Primary care oncology: addressing the challenges

Allam, Omnia; Gray, Alex; Bailey, Hazel; Morrey, David

doi:10.14236/jhi.v14i3.627

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…Primary care oncology is emerging as a cancer care service in which providers focus on the medical and psychological impact of cancer treatment, with the management of co-morbidities as one component of this specialty. 30,31 Primary care oncologists could play an important role in managing co-morbidities at diagnosis, through treatment, and during short-and long-term survivorship among prostate cancer pa-tients. Future studies are needed to evaluate the impact of primary care oncology on the management of comorbidities and prostate cancer outcomes in diverse patient populations.…”

Section: Study Implicationsmentioning

confidence: 99%

Co-morbidities in a Retrospective Cohort of Prostate Cancer Patients

et al. 2020

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Objective: To characterize rates of co-morbidity among prostate cancer patients treated with radical prostatectomy and to examine the association between co-morbidity status and race, clinical factors, and health behaviors for cancer control.Design/Study Participants: Retrospective cohort study among prostate cancer patients treated with radical prostatectomy.Setting: Academic medical center located in the southeastern region of the United States.Main Outcome Measure: Patients with at least one of five co-morbid conditions considered were categorized as having a co-morbidity, and those without any were categorized as not having a co-morbid condition. Co-morbid conditions considered were hypertension, diabetes, heart problems, stroke, and high cholesterol, which had been recorded in the electronic medical record as part of their past medical history.Results: Fifty-one percent of participants had a co-morbidity, with hypertension being the most common. The average number of co-morbidities among study participants was .87. In a multivariate logistic regression analysis, being diagnosed with prostate cancer within the past four years was associated with an increased likelihood of having a co-morbidity (OR=4.71, 95% CI=2.69, 8.25, P=.0001) compared with diagnosis five or more years ago. Age was also associated with an increased likelihood of having a co-morbidity (OR=1.30, 95% CI=1.005, 1.68, P=.05). In this study cohort, race, stage at diagnosis, and PSA level were not statistically associated with co-morbidity status.Conclusion: Better chronic disease management is needed among prostate cancer survivors through more effective survivorship care planning and interventions that promote health behaviors.Ethn Dis. 2020;30(Suppl 1):185-192; doi:10.18865/ed.30.S1.185

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Section: Study Implicationsmentioning

confidence: 99%

Co-morbidities in a Retrospective Cohort of Prostate Cancer Patients

et al. 2020

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“…However, effective two-way communication between oncologists and general practitioners is lacking. Improved communication is the strongest enabler to routine shared cancer follow-up care and is an area that is still being established [22,[40][41][42].…”

Section: Overviewmentioning

confidence: 99%

A Shared Cancer Follow-Up Model of Care Between General Practitioners and Radiation Oncologists for Patients With Breast, Prostate, and Colorectal Cancer: Protocol for a Mixed Methods Implementation Study

2021

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Background The rising incidence of cancer and increasing numbers of cancer survivors have resulted in the need to find alternative models of care for cancer follow-up care. The acceptability for follow-up care in general practice is growing, and acceptance increases with shared-care models where oncologists continue to oversee the care. However, a major barrier to this model is the effective exchange of information in real time between oncologists and general practitioners. Improved communication technology plays an important role in the acceptability and feasibility of shared cancer follow-up care. Objective The aim of this study is to evaluate the feasibility and acceptability of a shared cancer follow-up model of care between patients, general practitioners and radiation oncologists. Methods This is a mixed methods, multisite implementation study exploring shared follow-up care for breast, colorectal, and prostate cancer patients treated with curative radiotherapy in New South Wales, Australia. This study uses web-based technology to support general practitioners in performing some aspects of routine radiotherapy follow-up care, while being overseen by a radiation oncologist in real time. The study has two phases: Phase 1 is designed to establish the level of agreement between general practitioners and radiation oncologists and Phase 2 is designed to implement shared follow-up care into practice and to evaluate this implementation. Results Recruitment of radiation oncologists, patients, and general practitioners commenced in December 2020 and will continue until February 2021. Data collection will occur during 2021, and data will be ready for analysis by the end of 2021. Conclusions Few studies have investigated the role of health technologies in supporting communication deficiencies for shared cancer follow-up care. The implementation and evaluation of models of care need to be conducted using a person-centered approach that is responsive to patients’ preferences and needs. Should the findings of the study be acceptable and feasible to radiation oncologists, general practitioners, and patients, it can be quickly implemented and expanded to other tumor groups or to medical oncology and hematology. Trial Registration Australian New Zealand Clinical Trials Registry ACTRN12620001083987; http://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=380057 International Registered Report Identifier (IRRID) PRR1-10.2196/21752

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A Shared Cancer Follow-Up Model of Care Between General Practitioners and Radiation Oncologists for Patients With Breast, Prostate, and Colorectal Cancer: Protocol for a Mixed Methods Implementation Study (Preprint)

Sandell¹,

Schütze²,

Miller³

2020

Preprint

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BACKGROUND

The rising incidence of cancer and increasing number of cancer survivors has resulted in the need to find alternative models of care for cancer follow-up care. The acceptability for follow-up care in general practice is growing, and acceptance increases with shared-care models where oncologists are still overseeing care. However, a major barrier to this model is the effective exchange of information in real-time between oncologists and general practitioners. Improved communication technology plays an important role in the acceptability and feasibility of cancer shared follow-up care.

OBJECTIVE

The aim to evaluate the feasibility and acceptability of a shared follow-up model of care between radiation oncologists and general practitioners.

METHODS

This study is a mixed-method multisite implementation study exploring shared follow-up care for breast, colorectal and prostate cancer patients treated with curative radiotherapy. This study uses digital health to support a general practitioner performing some aspects of the routine radiotherapy follow-up care, whilst being overseen by a radiation oncologist in real-time. The study has two phases: 1. to establish the level of agreement between general practitioners and radiation oncologists, and 2. to implement shared follow-up care into practice and evaluate it.

RESULTS

CONCLUSIONS

Few studies have investigated the role of health technologies in supporting communication deficiencies for shared-care cancer follow-up care. The implementation and evaluation, of models of care, need to be conducted with a person-centred approach, that is responsive to patients preferences and needs. Should the findings of the study be acceptable and feasible to radiation oncologists, general practitioners and patients, it can be quickly implemented and expanded to other tumour groups, or medical oncology and haematology.

CLINICALTRIAL

submitted - pending

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Primary care oncology: addressing the challenges

Cited by 3 publications

References 6 publications

Co-morbidities in a Retrospective Cohort of Prostate Cancer Patients

Co-morbidities in a Retrospective Cohort of Prostate Cancer Patients

A Shared Cancer Follow-Up Model of Care Between General Practitioners and Radiation Oncologists for Patients With Breast, Prostate, and Colorectal Cancer: Protocol for a Mixed Methods Implementation Study

A Shared Cancer Follow-Up Model of Care Between General Practitioners and Radiation Oncologists for Patients With Breast, Prostate, and Colorectal Cancer: Protocol for a Mixed Methods Implementation Study (Preprint)

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