General Practice Research Unit (AFE), Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.
Department of Obstetrics and Gynecology, Sørlandet Hospital Kristiansand, Kristiansand, Norway.
Acta Obstet Gynecol Scand. 2018 Nov;97(11):1325-1331. doi: 10.1111/aogs.13396. Epub 2018 Aug 2.
Due to an increasing number of cancer patients, new follow-up models are being debated, among them follow-up by general practitioners. Before changing surveillance, it is important to explore patients' views. The purpose of this study was to compare attitudes toward follow-up care among patients treated for gynecological cancer who had not yet started a follow-up regimen, with those who had been attending a hospital-based follow-up regimen for more than one year.
We conducted a cross-sectional survey among gynecological cancer patients recruited from three Norwegian hospitals in 2013-2015: Sørlandet Hospital Kristiansand, Sørlandet Hospital Arendal and St. Olavs Hospital, Trondheim.
In all, 239 patients agreed to participate, 100 who had not yet started follow-up and 139 who had been attending more than one year of follow-up. Patients reported that they preferred to be followed up by a gynecologist rather than by their GP, whom they viewed as less competent for this purpose. However, patients who had not yet started follow-up were more willing to be followed up by a GP. Overall, patients rated detection of recurrence as the most important aspect of follow-up visits.
The gynecological cancer patients in our study preferred a hospital-based follow-up model. However, patients who had not yet started follow-up were more willing to be followed up by a GP. If follow-up is to be provided by GPs for selected patients, it is important that these patients are informed early of the value and limitations of follow-up visits, to ensure that they feel safe.
由于癌症患者人数不断增加，人们正在讨论新的随访模式，包括由全科医生进行随访。在改变监测方法之前，了解患者的观点很重要。本研究的目的是比较尚未开始随访方案的妇科癌症患者与已接受医院为基础的随访方案超过一年的患者对随访护理的态度。
我们于 2013-2015 年在挪威的三家医院（克里斯蒂安桑的南雷兰医院、阿伦达尔的南雷兰医院和特隆赫姆的圣奥拉夫医院）招募了妇科癌症患者，进行了一项横断面调查。共有 239 名患者同意参与，其中 100 名尚未开始随访，139 名已接受超过一年的随访。患者报告说，他们更希望由妇科医生进行随访，而不是由全科医生进行随访，因为他们认为后者在这方面的能力更差。然而，尚未开始随访的患者更愿意由全科医生进行随访。总的来说，患者将发现复发作为随访就诊的最重要方面。
我们研究中的妇科癌症患者更倾向于采用医院为基础的随访模式。然而，尚未开始随访的患者更愿意由全科医生进行随访。如果选择由全科医生为部分患者提供随访服务，重要的是要让这些患者尽早了解随访就诊的价值和局限性，以确保他们感到安全。
