Primary care provider–led cancer survivorship care in the first 5 years following initial cancer treatment: a scoping review of the barriers and solutions to implementation

Hayes, Brian; Young, Hannah G; Atrchian, Siavash; Vis-Dunbar, Mathew; Stork, Matthew; Pandher, Satvir; Samper, Sofía; McCorquodale, Sarah; Loader, Alissa; Voss, Christine

doi:10.1007/s11764-022-01268-y

Cited by 10 publications

(8 citation statements)

References 104 publications

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“…Possible reasons for this, supported by several studies, include reluctance of GPs to assume full responsibility for survivorship care, reluctance of oncology specialists to transfer care, and patient preference to maintain contact with oncology providers. 29 , 30 , 31 Shared care offers potential advantages including that there is no full transfer of care, or this transfer is gradual.…”

Section: Discussionmentioning

confidence: 99%

“…This is a consistent issue in studies of both GP-led care, and in studies of shared care. 24 , 29 , 30 , 31 , 55 , 56 It is possible that, over time, shared care models might support GPs to feel more knowledgeable and confident in managing patients with cancer.…”

Section: Discussionmentioning

confidence: 99%

“…Despite these studies, GP-led follow-up care has not been widely adopted. 29 , 30 , 31 Our own work with survivors, GPs, surgeons and oncologists reported strong support for GPs to be involved in the ongoing care of CRC survivors and that GPs should be provided with information to facilitate care. 32 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

SCORE: a randomised controlled trial evaluating shared care (general practitioner and oncologist) follow-up compared to usual oncologist follow-up for survivors of colorectal cancer

Jefford,

Emery,

James Martin

et al. 2023

eClinicalMedicine

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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SCORE: a randomised controlled trial evaluating shared care (general practitioner and oncologist) follow-up compared to usual oncologist follow-up for survivors of colorectal cancer

Jefford,

Emery,

James Martin

et al. 2023

eClinicalMedicine

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“… 1 ) Many cancer survivors have fair or poor health status, physical and psychological disabilities, and limitations in activities of daily living or instrumental activities of daily living, which may be a late consequence of cancer and its treatment. 2 ) The provision of early support, such as survivorship care 3 ) and occupational therapy, 4 ) for cancer survivors has become a global concern because these individuals are constrained to live with the persistent effects of cancer and its treatment.…”

Section: Introductionmentioning

confidence: 99%

Life Goal Domains, Traits, and Setting Process in the Collaboration between Healthcare Professionals and Cancer Survivors: A Scoping Review

Ikeuchi,

Nishida,

Karikawa

2024

PRM

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Objectives : This study aimed to describe the classification of goal domains, goal traits, and the goal-setting process as revealed by previous life goal-setting practices of healthcare professionals collaborating with cancer survivors. Methods : The design was a scoping review. The MEDLINE, Academic Search Premier, and CINAHL databases were searched and mapped for papers with descriptions of goal domains, goal traits, and the goal-setting process. Goal domains were classified as life goals that were health-related, psychological, social, achievement-related, and leisure goals. Goal traits were classified based on specific, measurable, achievable, relevant, and timed (SMART) criteria. The goal-setting process was classified based on the frameworks of goal-setting phases (preparation, formulation, follow-up) and their components. Results : In total, 229 papers were identified, and 24 papers were included in the final analysis. All papers included health-related goals, followed by psychological and social goals. All goal domains were included in 41.7% of the papers. Relevant goals were the most common and timed goals were the least common. All papers included either of the components that comprise the preparation or formulation phases. We found that 12.5% of papers did not include any of the three components of the follow-up phase. Conclusions : The life goals collaboratively set between cancer survivors and healthcare professionals were characterized by the following: psychological and social goal domains, numerous goal domains, more relevant goals and fewer timed goals, low proportion of patient education in the preparation phase, and high proportion of evaluation of progress or achievement in the follow-up phase.

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“…While PCPs appear willing to provide care for cancer survivors [7], persistent barriers continue to hinder the provision of care, specifically a lack of perceived knowledge and expertise of PCPs regarding the necessary care [8]. Prior reviews have described the attitudes and perceptions of PCPs' on cancer survivorship care provision, but did not specifically address the knowledge and confidence according to its domains [7,[9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Primary care physicians’ knowledge and confidence in providing cancer survivorship care: a systematic review

et al. 2023

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Purpose To systematically review existing literature on knowledge and confidence of primary care physicians (PCPs) in cancer survivorship care. Methods PubMed, Ovid MEDLINE, CINAHL, Embase, and PsycINFO were searched from inception to July 2022 for quantitative and qualitative studies. Two reviewers independently assessed studies for eligibility and quality. Outcomes were characterized by domains of quality cancer survivorship care. Results Thirty-three papers were included, representing 28 unique studies; 22 cross-sectional surveys, 8 qualitative, and 3 mixed-methods studies. Most studies were conducted in North America (n = 23) and Europe (n = 8). For surveys, sample sizes ranged between 29 and 1124 PCPs. Knowledge and confidence in management of physical (n = 19) and psychosocial effects (n = 12), and surveillance for recurrences (n = 14) were described most often. Generally, a greater proportion of PCPs reported confidence in managing psychosocial effects (24–47% of PCPs, n= 5 studies) than physical effects (10–37%, n = 8). PCPs generally thought they had the necessary knowledge to detect recurrences (62–78%, n = 5), but reported limited confidence to do so (6–40%, n = 5). There was a commonly perceived need for education on long-term and late physical effects (n = 6), and cancer surveillance guidelines (n = 9). Conclusions PCPs’ knowledge and confidence in cancer survivorship care varies across care domains. Suboptimal outcomes were identified in managing physical effects and recurrences after cancer. Implications for Cancer Survivors These results provide insights into the potential role of PCPs in cancer survivorship care, medical education, and development of targeted interventions.

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Primary care provider–led cancer survivorship care in the first 5 years following initial cancer treatment: a scoping review of the barriers and solutions to implementation

Cited by 10 publications

References 104 publications

SCORE: a randomised controlled trial evaluating shared care (general practitioner and oncologist) follow-up compared to usual oncologist follow-up for survivors of colorectal cancer

SCORE: a randomised controlled trial evaluating shared care (general practitioner and oncologist) follow-up compared to usual oncologist follow-up for survivors of colorectal cancer

Life Goal Domains, Traits, and Setting Process in the Collaboration between Healthcare Professionals and Cancer Survivors: A Scoping Review

Primary care physicians’ knowledge and confidence in providing cancer survivorship care: a systematic review

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