The role of primary care physicians in advanced cancer care: perspectives of older patients and their oncologists.

Journal of the American Geriatrics Society
Elizabeth O'TooleJulia Hannum Rose

Abstract

To examine data from advanced cancer patients and their oncologists regarding patient age-related differences in patient and oncologist perspectives on involvement of primary care physicians (PCPs) in aspects of cancer management. Randomized controlled trial of a support intervention for patients with late-stage cancer treated in two teaching hospital-based cancer clinics caring for underserved populations. Three hundred fifty-seven patients who had an oncologist and PCP enrolled 2 to 3 months after an advanced cancer diagnosis. Sociodemographic data and structured interviews were used to assess patients' perceptions of PCP involvement in care discussions and decision-making and satisfaction with that involvement, oncologists' beliefs about how involved PCPs should be in these discussions and decisions, and their shared care practices. Older patients (>or=65) were more likely to have a PCP (P=.02). Patients reported a broad range of perceived PCP involvement and satisfaction with that involvement. Greater involvement was associated with greater satisfaction (P<.001). Half of oncologists reported themselves as PCP for more than 25% of their patients. Approximately half of oncologists reported that more older than younger patient...Continue Reading

References

Mar 1, 1987·Research on Aging·M R Haug, M G Ory
Mar 19, 2005·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Elsbeth VoogtPaul J van der Maas
May 21, 2008·Clinical Interventions in Aging·Julia Hannum RoseElizabeth E O'Toole
Oct 9, 2008·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Julia Hannum RoseNeal V Dawson
Feb 4, 2010·Journal of the American Geriatrics Society·Julia Hannum RoseNathan A Berger

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Citations

Apr 20, 2013·European Journal of Oncology Nursing : the Official Journal of European Oncology Nursing Society·Hanna AdmiEfrat Shadmi
Jul 30, 2014·Bone Marrow Transplantation·E T LoggersF R Loberiza
Dec 1, 2012·Cancer·Ann H PartridgeUNKNOWN ASCO Breast Cancer Registry Pilot Steering Group
Oct 12, 2016·CA: a Cancer Journal for Clinicians·Lesly A DossettGwendolyn P Quinn
Jul 3, 2010·Journal of Aging and Health·Karen F BowmanElizabeth E O'Toole
Jun 11, 2014·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Maria PisuKaren Meneses
Mar 5, 2019·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Michelle DooseJennifer Tsui
Jan 3, 2013·Asia-Pacific Journal of Clinical Oncology·Claire E JohnsonChristobel Saunders

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