ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2016
Primary care physicians and oncologists are partners in cancer announcement.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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7 citing papers in PubMed, 16 citations in OpenAlex.
- Professionals' Perceptions of the Colorectal Cancer Pathway: Results of a Co-Constructed Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Adapting patients' oncological treatment through remote participation of general practitioners in multi-disciplinary consultation meetings: A feasibility study.The European journal of general practice · 2022Article
- Experimental system of care coordination for the home return of patients with metastatic cancer: a survey of general practitioners.BMC primary care · 2022Observational
- Adverse events of targeted therapies reported by patients with cancer treated in primary care.The European journal of general practice · 2020Article
- Improving communication between the general practitioner and the oncologist: a key role in coordinating care for patients suffering from cancer.BMC cancer · 2020Article
- The Impact of a Small Private Online Course as a New Approach to Teaching Oncology: Development and Evaluation.JMIR medical education · 2018Article
- Patient-reported distress and survival among patients receiving definitive radiation therapy.Advances in radiation oncologyArticle
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Authors and funding
9 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe primary care physician (PCP) is central to cancer patients' management. Announcement of the diagnosis is a critical time for patients, even if they wish to be fully informed. The French National Cancer Plan, developed 10 years ago, includes a diagnosis disclosure procedure (DDP) to be used by oncologists, which makes specific provision for a time of communication with PCPs. So, we asked PCPs about their role in cancer announcement since the launching of the DDP.
methodsA cross-sectional prospective study by postal questionnaire was sent to 500 PCPs in the largest region of France. It addressed (1) the characteristics of cancer disclosure, (2) PCPs' source of information of the diagnosis, (3) time of disclosure, (4) information exchange, and (5) the physicians' knowledge of the DDP.
resultsThe response rate was 48 %. In 20 % of cases, oncologists delegated the announcement to PCPs. In 19 % of cases, it was the patient or their family who informed the PCP of the diagnosis. We identified three announcement phases of cancer diagnosis in the physicians' clinical practice: pre-disclosure, disclosure, and repeat disclosure. In 57 % of cases, PCPs lacked information on prognosis and in 60 % on treatment. Regarding the DDP, nearly half of PCPs did not know the procedure itself or its content.
conclusionPCPs announce the cancer diagnosis, even if they have not received the necessary information to do so. The DDP needs to be adapted for use in primary care practice.
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