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Br J Cancer. 2009 Aug 18;101(4):568-74. doi: 10.1038/sj.bjc.6605160. Epub 2009 Jul 28.

Follow-up care for cancer survivors: the views of clinicians.

Author information

1
Academic Unit of Clinical Oncology, Weston Park Hospital, WhithamRoad, Sheffield S10 2SJ, UK. d.greenfield@sheffield.ac.uk

Abstract

BACKGROUND:

Evidence for the efficacy of late effects surveillance in adult cancer survivors is lacking and there is little agreement among clinicians on appropriate follow-up care.

METHODS:

We report the views of both cancer experts and general practitioners (GPs) on long-term follow-up provision for cancer survivors, focussing on the 18-45 years age group. A total of 421 cancer experts (36% haematologists, 33% oncologists, 18% surgeons, 10% nurses, 2% other) and 54 GPs responded to a structured online survey. Reasons for follow-up care (clinical or supportive); advantages and disadvantages of follow-up in primary care; current practice; and resources required for a quality follow-up service were assessed.

RESULTS:

Clinicians valued clinical reasons for follow-up more highly than supportive reasons (P<0.001). Learning more about late effects and checking for cancer recurrence were rated as the most important reasons for follow-up by cancer experts and GPs. A total of 85% of cancer specialists hold follow-up consultations alongside patients on active treatment. Cancer experts agreed that primary care follow-up would increase their availability for acute oncological care, but reduce information on late effects. The most important resource to provide a quality follow-up service was specialist nursing support (91%).

CONCLUSIONS:

Follow-up guidelines that include late effects surveillance are needed. Where and who should deliver this care requires further debate.

PMID:
19638984
PMCID:
PMC2736807
DOI:
10.1038/sj.bjc.6605160
[Indexed for MEDLINE]
Free PMC Article

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