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Follow-up after colon cancer treatment in the Netherlands; a survey of patients, GPs, and colorectal surgeons.
- Source :
-
European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology [Eur J Surg Oncol] 2013 Aug; Vol. 39 (8), pp. 837-43. Date of Electronic Publication: 2013 May 18. - Publication Year :
- 2013
-
Abstract
- Introduction: Follow-up to detect recurrence is an important feature of care after colon cancer treatment. Currently, follow-up visits are surgeon-led with focus on recurrence. To date, there is increasing interest for general practitioners (GPs) providing this care, as GPs might provide more holistic care. The present study assessed how surgeons, GPs, and patients evaluate current surgeon-led colon cancer follow-up and to list their views on possible future GP-led follow-up.<br />Methods: The study consists of a cross-sectional survey including colorectal surgeons, patients who participate or recently finished a follow-up programme, and GPs in the Netherlands.<br />Results: Eighty-seven out of 191 GPs, 113 out of 238 surgeons, and 186 out of 243 patients responded. Patients are satisfied about current surgeon-led follow-up, especially about recurrence detection and identification of physical problems (94% and 85% respectively). However, only 56% and 49% of the patients were satisfied about the identification of psychological and social problems respectively. Only 16% of the patients evaluated future GP-led follow-up positively. Regarding healthcare providers, surgeons were more positive compared to GPs; 49% of the surgeons, and only 30% of the GPs evaluated future GP-led follow-up positively (P = 0.002). Furthermore, several reservations and principle requirements for GP-led follow-up were identified.<br />Discussion: The results suggest an unfavourable view among patients and healthcare providers, especially GPs, regarding a central role for GPs in colon cancer follow-up. However, low satisfaction on psychosocial aspects in current follow-up points out a lack in care. Therefore, the results provide a justification to explore future GP-led care further.<br /> (Copyright © 2013 Elsevier Ltd. All rights reserved.)
- Subjects :
- Adult
Aged
Attitude of Health Personnel
Chemotherapy, Adjuvant
Colectomy methods
Colectomy statistics & numerical data
Colorectal Neoplasms pathology
Colorectal Surgery statistics & numerical data
Combined Modality Therapy
Cross-Sectional Studies
Female
Follow-Up Studies
General Practitioners statistics & numerical data
Humans
Male
Middle Aged
Needs Assessment
Neoplasm Recurrence, Local epidemiology
Neoplasm Recurrence, Local therapy
Netherlands
Patient Care Team organization & administration
Practice Patterns, Physicians' standards
Practice Patterns, Physicians' trends
Risk Assessment
Surveys and Questionnaires
Time Factors
Colorectal Neoplasms therapy
Continuity of Patient Care organization & administration
Monitoring, Physiologic methods
Neoplasm Recurrence, Local diagnosis
Outcome Assessment, Health Care
Patient Participation statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1532-2157
- Volume :
- 39
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
- Publication Type :
- Academic Journal
- Accession number :
- 23692700
- Full Text :
- https://doi.org/10.1016/j.ejso.2013.04.001