Randomized Controlled Trial of Shared Care for Patients With Cancer Involving General Practitioners and Cancer Specialists

Journal of Oncology Practice
Claire E JohnsonDavid J L Joske

Abstract

We aimed to determine whether a shared care model (SCM) during chemotherapy treatment improved emotional well-being, empowerment, and prevalence of symptoms for people being treated for cancer. People receiving chemotherapy for hematologic, breast, ovarian, or colorectal malignancies at two cancer centers were randomly assigned to receive SCM or standard care. The SCM involved a patient-held record, a project coordinator, routine contact between the patient and general practitioner/primary care physician, and primary care physician education. Participants completed the Hospital Anxiety and Depression Scale, the Mini-Mental Adjustment to Cancer, and an empowerment questionnaire before, in the middle of, and on completion of chemotherapy. The presence and severity of adverse effects of chemotherapy were recorded by patients in a symptom diary. Ninety-seven eligible participants were randomly allocated, less than half the intended recruitment. There were no significant differences between the groups for empowerment, symptom prevalence, or Mini-Mental Adjustment to Cancer scores. The proportion with clinical anxiety (Hospital Anxiety and Depression Scale anxiety score of ≥ 11) decreased over time in both groups (P = .013) but decre...Continue Reading

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Citations

Aug 20, 2015·Games for Health Journal·Meveshni GovenderCarol S Bruggers
Jul 10, 2018·Translational Behavioral Medicine·Amber WerbrouckLiesbet De Wit
Aug 18, 2020·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Karolina LisyMichael Jefford
Sep 26, 2020·Journal of General Internal Medicine·Michelle DooseJennifer Tsui
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Jul 28, 2019·Journal of Cancer Survivorship : Research and Practice·Charlotte IJsbrandyPetronella B Ottevanger
Apr 4, 2020·JACC. Heart Failure·Michael Yaoyao YinOmar Wever-Pinzon

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