The Role of Primary Care Physicians in Childhood Cancer Survivorship Care: Multiperspective Interviews

The Oncologist
Christina SignorelliANZCHOG Survivorship Study Group

Abstract

Primary care physicians (PCPs) are well placed to provide holistic care to survivors of childhood cancer and may relieve growing pressures on specialist-led follow-up. We evaluated PCPs' role and confidence in providing follow-up care to survivors of childhood cancer. In Stage 1, survivors and parents (of young survivors) from 11 Australian and New Zealand hospitals completed interviews about their PCPs' role in their follow-up. Participants nominated their PCP for an interview for Stage 2. In Stage 2, PCPs completed interviews about their confidence and preparedness in delivering childhood cancer survivorship care. Stage 1: One hundred twenty survivors (36% male, mean age: 25.6 years) and parents of young survivors (58% male survivors, survivors' mean age: 12.7 years) completed interviews. Few survivors (23%) and parents (10%) visited their PCP for cancer-related care and reported similar reasons for not seeking PCP-led follow-up including low confidence in PCPs (48%), low perceived PCP cancer knowledge (38%), and difficulty finding good/regular PCPs (31%). Participants indicated feeling "disconnected" from their PCP during their cancer treatment phase. Stage 2: Fifty-one PCPs (57% male, mean years practicing: 28.3) completed ...Continue Reading

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Citations

Jun 21, 2019·Scientific Reports·Ariel PokhojaevHila May
Dec 20, 2019·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Jordan Gilleland MarchakAnn C Mertens
Aug 7, 2020·Journal of the National Comprehensive Cancer Network : JNCCN·Christina SignorelliUNKNOWN BSU Implementation Group
Jan 13, 2022·Pediatric Annals·Alexandra Rodriguez-Hernandez, Justine M Kahn

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