de Vegt Femmie, van Dijck J A A M Jos, van de Lisdonk Eloy H, Verbeek André L M
Universitair Medisch Centrum St Radboud, Nijmegen, the Netherlands.
Ned Tijdschr Geneeskd. 2011;155(45):A4148.
Patients who undergo curative treatment for cancer continue to be medically monitored for a number of years. Scheduled aftercare, mainly aimed at early detection of locoregional cancer recurrences, distant metastases and secondary primary tumours, takes place chiefly in the second line, but is expected to shift to the first line. Figures from the Nijmegen Continuous Morbidity Registration show that an average (Dutch) general practitioner, caring for about 2500 patients, has in his practice 90 patients who have or have had cancer. This number will increase due to the increasing prevalence of cancer. In addition, extra consultations for each cancer patient will increase the demand for GP care.
接受癌症根治性治疗的患者会持续接受数年的医学监测。定期的后续护理主要旨在早期发现局部区域癌症复发、远处转移和第二原发性肿瘤,目前主要在二线进行,但预计将转向一线。奈梅亨连续发病率登记的数据显示,一名普通(荷兰)全科医生平均照顾约2500名患者,其诊所中有90名患有或曾患癌症的患者。由于癌症患病率不断上升,这个数字将会增加。此外,每位癌症患者的额外会诊将增加对全科医疗的需求。