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Research

GP involvement after a cancer diagnosis; patients’ call to improve decision support

Eveline A Noteboom, Ietje AA Perfors, Anne M May, Mariken E Stegmann, Saskia FA Duijts, Ella A Visserman, Vivian Engelen, Carol Richel, Elsken van der Wall, Niek de Wit and Charles W Helsper
BJGP Open 2021; 5 (1): bjgpopen20X101124. DOI: https://doi.org/10.3399/bjgpopen20X101124
Eveline A Noteboom
1 Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, the Netherlands
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  • ORCID record for Eveline A Noteboom
  • For correspondence: gripstudie{at}umcutrecht.nl
Ietje AA Perfors
1 Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, the Netherlands
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Anne M May
1 Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, the Netherlands
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Mariken E Stegmann
2 Department of General Practice and Elderly Care Medicine, University Medical Center Groningen, Groningen, the Netherlands
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  • ORCID record for Mariken E Stegmann
Saskia FA Duijts
3 Netherlands Comprehensive Cancer Organisation, Utrecht, the Netherlands
4 Public and Occupational Health, Amsterdam UMC, Amsterdam, the Netherlands
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Ella A Visserman
5 Dutch Federation of Cancer Patient Organisations, Utrecht, the Netherlands
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Vivian Engelen
5 Dutch Federation of Cancer Patient Organisations, Utrecht, the Netherlands
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Carol Richel
6 Dutch Breast Cancer Association, Utrecht, the Netherlands
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Elsken van der Wall
7 Department of Medical Oncology, University Medical Centre Utrecht, Utrecht, the Netherlands
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Niek de Wit
1 Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, the Netherlands
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Charles W Helsper
1 Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, the Netherlands
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  • Article
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Article Figures & Data

Tables

    • View popup
    Table 1. Baseline characteristics of responders
    Total, N = 4763
     n%
    Female 268656
    Age, years, mean (± SD)62(±12)
    Educationa  
    High227648
    Middle190840
    Low46410
    Other611
    Missing541
    Diagnosis
    Breast cancer123126
    Haematological cancers87418
    Colorectal cancer78716
    Prostate cancer56912
    Bladder cancer2706
    Gynaecologic cancer1794
    Lung cancer1533
    Melanoma1253
    Esophageal cancer1052
    Other47010
    Years since last received cancer treatment, median (IQR)21–6
    Patient reported cancer stage  
    Cured216646
    Will probably be cured90119
    Will probably not be cured125626
    Don’t know/NA4409
    • aEducation is categorised as high (university or higher professional education), middle (secondary education), and low (primary education or no education). IQR = interquartile range. NA = not applicable. SD = standard deviation.

    • View popup
    Table 2. Need for GP involvement in cancer care and whether GP involvement occurred. Presented for total and stratified per subgroup
    Need for GP involvement in cancer care any time after diagnosis
     Need (yes)Contact occurred? (yes)a
     TotalOf totalOf need
     nn%n%
    All responders4763280459219379
    Sex
    Male207710735287382
    Female2686173164132077
    Age
    Aged <65 years2537157762124580
    Aged ≥65 years222612275594878
    Education
    Low educationb 4642545518875
    Middle educationb 190811345984976
    High educationb 2276135159110582
    Diagnosis
    Haematological cancers8744785538080
    Colorectal cancer7874025130778
    Bladder cancer2701284710583
    Gynaecologic cancer179121689176
    Melanoma cancer12575606485
    Breast cancer12317916458274
    Prostate cancer5693235727686
    Lung cancer153105698381
    Oesophageal cancer10572696388
    Years since last received cancer treatment
    Last treatment ≤2 years ago2404146261121584
    Last treatment ≥3 years ago235913425797874
    Patient reported cancer stage
    Cured216611805587575
    Will probably be cured9015355941378
    Will probably not be cured12568256669985
    • aPercentage ‘Contact occurred? (yes)’ is calculated for those who responded to have a need for GP involvement and filled in the question ‘Contact occurred?’. Denominators vary for this question and are slightly lower than the total number of patients who indicated to have a need for GP involvement, due to missing data (i.e. not all respondents filled in the follow-up question ‘Contact occurred’). Further information is available from the authors on request bEducation is categorised as high (university or higher professional education), middle (secondary education), and low (primary education or no education).

