ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2019
Continuity of care in general practice at cancer diagnosis (COOC-GP study): a national cohort study of 2853 patients.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors affecting the decision to investigate older adults with potential cancer symptoms: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Pooled it
- Trial
- Multidisciplinary management of patients with cancer in France: The SINPATIC qualitative study.The European journal of general practice · 2024Article
- Exploring the lack of continuity of care in older cancer patients under China's 'integrated health system' reform.Age and ageing · 2024Article
- Can QOF cancer care reviews help with continuity of care?The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Article
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11 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundAt cancer diagnosis, it is unclear whether continuity of care (COC) between the patient and GP is safeguarded.
aimTo identify patient-GP loss of COC around the time of, and in the year after, a cancer diagnosis, together with its determinants. DESIGN AND
settingA post-hoc analysis of data from a prospective cohort of GPs in France, taken from a survey by the Observatoire de la Médecine Générale.
methodA prospective GP cohort (
resultsIn total, 2853 patients were included; the mean age was 66.1 years. Of these, 1440 (50.5%) were women, 389 (13.6%) had metastatic cancer, and 769 (27.0%) had a comorbidity. The mean number of consultations increased up to, and including, the first trimester after diagnosis. Overall, 26.9% (95% confidence interval [CI] = 25.3 to 28.6) of patients had a loss of COC in the trimester before the diagnosis, and 22.3% (95% CI = 20.7 to 23.9) in the year after. Increasing comorbidity score was independently associated with a reduction in the loss of COC during the year after diagnosis (adjusted odds ratio [OR] comorbidity versus no comorbidity 0.61, 95% CI = 0.48 to 0.79); the same was true for metastatic status (adjusted OR metastasis versus no metastasis 0.49, 95% CI = 0.35 to 0.70).
conclusionAs COC is a core value for GPs and for most patients, special care should be taken to prevent a loss of COC around the time of a cancer diagnosis, and in the year after.
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