[General practitioner relevant recommendations in German cancer guidelines: a systematic review].

BACKGROUND

As part of the "Cancer Care in the Family Practice" project sponsored by the German Cancer Aid association, this overview for the first time assesses to what extent general practitioners (GPs) are considered in the formulation of German cancer guidelines.

METHODS

Guidelines relating to cancer care for adult patients were sought in eight national guideline and specialist association portals. Identified guidelines were initially examined to discover whether they referred to health care programmes, which were specifically developed for general practice, whether GPs were involved in their development, and whether GPs were regarded, either directly or at least indirectly, as a target group. Subsequently, all recommendations that were relevant to GPs were assigned to various main categories (communication, treatment measures) as well as subcategories and quantitatively assessed.

RESULTS

Of a total of 559 hits, 29 relevant guidelines were identified, of which 21 clearly referred to cancer care programmes in general practice. Eight guidelines reported that GPs were involved in the development of the guideline, and in four GPs were directly addressed as a target group. The majority of relevant recommendations were assigned to the category 'communication' but often included recommendations for the implementation of measures that were not directly applicable to family doctors (such as diagnosis and therapy). Relevant recommendations were found mostly in S3 guidelines.

CONCLUSIONS

Not a single cancer guideline mentioned family practice health care programmes, and less than half of them involved family doctors in their development process. Most recommendations from cancer guidelines could not be directly implemented by GPs. The guideline's development stage and subject matter (tumour-specific or across all tumour entities) appeared to influence its potential relevance to GPs.