    • View popup
    Table 3. Needs to have important topics in the shared decision-making process for cancer treatment addressed in a GP consultation and whether this topic was addressed
    My GP should …Listen to my worries and considerations about the diagnosis, treatment and its consequencesCheck if I understand the information about my diagnosis, treatment, and its consequencesDiscuss what I think is important in my life and the consequences of treatment options for these prioritiesExplain to me the importance of my own opinion when making a treatment decision
    Need (yes)Topic addressed?(yes)aNeed (yes)Topic addressed? (yes)aNeed (yes)Topic addressed? (yes)aNeed (yes)Topic addressed? (yes)a
     TotalOf totalOf needOf totalOf needOf totalOf needOf totalOf need
     nn%n%n%n%n%n%n%n%
    All responde r s 4526372482174447313069542173006664611530456729410
    Sex
    Male196615617975548134969236181274652171712976612810
    Female256021638598946178170306171732682441417486816610
    Age
    Aged <65 years2434205985100849168569326191639672571616656816010
    Aged ≥65 years209216658073644144569216151376652041513806613410
    Education
    Low educationb 4223267712739308735117296703311296703211
    Middle educationb 181014958364443130572221171237681831512396911910
    High educationb 218518128393051143966260181394642381714356613810
    Diagnosis
    Haematological cancers832680823114653064901751262751550761388
    Colorectal cancer732568782544551771941846964651448366429
    Bladder cancer2562017983411766926151766914817669106
    Gynaecologic cancer17014183664711970161311970171412775119
    Melanoma cancer11997825153877313157966182383701113
    Breast cancer11781002854424481869143188016810413804687610
    Prostate cancer5434478222951384717018358666719377695214
    Lung cancer14512486645210472201910572262595661213
    Oesophageal cancer10484815464767315207572192578751215
    Years since last received cancer treatment
    Last treatment ≤2 years ago230718978299553153266289191510662891914976517111
    Last treatment ≥3 years ago22191827827494115987225316149667172121548701238
    Patient reported cancer stage
    Cured2035165882711431438712281613406614711139869997
    Will probably be cured8677088232947606701161957066811459869529
    Will probably not be cured120810178455354806671421881868200247766411515
    • aPercentage ‘Topic addressed? (yes)’ is calculated for those who responded to have a need for GP involvement and filled in the question ‘Topic addressed?’ Denominators vary for this question and are slightly lower than thetotal number of patients who indicated to have a need to have SDM topics addressed by the GP, dueto missing data (i.e. not all respondents filled in the follow-up question‘Topic addressed’). Further information is available from the authors onrequest. bEducation is categorised as high (university or higher professional education), middle (secondary education), and low (primary education or no education).

Supplementary Data

SUPPLEMENTARY MATERIALS

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    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

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GP involvement after a cancer diagnosis; patients’ call to improve decision support
Eveline A Noteboom, Ietje AA Perfors, Anne M May, Mariken E Stegmann, Saskia FA Duijts, Ella A Visserman, Vivian Engelen, Carol Richel, Elsken van der Wall, Niek de Wit, Charles W Helsper
BJGP Open 2021; 5 (1): bjgpopen20X101124. DOI: 10.3399/bjgpopen20X101124

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GP involvement after a cancer diagnosis; patients’ call to improve decision support
Eveline A Noteboom, Ietje AA Perfors, Anne M May, Mariken E Stegmann, Saskia FA Duijts, Ella A Visserman, Vivian Engelen, Carol Richel, Elsken van der Wall, Niek de Wit, Charles W Helsper
BJGP Open 2021; 5 (1): bjgpopen20X101124. DOI: 10.3399/bjgpopen20X101124
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Keywords

  • neoplasms
  • general practice
  • decision making, shared

More in this TOC Section

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