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Jun 13, 2019

MASCC/ISOO Annual Meeting on Supportive Care in Cancer

PRIMARY CARE PHYSICIANS’ PERSPECTIVES OF THE SURVIVORSHIP CARE FOR OLDER BREAST CANCER SURVIVORS: A PILOT STUDY

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cancer survivorship

survivorship care plans

primary care physicians

care coordination

geriatrics

Abstract

Abstract

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Keywords

cancer survivorship

survivorship care plans

primary care physicians

care coordination

geriatrics

Abstract

Introduction: Survivorship care plans (SCPs) should be coordinated with multiple healthcare providers including the survivor’s primary care physician (PCP). Despite the growing consensus of the importance of PCPs in survivorship care, research examining PCPs’ experiences and opinions regarding survivorship care and survivor outcomes under their care is limited. Methods: This pilot study utilized a web-based questionnaire and semi-structured interviews to evaluate PCPs’ role in survivorship care of older breast cancer survivors, their experiences and opinions of SCPs, and suggestions for improving care coordination and facilitation of SCPs among older (≥65 years) breast cancer survivors. Results: Physician participants (n=29) had an average 13.5 years in practice. PCPs surveyed that their main role was to provide general health promotion and their least common role was to manage late-and/or long-term effects. Semi-structured interviews indicated that the majority of PCPs did not receive a SCP from their patients’ oncologists and that communication regarding survivorship care was poor. Participants’ suggestions for improvements to SCPs and survivorship care included regular communication with oncologists, delegation from oncologists regarding roles, and mutual understanding of roles. Conclusions: Participants indicated that survivorship care and SCPs have room for improvement regarding communication and roles related to their patients’ survivorship. These findings provide insight into enhancing the content, communication, care coordination, and application of SCPs to ultimately improve the survivorship experience of older breast cancer survivors. More attention needs to focus on the importance of PCPs, as they are an integral part of dual management for older breast cancer survivors post-treatment.

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© Copyright 2019 Morressier GmbH.
All rights reserved.