Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA.
J Am Board Fam Med. 2012 Sep-Oct;25(5):635-51. doi: 10.3122/jabfm.2012.05.120083.
The Institute of Medicine (IOM) proposed that cancer survivors and their primary care providers (PCPs) should receive survivorship care plans to inform ongoing care. We aimed to determine PCPs' preferences for the content of survivorship care plans for colorectal cancer (CRC) survivors.
PCPs in 3 practice-based research networks completed a survey regarding 45 topics of CRC information based on the IOM's survivorship care plan framework.
One hundred fifty-six PCPs completed the survey. For 35 topics (78%), at least half of respondents felt the topic was very important. Most PCPs reported receiving too little information about problems with chemotherapy (68%) or radiation (60%) and whether the oncologist intended to monitor for other cancers (71%). PCPs widely agreed that they do not have enough information about increased risk of second CRCs, other cancers, and other diseases (78%); long-term effects of chemotherapy (73%) and radiation (67%); and genetic counseling (83%).
PCPs endorse the IOM's survivorship care plan framework as relevant and often report needing more information. Survivorship care plans may provide important information to PCPs by communicating patients' cancer histories and making recommendations regarding which aspects of care should be provided by the oncologist or the PCP.
美国医学研究所(IOM)提出,癌症幸存者及其初级保健提供者(PCP)应获得生存护理计划,以告知持续护理。我们旨在确定 PCP 对结直肠癌(CRC)幸存者生存护理计划内容的偏好。
3 个基于实践的研究网络中的 PCP 完成了一项关于基于 IOM 生存护理计划框架的 45 个 CRC 信息主题的调查。
156 名 PCP 完成了调查。对于 35 个主题(78%),至少一半的受访者认为该主题非常重要。大多数 PCP 报告称,他们收到的关于化疗(68%)或放疗(60%)问题的信息太少,以及肿瘤学家是否打算监测其他癌症(71%)的信息太少。PCP 广泛认为,他们对增加的第二 CRC、其他癌症和其他疾病(78%)的风险、化疗(73%)和放疗(67%)的长期影响以及遗传咨询(83%)的信息了解不足。
PCP 认可 IOM 的生存护理计划框架是相关的,并且经常报告需要更多信息。生存护理计划可以通过传达患者的癌症史并就哪些护理方面应由肿瘤学家或 PCP 提供提出建议,为 PCP 提供重要信息。