ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2016
Involvement of Primary Care Physicians in the Decision Making and Care of Patients With Breast Cancer.
Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
37 citing papers in PubMed, 52 citations in OpenAlex.
- Improving the delivery of team-based survivorship care after primary breast cancer treatment through a multi-level intervention: a pilot randomized controlled trial.Breast cancer research and treatment · 2021Trial
- Improving Breast Cancer Surgical Treatment Decision Making: The iCanDecide Randomized Clinical Trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018Trial
- Trial
- Patient-reported duplication and missed breast cancer survivorship care more than 5 years after initial treatment.Journal of cancer survivorship : research and practice · 2026Article
- Article
- Extended endocrine therapy use and decision making after breast cancer diagnosis.Journal of the National Cancer Institute · 2025Article
- Continuity of Cancer Care: Female Participants' Report of Healthcare Experiences After Conclusion of Primary Treatment.Current oncology (Toronto, Ont.) · 2025Observational
- Oncology and Primary Care Involvement in Breast Cancer Survivorship Care More Than 5 Years After Initial Treatment.JCO oncology practice · 2025Article
- The focus on life-prolonging anticancer treatment hampers shared decision-making in people with advanced cancer: A qualitative embedded multiple-case study.Palliative medicine · 2024Article
- Adapting and implementing breast cancer follow-up in primary care: protocol for a mixed methods hybrid type 1 effectiveness-implementation cluster randomized study.BMC primary care · 2023Article
- Primary care provider attitudes about and tendency to use non-recommended surveillance tests after curative breast cancer treatment.Breast cancer research and treatment · 2023Article
- Large-scale North American cancer survivorship surveys: 2011-2019 update.Journal of cancer survivorship : research and practice · 2022Review
- Roles of general practitioners in shared decision-making for patients with cancer: A qualitative study.European journal of cancer care · 2022Article
- Article
- Physician Specialties Involved in Thyroid Cancer Diagnosis and Treatment: Implications for Improving Health Care Disparities.The Journal of clinical endocrinology and metabolism · 2022Article
- Primary Care Physician Perspectives on Low Risk Prostate Cancer Management: Results of a National Survey.Urology practice · 2021Article
- Treatment decision-making and the added value of the general practitioner: A qualitative exploration of cancer patients' perspectives.European journal of cancer care · 2021Article
- Primary Care Providers' Perceptions About Participating in Low-Risk Prostate Cancer Treatment Decisions.Journal of general internal medicine · 2021Article
- Comorbidity Management in Black Women Diagnosed with Breast Cancer: the Role of Primary Care in Shared Care.Journal of general internal medicine · 2021Article
- GP involvement after a cancer diagnosis; patients' call to improve decision support.BJGP open · 2021Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
Purpose Collaborative care between cancer specialists and primary care providers (PCPs) may improve the delivery of high-quality cancer care. Yet, patient perspectives about how involved the PCPs were in their breast cancer care and treatment decisions remain unknown. Patients and Methods A weighted random sample of women newly diagnosed with breast cancer in 2013 to 2014, as reported to the SEER registries in Los Angeles, California, and Georgia, were sent a survey approximately 6 months after diagnosis (N = 2,279, 71% response rate). The distributions of patient-perceived PCP quality (six questions about PCP access and awareness of values) and the following three measures of patient-reported PCP involvement were assessed: how informed the respondent felt her PCP was about her breast cancer (engagement); how often the respondent talked with her PCP (communication); and how often the respondent felt the PCP participated in treatment decisions (participation). Adjusted mean scores of patient-reported satisfaction with and deliberation about the surgical treatment decision were then compared across levels of PCP engagement, communication, and participation using multivariable linear regression. Results The majority of women in this sample perceived high PCP quality (63.6%), high PCP breast cancer engagement (66.2%), and high PCP communication (69.1%). More than a third of women (35.4%) reported that their PCP participated in their treatment decisions. Higher PCP engagement was associated with higher decision satisfaction when compared with low PCP engagement (adjusted P = .003). Conclusion Patient perceptions of PCP quality and PCP involvement in breast cancer care during treatment are high for most women, and PCPs often participate in breast cancer treatment decisions. However, PCP involvement did not lead to meaningful improvements in patients' appraisals of their decision making.
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