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全科医生和肿瘤放射科医生在癌症随访护理方面的一致性。

Concordance between General Practitioners and Radiation Oncologists for Cancer Follow-Up Care.

机构信息

Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, NSW 2522, Australia.

Radiation Oncology Service, Illawarra Shoalhaven Local Health District, Wollongong, NSW 2500, Australia.

出版信息

Int J Environ Res Public Health. 2022 Dec 21;20(1):108. doi: 10.3390/ijerph20010108.

Abstract

(1) Background: Patients treated with radiotherapy require follow-up care to detect and treat acute and late side effects, and to monitor for recurrence. The increasing demand for follow-up care poses a challenge for specialists and general practitioners. There is a perception that general practitioners do not have the specialised knowledge of treatment side effects and how to manage these. Knowing the concordance between general practitioner and oncologist clinical assessments can improve confidence in healthcare professionals. This study aimed to measure the level of agreement between general practitioners and radiation oncologists using a standardised clinical assessment; (2) Methods: a cross-sectional clinical practice study; sample aim of 20 breast, prostate or colorectal patients, three years post-radiotherapy treatment; their general practitioner and radiation oncologist; (3) Results: There was acceptable percent agreement (>75%) and a moderate to almost perfect agreement (Fleiss kappa) for all variables between the 15 general practitioner-radiation oncologist dyads; (4) Conclusions: The general practitioner and radiation oncologist concordance of a clinical follow-up assessment for radiation oncology patients is an important finding. These results can reassure both general practitioners and oncologists that general practitioners can provide cancer follow-up care. However, further studies are warranted to confirm the findings and improve reassurance for health professionals.

摘要

(1)背景:接受放疗的患者需要进行随访,以发现和治疗急性和晚期副作用,并监测复发情况。对随访护理的需求不断增加,这对专家和全科医生来说是一个挑战。有一种看法认为,全科医生不具备治疗副作用的专门知识,也不知道如何处理这些副作用。了解全科医生和肿瘤医生临床评估的一致性可以提高对医疗保健专业人员的信心。本研究旨在使用标准化临床评估来衡量全科医生和放射肿瘤医生之间的一致性;(2)方法:一项横断面临床实践研究;样本目标为 20 名乳腺癌、前列腺癌或结直肠癌患者,放疗治疗后三年;他们的全科医生和放射肿瘤医生;(3)结果:在 15 对全科医生-放射肿瘤医生的配对中,所有变量的一致性(>75%)和中度至几乎完美的一致性(Fleiss kappa)都可接受;(4)结论:放射肿瘤学患者的临床随访评估中全科医生和放射肿瘤医生的一致性是一个重要发现。这些结果可以让全科医生和肿瘤医生都放心,让他们相信全科医生可以提供癌症随访护理。然而,还需要进一步的研究来证实这些发现,并进一步增强卫生专业人员的信心。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0030/9819474/5a970485306a/ijerph-20-00108-g001.jpg

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