Evidence map›Paper›PMID 30723802›Full record

ArticleBJGP open2018

Feasibility and acceptability of follow-up for prostate cancer in primary care: a pilot study.

Marianne Heins, François Schellevis, Mirjam Schotman, Bart van Bezooijen, Ismene Tchaoussoglou, Mirjam van der Waart, Lilan Veldhuis, Sandra van Dulmen, Gé Donker, Joke Korevaar

Open access · goldAbstract read
In one paragraph

Article in BJGP open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Preferences of healthcare providers regarding future follow-up care for breast, prostate, and colorectal cancer: A discrete choice experiment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  3. Article
  4. Acceptability of a shared cancer follow-up model of care between general practitioners and radiation oncologists: A qualitative evaluation.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
  5. Prostate cancer follow-up costs in Germany from 2000 to 2015.Journal of cancer survivorship : research and practice · 2022
    Article
  6. Exploring the experiences of patients, general practitioners and oncologists of prostate cancer follow-up: A qualitative interview study.European journal of oncology nursing : the official journal of European Oncology Nursing Society · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 3 countries.

Marianne HeinsResearcher, Department of General Practice, Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands.
François SchellevisProfessor, Department of General Practice & Elderly Care Medicine, Amsterdam Public Health Research Institute, VU University Medical Centre, Amsterdam, The Netherlands.
Mirjam SchotmanUrologist, Department of Urology, Meander Medical Centre, Amersfoort, The Netherlands.
Bart van BezooijenUrologist, Department of Urology, Meander Medical Centre, Amersfoort, The Netherlands.
Ismene TchaoussoglouMedical Coordinator, MCC Eemland, Amersfoort, The Netherlands.
Mirjam van der WaartGP, Lepelaar GP Practice, Leusden, The Netherlands.
Lilan VeldhuisGP, Veldhuis/Blom GP Practice, Amersfoort, The Netherlands.
Sandra van DulmenProfessor, Department of Primary and Community Care, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, The Netherlands.
Gé DonkerSenior Researcher, Department of General Practice, Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands.
Joke KorevaarProgramme Coordinator, Department of General Practice, Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands.
Netherlands Institute for Health Services Research · NLMeander Medisch Centrum · NLMarymount University · USUniversity Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe number of patients with prostate cancer is increasing, which puts additional pressure on health care. GP-led follow up may help reduce costs, travel time for patients, and workload for urologists and improve continuity of care.

aimTo test the feasibility and acceptability of a new clinical pathway for GP-led prostate cancer follow-up. DESIGN &

settingA feasibility pilot study was performed in cooperation with six GP practices in the Dutch region of Amersfoort.

methodThe study included 20 patients with prostate cancer in a stable phase, who were aged ≥65 years and with comorbidity. Follow-up for prostate cancer was transferred to the GP for one year. Participating GPs and urologists jointly developed a protocol. Patient satisfaction was measured at 0 and 12 months with the 'personalised care' subscale of the Consumer Quality (CQ) index 'general practice care'. Next, patients, GPs, and urologists were interviewed about their experiences. The clinical pathway was considered successful if no patients were referred back to the urologist, except for an increase in prostate-specific antigen (PSA), and if the majority of patients and participating urologists and GPs were satisfied.

resultsOf the 20 patients included in the study, three were referred back to the urologist because of increasing PSA levels and one died (unrelated to prostate cancer). Most patients (73%) were satisfied with the transfer of care, indicated by a score of ≥3 on the 'personalised care' subscale. GPs and urologists had confidence in the ability of GPs to provide follow-up care and preferred to continue this.

conclusionThe new clinical pathway was successful, warranting a larger study to provide evidence for the (cost-)effectiveness of GP-led prostate cancer follow-up.

Indexed as

aftercaregeneral practicehealth servicesneoplasmsprimary health careprostatic neoplasms

Identifiers

PMID30723802
PMCPMC6348321
OpenAlexW2904383736

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.