Claire Berger1,2,3, Léonie Casagranda1,2,3, Cécile Faure-Conter4, Claire Freycon5, Florentina Isfan6, Aurélie Robles7, Béatrice Trombert-Paviot3,8, Isabelle Guichard9, Isabelle Durieu10, Pascal Cathebras9. 1. 1 Department of Pediatric Hematology and Oncology Unit, University Hospital of Saint-Etienne , Saint-Etienne Cedex 02, France . 2. 2 Childhood Cancer Registry of the Rhône-Alpes Region, University of Saint-Etienne , Saint-Etienne Cedex 02, France . 3. 3 Host Research Team EA4607 SNA-EPIS, PRES Lyon, Jean Monnet University, University Hospital , Saint-Etienne, France . 4. 4 Institute of Pediatric Hematology and Oncology , Lyon, France . 5. 5 Department of Pediatric Hematology and Oncology Unit, University Hospital of Grenoble , Grenoble Cedex 9, France . 6. 6 Department of Pediatric Hematology and Oncology Unit, University Hospital Estaing of Clermont-Ferrand , Clermont-Ferrand, France . 7. 7 Department of Internal Medicine Unit, Hospital of Firminy , Firminy, France . 8. 8 Department of Public Health and Medical Informatics, University of Saint-Etienne , Saint-Etienne Cedex 02, France . 9. 9 Department of Internal Medicine Unit, University Hospital of Saint-Etienne , Saint-Etienne Cedex 02, France . 10. 10 Department of Internal Medicine and Vascular Pathology Unit, University Hospital of Lyon Sud , Pierre-Bénite, France .
Abstract
PURPOSE: We evaluated the satisfaction of adult survivors of childhood cancers and their general practitioners (GP) after a long-term consultation. METHODS: The first Long-term Follow-up Study in Oncology (SALTO1) is a prospective cohort study of survivors of childhood cancers (except leukemia) diagnosed between 1987 and 1992 in the Rhône-Alpes and Auvergne regions of France. Of the 481 patients eligible for the study, 150 participated in a long-term consultation with a pediatric oncologist and an internist, after which survivors and their GPs received long-term plans and recommendations based on consultation findings. A year after the consultation, survivors and their GPs assessed their satisfaction with the process. RESULTS: Of the 150 survivor participants in the long-term follow-up, 120 (80%) completed the satisfaction form, with 107 (89%) reporting satisfaction. Forty-eight (32%) expressed strengthening their follow-up as a consequence of the consultation. Of the 79 survivors sent recommendations, 76 (96%) reported reading them, most (n = 68; 86%) found them useful, and 56 (71%) followed recommendations. Of the 107 GPs of the survivors, 82 (77%) conceded having been poorly informed about long-term complications for their patients after chemotherapy, and 93 (88%) appreciated having a hospital contact available for these patients. CONCLUSION: The long-term consultations ultimately enhanced medical follow-up of survivor participants, improving knowledge of both patients and family physicians regarding the patients' early disease, its treatments, and possible concerns, and offering consultative resources of medical specialists. The levels of participation of survivors and their physicians and reported satisfaction encourage the adoption of such consultations throughout France.
PURPOSE: We evaluated the satisfaction of adult survivors of childhood cancers and their general practitioners (GP) after a long-term consultation. METHODS: The first Long-term Follow-up Study in Oncology (SALTO1) is a prospective cohort study of survivors of childhood cancers (except leukemia) diagnosed between 1987 and 1992 in the Rhône-Alpes and Auvergne regions of France. Of the 481 patients eligible for the study, 150 participated in a long-term consultation with a pediatric oncologist and an internist, after which survivors and their GPs received long-term plans and recommendations based on consultation findings. A year after the consultation, survivors and their GPs assessed their satisfaction with the process. RESULTS: Of the 150 survivor participants in the long-term follow-up, 120 (80%) completed the satisfaction form, with 107 (89%) reporting satisfaction. Forty-eight (32%) expressed strengthening their follow-up as a consequence of the consultation. Of the 79 survivors sent recommendations, 76 (96%) reported reading them, most (n = 68; 86%) found them useful, and 56 (71%) followed recommendations. Of the 107 GPs of the survivors, 82 (77%) conceded having been poorly informed about long-term complications for their patients after chemotherapy, and 93 (88%) appreciated having a hospital contact available for these patients. CONCLUSION: The long-term consultations ultimately enhanced medical follow-up of survivor participants, improving knowledge of both patients and family physicians regarding the patients' early disease, its treatments, and possible concerns, and offering consultative resources of medical specialists. The levels of participation of survivors and their physicians and reported satisfaction encourage the adoption of such consultations throughout France.
Entities:
Keywords:
adult survivors of childhood cancer; general practitioner; internal medicine; long-term follow-up; transition
Authors: Christina Signorelli; Claire E Wakefield; Joanna E Fardell; Tali Foreman; Karen A Johnston; Jon Emery; Elysia Thornton-Benko; Afaf Girgis; Hanne C Lie; Richard J Cohn Journal: Oncologist Date: 2018-08-31
Authors: Maria Otth; Sibylle Denzler; Christa Koenig; Henrik Koehler; Katrin Scheinemann Journal: J Cancer Surviv Date: 2020-07-16 Impact factor: 4.442