Charbonnier Claire, Marilier Sophie, Dabakuyo Sandrine, Cueff Adèle, Quipourt Valérie, Manckoundia Patrick
Department of Geriatrics and Internal Medicine, Hospital of Champmaillot, University Hospital, Dijon, France.
Côte d'Or Breast and Gynaecological Cancer Registry, Centre George François Leclerc, 1 rue du Professeur Marion, BP 77980, Dijon Cedex, France.
J Geriatr Oncol. 2016 Jan;7(1):47-52. doi: 10.1016/j.jgo.2015.10.184. Epub 2015 Oct 26.
We assessed the interest of the geriatric oncology (GO) consultation (GOC) among general practitioners (GPs).
We conducted a survey among GPs whose patients had had a GOC in 2012. A questionnaire was sent to GPs. The 1st part collected GPs' characteristics including medical education in geriatrics and GO, and knowledge of GOC. The following parts concerned the GOC and included the cancer type, GOC report and care plan.
One-hundred twenty-six questionnaires corresponding to 94 GPs were collected. Concerning the GPs' characteristics, age range 50-59 (44.7%), men (62.8%) and urban practice (79.8%) were the most represented, 80.8% had no expertise in geriatrics, 60.6% knew of the existence of GOCs, and 14.9% had received medical education in GO. The most frequent cancer location was gynecological (40.7%) (82.6% were breast cancers). Of the GPs, 69.8% had received a GOC report and 92% were (very) satisfied with the delivery time. A care plan was proposed after the GOC in 83% of cases. It was satisfactory in 96.4% of cases, and applied by 74.7% of GPs. Sixteen percent of GPs were called by the GO team. The less the GP was satisfied with the GOC, the more he or she wanted phone contact (p=0.02); 94% of GPs considered the GOC (very) satisfactory. Sixty-seven percent of GPs wanted to be trained in GO.
Very few GPs had been trained in geriatrics and/or GO. They were mostly satisfied with GOC and expressed a wish to be trained in GO.
我们评估了全科医生（GP）对老年肿瘤学（GO）会诊（GOC）的兴趣。
我们对其患者在2012年接受过GOC会诊的全科医生进行了一项调查。向全科医生发送了一份问卷。第一部分收集了全科医生的特征，包括老年医学和GO方面的医学教育，以及对GOC的了解。接下来的部分涉及GOC，包括癌症类型、GOC报告和护理计划。
共收集到与94名全科医生相对应的126份问卷。关于全科医生的特征，年龄范围在50 - 59岁的占比最高（44.7%），男性占62.8%，在城市执业的占79.8%，80.8%的人没有老年医学专业知识，60.6%的人知道GOC的存在，14.9%的人接受过GO方面的医学教育。最常见的癌症部位是妇科（40.7%）（其中82.6%为乳腺癌）。69.8%的全科医生收到了GOC报告，92%的人对报告的交付时间（非常）满意。83%的病例在GOC会诊后提出了护理计划。在96.4%的病例中该计划令人满意，74.7%的全科医生采用了该计划。16%的全科医生接到了GO团队的电话。全科医生对GOC越不满意，就越希望通过电话联系（p = 0.02）；94%的全科医生认为GOC（非常）令人满意。67%的全科医生希望接受GO方面的培训。
接受过老年医学和/或GO方面培训的全科医生非常少。他们大多对GOC满意，并表示希望接受GO方面的培训。
