Comparisons of Patient and Physician Expectations for Cancer Survivorship Care

Cheung, Winson Y.; Neville, Bridget A.; Cameron, Danielle B.; Cook, E. Francis; Earle, Craig C.

doi:10.1200/jco.2008.20.3232

Cited by 244 publications

(229 citation statements)

References 14 publications

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“…While cancer survivors expect oncologists to cover all health problems, including SPC, oncologists just focus on active treatment of the disease, identifying themselves as cancer treatment specialists. This is consistent with the results from a previous study in the U.S., which reported that there were highly discrepant expectations between the oncologists and their patients about screening for cancers (agreement rate, 29%), and patients anticipated significantly more involvement from the oncologists (Cheung et al, 2009).…”

Section: Discussionsupporting

confidence: 82%

“…According to the previous study, a minority of patients preferred less involvement of oncologists in SPC screening than the oncologists themselves (Cheung et al, 2009). We obtained similar findings in our study.…”

Section: Discussionsupporting

confidence: 82%

“…Development of SPC is associated with poor survival (Lee et al, 2008;Schaapveld et al, 2008;Buchler et al, 2011), and screening for SPC is one of the key components of survivorship care (Cheung et al, 2009). Cancer screening can reduce the risk of dying from selected cancers through early detection, when the stage of cancer is more amenable to effective treatment (Shapiro et al, 1971;Timonen & Pyorala, 1977;Mandel et al, 1993).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Oncologists Experience with Second Primary Cancer Screening: Current Practices and Barriers and Potential Solutions

Shin

Kim²,

Baek³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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Objectives: Screening for second primary cancer (SPC) is one of the key components of cancer survivorship care. The aim of the present study was to explore oncologists' experience with promoting second primary cancer screening. Methods: Two focus group interviews were conducted with 12 oncologists of diverse backgrounds. Recurrent issues were identified and placed into thematic categories. Results: Most of the oncologists did not consider SPC screening promotion as their responsibility and did not cover it in routine care. All of the study participants had experience with unexpected SPC cases, and they were under emotional tress. There was no systematic manner of providing SPC screening. Oncologists usually prescribe SPC screening in response to patients' requests, and there was no active promotion of SPC screening. Short consultation time, limited knowledge about cancer screening, no established guideline for SPC screening, and disagreement with patients about oncologists' roles were major barriers to its promotion. An institutionbased shared care model was suggested as a potential solution for promoting SPC screening given current oncology practices in Korea. Conclusion: Oncologists could not effectively deal with the occurrence of SPC, and they were not actively promoting SPC screening. Lack of knowledge, limited health care resources, and no established guidelines were major barriers for promoting SPC screening to cancer survivors. More active involvement of oncologists and a systematic approach such as shared-care models would be necessary for promoting SPC screening considering increasing number of cancer survivors who are vulnerable.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

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Oncologists Experience with Second Primary Cancer Screening: Current Practices and Barriers and Potential Solutions

Shin

Kim²,

Baek³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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“…39 However, further research is warranted concerning the discordant expectations among patients and physicians with respect to the roles of primary care physicians and oncologists in cancer survivorship care. 40 Previous studies have found inconsistent associations between perceived risks and benefits and screening practices. 15,16 Although some studies have found that increased perceived vulnerability among cancer survivors resulted in increased screening, 15 Mayer et al found no association in an analysis of the 2003 US Health Information National Trends Survey (HINTS).…”

Section: Discussionmentioning

confidence: 99%

Knowledge, attitudes, risk perception, and cancer screening behaviors among cancer survivors

Shin

Kim

et al. 2011

Cancer

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BACKGROUND: Knowledge, attitudes, and risk perception in relation to second primary cancer (SPC) screening and their impact on screening practices in cancer survivors are largely unknown. METHODS: A total of 326 cancer survivors who had completed primary treatment for cancer >1 year previously were recruited from 6 oncology care outpatient clinics in the Republic of Korea. Survivors' knowledge, attitudes, perceived risk, and screening practices were assessed along with sociodemographic, behavioral, and clinical characteristics. Multivariate logistic regression was used to examine behavioral factors associated with the completion of all appropriate SPC screening according to national guidelines. RESULTS: Approximately 37.7% of survivors had undergone all appropriate SPC screening tests. Survivors were found to have a high perceived risk of SPC, high perceived benefits of screening, and positive attitudes toward cancer screening. However, they had limited knowledge regarding SPC screening tests and few had received a recommendation from a physician to undergo SPC screening. Although there was no association found between perceived risk and positive attitudes with screening behavior, higher knowledge was noted to be significantly associated with the completion of all appropriate SPC screening (adjusted odds ratio, 1.81; 95% confidence interval, 1.03-3.33). CONCLUSIONS: In the current study, cancer survivors were found to have limited knowledge regarding second cancer screening tests, which may have resulted in lower rates of completion of screening practices in this population. Cancer 2011;117:3850-

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“…15,16 Although many cancer survivors in the United States see both a cancer specialist and PCP, few studies of these "shared care" examples have been done. Evidence from these studies, however, suggests that basic components of shared care are 17 In addition, cancer survivors in this study were also uncertain as to the duties and responsibilities of their healthcare providers.…”

Section: Care Modelsmentioning

confidence: 74%