The Christie Patient Centred Research Team, The Christie School of Oncology, The Christie NHS Foundation Trust, Wilmslow Road, Manchester, M20 4BX, UK.
The Christie NHS Foundation Trust, Wilmslow Road, Manchester, M20 4BX, UK.
Eur J Oncol Nurs. 2020 Oct;48:101820. doi: 10.1016/j.ejon.2020.101820. Epub 2020 Aug 1.
To examine the experiences of patients and healthcare professionals of prostate cancer follow-up in primary care and to identify areas where current policy and practice could be improved.
Semi-structured interviews with patients, GPs and oncologists explored experiences of prostate cancer follow-up. Interviews were audio recorded and transcribed verbatim. Data were analysed using thematic analysis. The three participant groups were analysed as individual datasets but the same key themes were evident across the groups.
14 patients, 6 GPs and 5 oncologists were interviewed. Four main themes were identified: Experience of current practice; Knowledge and understanding of prostate cancer follow up; Disparity of processes and pathways; Unclear roles and responsibilities.
Findings from this study highlight the variation in the approach to prostate specific antigen monitoring and emphasise the lack of clear policies and practices. The lack of clarity around existing follow up and monitoring processes could cause delays in the diagnosis of recurrence. There is a need for a new and improved pathway for prostate cancer follow up. The pathway should include clear and concise guidance for patients, primary care and secondary care and all relevant parties need to understand what their role is within the pathway.
探讨初级保健中前列腺癌随访患者和医疗保健专业人员的经验，并确定当前政策和实践中可以改进的领域。
对患者、全科医生和肿瘤医生进行半结构化访谈，探讨前列腺癌随访的经验。采访进行了录音，并逐字记录下来。使用主题分析进行数据分析。三个参与者群体被分析为独立的数据集，但相同的关键主题在所有群体中都很明显。
共采访了 14 名患者、6 名全科医生和 5 名肿瘤医生。确定了四个主要主题：当前实践的经验；对前列腺癌随访的了解和理解；过程和途径的差异；角色和责任不明确。
本研究的结果强调了前列腺特异性抗原监测方法的差异，并强调缺乏明确的政策和实践。现有随访和监测流程的不明确可能导致复发的诊断延迟。需要为前列腺癌随访建立新的、改进的途径。该途径应包括针对患者、初级保健和二级保健的清晰简洁的指导，所有相关方都需要了解他们在该途径中的角色。
