Michael Jefford1, Bogda Koczwara2, Jon Emery3, Elysia Thornton-Benko4, Janette L Vardy5. 1. MBBS, MPH, MHlthServMt, PhD, GCertUniTeach, GAICD, FRACP, Director, Australian Cancer Survivorship Centre @ A Richard Pratt Legacy, and Senior Medical Oncologist, Peter MacCallum Cancer Centre, Vic; Professor of Medicine, Sir Peter MacCallum Department of Oncology, University of Melbourne, Vic. 2. AM, BM, BS, FRACP, MBioethics, FAICD, Senior Staff Specialist,@Flinders Centre for Innovation in Cancer, Flinders Medical Centre, SA; Senior Staff Specialist, Department@of Medical Oncology, Flinders University, SA. 3. MA, MBBCh, MRCGP, FRACGP, DPhil, Herman Professor of Primary Care Cancer Research, Department of General Practice, and Centre for Cancer Research, University of Melbourne, Vic. 4. BSc, MBBS (Hons), PhD, FRACGP, Specialist General Practitioner/Family Physician, Bondi Road Doctors, NSW. 5. BMed (Hons), FRACP, PhD, Professor of Cancer Medicine, University of Sydney, NSW; Director, Sydney Survivorship Centre, NSW; Senior Medical Oncologist, Concord Cancer Centre, NSW.
Abstract
BACKGROUND: The number of people living with and beyond cancer is increasing substantially. Primary care has an important role in the ongoing management of cancer survivors. OBJECTIVE: The aim of this article is to outline common concerns of cancer survivors, evidence to support the role of general practitioners (GP) in survivorship care and key aspects of primary care-led survivorship care. DISCUSSION: Clinical trials have shown that, in particular circumstances and with well‑designed models, GP-led care is as effective as oncology specialist-led care. Regardless of the model of care, general practice has key roles in care coordination, management of multimorbidity, secondary prevention and health promotion, management of psychosocial care and promotion of self-management. Communication and collaboration between GPs and specialist cancer services is critical to support patients and healthcare providers in the delivery of care.
BACKGROUND: The number of people living with and beyond cancer is increasing substantially. Primary care has an important role in the ongoing management of cancer survivors. OBJECTIVE: The aim of this article is to outline common concerns of cancer survivors, evidence to support the role of general practitioners (GP) in survivorship care and key aspects of primary care-led survivorship care. DISCUSSION: Clinical trials have shown that, in particular circumstances and with well‑designed models, GP-led care is as effective as oncology specialist-led care. Regardless of the model of care, general practice has key roles in care coordination, management of multimorbidity, secondary prevention and health promotion, management of psychosocial care and promotion of self-management. Communication and collaboration between GPs and specialist cancer services is critical to support patients and healthcare providers in the delivery of care.
Authors: Daniel A Cehic; Aaron L Sverdlov; Bogda Koczwara; Jon Emery; Doan T M Ngo; Elysia Thornton-Benko Journal: Curr Treat Options Oncol Date: 2021-10-21