners and Radiation Oncologists for Cancer Follow-Up Care Sandell, Tiffany Miller, Andrew Schütze, Heike Int J Environ Res Public Health Article (1) Background: Patients treated with radiotherapy require follow-up care to detect and treat acute and late side effects, and to monitor for recurrence. The increasing demand for follow-up care poses a challenge for specialists and general practitioners. There is a perception that general practitioners do not have the specialised knowledge of treatment side effects and how to manage these. Knowing the concordance between general practitioner and oncologist clinical assessments can improve confidence in healthcare professionals. This study aimed to measure the level of agreement between general practitioners and radiation oncologists using a standardised clinical assessment; (2) Methods: a cross-sectional clinical practice study; sample aim of 20 breast, prostate or colorectal patients, three years post-radiotherapy treatment; their general practitioner and radiation oncologist; (3) Results: There was acceptable percent agreement (>75%) and a moderate to almost perfect agreement (Fleiss kappa) for all variables between the 15 general practitioner-radiation oncologist dyads; (4) Conclusions: The general practitioner and radiation oncologist concordance of a clinical follow-up assessment for radiation oncology patients is an important finding. These results can reassure both general practitioners and oncologists that general practitioners can provide cancer follow-up care. However, further studies are warranted to confirm the findings and improve reassurance for health professionals. MDPI 2022-12-21 /pmc/articles/PMC9819474/ /pubmed/36612430 http://dx.doi.org/10.3390/ijerph20010108 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Sandell, Tiffany
Miller, Andrew
Schütze, Heike
Concordance between General Practitioners and Radiation Oncologists for Cancer Follow-Up Care
title Concordance between General Practitioners and Radiation Oncologists for Cancer Follow-Up Care
title_full Concordance between General Practitioners and Radiation Oncologists for Cancer Follow-Up Care
title_fullStr Concordance between General Practitioners and Radiation Oncologists for Cancer Follow-Up Care
title_full_unstemmed Concordance between General Practitioners and Radiation Oncologists for Cancer Follow-Up Care
title_short Concordance between General Practitioners and Radiation Oncologists for Cancer Follow-Up Care
title_sort concordance between general practitioners and radiation oncologists for cancer follow-up care
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819474/
https://www.ncbi.nlm.nih.gov/pubmed/36612430
http://dx.doi.org/10.3390/ijerph20010108
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