Rural Primary Care Offices and Cancer Survivorship Care: Part of the Care Trajectory for Cancer Survivors.
cancer survivorship care
cancer survivorship care plan
end of life
practice management
primary care physician
Journal
Health services research and managerial epidemiology
ISSN: 2333-3928
Titre abrégé: Health Serv Res Manag Epidemiol
Pays: United States
ID NLM: 101654536
Informations de publication
Date de publication:
Historique:
received:
11
12
2018
accepted:
11
12
2018
entrez:
6
2
2019
pubmed:
6
2
2019
medline:
6
2
2019
Statut:
epublish
Résumé
A cancer diagnosis is a monumental event in a patient's life and with the number of cancer survivors increasing; most of these patients will be taken care of by a primary care provider at some point after their cancer therapy. The purpose of this study is to identify primary care physician's needs to care for a patient who has had cancer. A cross-sectional survey of the physician members of the Iowa Research Network was conducted. The survey was designed to measure physician confidence in cancer survivor's care, office strategies regarding cancer survivorship care, and resources available for patients with cancer. Two hundred seventy-four Iowa Research Network members were invited to participate in this survey. Eighty-two physicians (30%) completed the questionnaire with 96% reporting that they are aware of their patient's cancer survivorship status. Seventy-one physicians reported they were aware of cancer survivorship status by an oncologist sending a note to the office, 68 being diagnosed in their office, 61 by the patient keeping the office apprised, and 15 receiving a survivorship care plan. Physicians reported the top changes in a cancer survivor's physical health as fatigue (81%) and pain (59%). Sixty-two physicians reported not feeling confident for managing chemobrain, cardiotoxicity (71%), and skin changes (35%). Male physicians were significantly more confident managing patients' skin changes ( Most respondents are aware of their patients who are cancer survivors and are mostly confident in the care they provide for them related to long-term effects and side effects of cancer therapies with limited receipt of cancer survivorship care plans.
Sections du résumé
BACKGROUND
BACKGROUND
A cancer diagnosis is a monumental event in a patient's life and with the number of cancer survivors increasing; most of these patients will be taken care of by a primary care provider at some point after their cancer therapy. The purpose of this study is to identify primary care physician's needs to care for a patient who has had cancer.
METHODS
METHODS
A cross-sectional survey of the physician members of the Iowa Research Network was conducted. The survey was designed to measure physician confidence in cancer survivor's care, office strategies regarding cancer survivorship care, and resources available for patients with cancer. Two hundred seventy-four Iowa Research Network members were invited to participate in this survey.
RESULTS
RESULTS
Eighty-two physicians (30%) completed the questionnaire with 96% reporting that they are aware of their patient's cancer survivorship status. Seventy-one physicians reported they were aware of cancer survivorship status by an oncologist sending a note to the office, 68 being diagnosed in their office, 61 by the patient keeping the office apprised, and 15 receiving a survivorship care plan. Physicians reported the top changes in a cancer survivor's physical health as fatigue (81%) and pain (59%). Sixty-two physicians reported not feeling confident for managing chemobrain, cardiotoxicity (71%), and skin changes (35%). Male physicians were significantly more confident managing patients' skin changes (
CONCLUSION
CONCLUSIONS
Most respondents are aware of their patients who are cancer survivors and are mostly confident in the care they provide for them related to long-term effects and side effects of cancer therapies with limited receipt of cancer survivorship care plans.
Identifiants
pubmed: 30719488
doi: 10.1177/2333392818822914
pii: 10.1177_2333392818822914
pmc: PMC6348493
doi:
Types de publication
Journal Article
Langues
eng
Pagination
2333392818822914Déclaration de conflit d'intérêts
Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Références
N Engl J Med. 2001 Jun 28;344(26):2021-5
pubmed: 11430334
JAMA. 2002 Oct 16;288(15):1909-14
pubmed: 12377092
J Clin Oncol. 2006 Nov 10;24(32):5117-24
pubmed: 17093273
Am J Public Health. 2008 Nov;98(11):2072-8
pubmed: 18382002
Med Care. 2009 Jan;47(1):73-9
pubmed: 19106734
Health Aff (Millwood). 2009 Jan-Feb;28(1):75-85
pubmed: 19124857
Radiology. 2010 Oct;257(1):240-5
pubmed: 20736333
Am J Manag Care. 2011 Apr;17(4):259-65
pubmed: 21615196
Curr Oncol Rep. 2012 Apr;14(2):182-90
pubmed: 22286374
Cancer Epidemiol Biomarkers Prev. 2013 Feb;22(2):181-8
pubmed: 23322363
CA Cancer J Clin. 2013 May;63(3):147-50
pubmed: 23512728
Cancer Epidemiol Biomarkers Prev. 2013 Apr;22(4):561-70
pubmed: 23535024
J Am Med Inform Assoc. 2013 Jun;20(e1):e14-6
pubmed: 23538724
J Clin Oncol. 2014 May 20;32(15):1578-85
pubmed: 24752057
Am J Public Health. 2015 Jan;105(1):212-219
pubmed: 24832146
J Natl Cancer Inst. 2014 Sep 22;106(11):null
pubmed: 25249551
Br J Cancer. 2014 Nov 11;111(10):1899-908
pubmed: 25314068
Klin Padiatr. 2015 May;227(3):144-50
pubmed: 25811744
J Cancer Surviv. 2016 Feb;10(1):96-102
pubmed: 26070279
J Gen Pract (Los Angel). 2014 Jul;2(4):163
pubmed: 26451385
J Gen Intern Med. 2016 Oct;31(10):1222-36
pubmed: 27220499
CA Cancer J Clin. 2017 Mar;67(2):156-169
pubmed: 27727446
Cancer. 2017 Feb 1;123(3):521-528
pubmed: 27764524
Lancet Oncol. 2017 Jan;18(1):e11-e18
pubmed: 28049573
Lancet Oncol. 2017 Jan;18(1):e19-e29
pubmed: 28049574
Lancet Oncol. 2017 Jan;18(1):e30-e38
pubmed: 28049575
Support Care Cancer. 2017 Aug;25(8):2445-2454
pubmed: 28236146
Curr Oncol. 2017 Apr;24(2):75-80
pubmed: 28490920
Am J Clin Oncol. 2018 Oct;41(10):1024-1027
pubmed: 29028642
J Cancer Educ. 2017 Nov 2;:
pubmed: 29098650
BMJ Open. 2017 Nov 8;7(10):e017902
pubmed: 29118053
Curr Oncol. 2017 Dec;24(6):360-366
pubmed: 29270047
J Cancer Surviv. 2018 Jun;12(3):334-347
pubmed: 29332213
BMC Health Serv Res. 2018 Mar 9;18(1):171
pubmed: 29523146
BMJ Open. 2018 Apr 12;8(4):e022269
pubmed: 29654052
J Clin Oncol. 2018 Jul 10;36(20):2088-2100
pubmed: 29775389
Oncologist. 2018 Aug 31;:null
pubmed: 30171066