Cargando…

Late-effect awareness and follow-up of cancer in general practice

OBJECTIVE: With increasing cancer incidence and survival rates, follow-up care becomes a major healthcare concern, placing increased demands on general practitioners (GPs). We explored GPs’ awareness of late effects (LEs) after cancer treatment. Their degree of involvement and attitudes towards foll...

Descripción completa

Detalles Bibliográficos
Autores principales: Eikeland, Siri A., Smeland, Knut B., Brekke, Mette, Kiserud, Cecilie E., Fosså, Alexander
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9848261/
https://www.ncbi.nlm.nih.gov/pubmed/36380478
http://dx.doi.org/10.1080/02813432.2022.2139457
_version_ 1784871669963161600
author Eikeland, Siri A.
Smeland, Knut B.
Brekke, Mette
Kiserud, Cecilie E.
Fosså, Alexander
author_facet Eikeland, Siri A.
Smeland, Knut B.
Brekke, Mette
Kiserud, Cecilie E.
Fosså, Alexander
author_sort Eikeland, Siri A.
collection PubMed
description OBJECTIVE: With increasing cancer incidence and survival rates, follow-up care becomes a major healthcare concern, placing increased demands on general practitioners (GPs). We explored GPs’ awareness of late effects (LEs) after cancer treatment. Their degree of involvement and attitudes towards follow-up care was studied separately for solid cancers and Hodgkin’s lymphoma (HL). DESIGN AND SETTING: Mailed questionnaire study in Norwegian general practice. SUBJECTS: 185 responding GPs with responsibility for HL survivors, more than 10 years since diagnosis. MAIN OUTCOME MEASURES AND RESULTS: All GPs reported some awareness of LEs. Increasing awareness of LEs was associated with female sex, being a specialist, having experience from hospital-based cancer care and familiarity with official guidelines on LEs after treatment. The majority of GPs were involved in follow-up care, which increased with patients’ time since treatment and was associated with higher awareness of LEs. GPs with work experience in hospital-based cancer care were more likely to be engaged in HL follow-up. Most GPs were willing to provide follow-up care at some point after treatment. Older and more experienced GPs, and those satisfied with the collaboration with hospital specialists, were more likely to provide follow-up earlier. CONCLUSION: GPs’ awareness of LEs and their willingness to provide follow-up care were related to familiarity with guidelines and experience. GPs more involved in follow-up care also had higher knowledge of LEs. Distribution of guidelines on LEs and follow-up care, and improving collaboration with hospital specialists, might increase GPs’ knowledge and willingness to become involved in follow-up care, especially early in their careers. GPs’ involvement and attitude towards follow-up of survivors of common solid cancers and HL, a rare malignant disease, were similar. KEY POINTS: Norwegian general practitioners (GPs) are involved in survivorship care after cancer treatment. We investigated their awareness of late effects (LEs), their involvement and their attitude towards follow-up care of solid cancers and Hodgkin’s lymphoma. • GPs registered as specialists, aware of guidelines and with experience from hospital-based cancer care reported higher awareness of LEs.   • GPs with higher awareness of LEs were more frequently involved in follow-up care.   • GPs with longer experience in general practice were comfortable with follow-up care at an earlier stage after treatment.   • Results were similar for follow-up care of survivors of solid cancers and Hodgkin’s lymphoma.
format Online
Article
Text
id pubmed-9848261
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Taylor & Francis
record_format MEDLINE/PubMed
spelling pubmed-98482612023-01-19 Late-effect awareness and follow-up of cancer in general practice Eikeland, Siri A. Smeland, Knut B. Brekke, Mette Kiserud, Cecilie E. Fosså, Alexander Scand J Prim Health Care Original Articles OBJECTIVE: With increasing cancer incidence and survival rates, follow-up care becomes a major healthcare concern, placing increased demands on general practitioners (GPs). We explored GPs’ awareness of late effects (LEs) after cancer treatment. Their degree of involvement and attitudes towards follow-up care was studied separately for solid cancers and Hodgkin’s lymphoma (HL). DESIGN AND SETTING: Mailed questionnaire study in Norwegian general practice. SUBJECTS: 185 responding GPs with responsibility for HL survivors, more than 10 years since diagnosis. MAIN OUTCOME MEASURES AND RESULTS: All GPs reported some awareness of LEs. Increasing awareness of LEs was associated with female sex, being a specialist, having experience from hospital-based cancer care and familiarity with official guidelines on LEs after treatment. The majority of GPs were involved in follow-up care, which increased with patients’ time since treatment and was associated with higher awareness of LEs. GPs with work experience in hospital-based cancer care were more likely to be engaged in HL follow-up. Most GPs were willing to provide follow-up care at some point after treatment. Older and more experienced GPs, and those satisfied with the collaboration with hospital specialists, were more likely to provide follow-up earlier. CONCLUSION: GPs’ awareness of LEs and their willingness to provide follow-up care were related to familiarity with guidelines and experience. GPs more involved in follow-up care also had higher knowledge of LEs. Distribution of guidelines on LEs and follow-up care, and improving collaboration with hospital specialists, might increase GPs’ knowledge and willingness to become involved in follow-up care, especially early in their careers. GPs’ involvement and attitude towards follow-up of survivors of common solid cancers and HL, a rare malignant disease, were similar. KEY POINTS: Norwegian general practitioners (GPs) are involved in survivorship care after cancer treatment. We investigated their awareness of late effects (LEs), their involvement and their attitude towards follow-up care of solid cancers and Hodgkin’s lymphoma. • GPs registered as specialists, aware of guidelines and with experience from hospital-based cancer care reported higher awareness of LEs.   • GPs with higher awareness of LEs were more frequently involved in follow-up care.   • GPs with longer experience in general practice were comfortable with follow-up care at an earlier stage after treatment.   • Results were similar for follow-up care of survivors of solid cancers and Hodgkin’s lymphoma. Taylor & Francis 2022-11-15 /pmc/articles/PMC9848261/ /pubmed/36380478 http://dx.doi.org/10.1080/02813432.2022.2139457 Text en © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Eikeland, Siri A.
Smeland, Knut B.
Brekke, Mette
Kiserud, Cecilie E.
Fosså, Alexander
Late-effect awareness and follow-up of cancer in general practice
title Late-effect awareness and follow-up of cancer in general practice
title_full Late-effect awareness and follow-up of cancer in general practice
title_fullStr Late-effect awareness and follow-up of cancer in general practice
title_full_unstemmed Late-effect awareness and follow-up of cancer in general practice
title_short Late-effect awareness and follow-up of cancer in general practice
title_sort late-effect awareness and follow-up of cancer in general practice
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9848261/
https://www.ncbi.nlm.nih.gov/pubmed/36380478
http://dx.doi.org/10.1080/02813432.2022.2139457
work_keys_str_mv AT eikelandsiria lateeffectawarenessandfollowupofcanceringeneralpractice
AT smelandknutb lateeffectawarenessandfollowupofcanceringeneralpractice
AT brekkemette lateeffectawarenessandfollowupofcanceringeneralpractice
AT kiserudceciliee lateeffectawarenessandfollowupofcanceringeneralpractice
AT fossaalexander lateeffectawarenessandfollowupofcanceringeneralpractice