Clinical and organizational issues in the management of surviving breast and colorectal cancer patients: attitudes and feelings of medical oncologists.

<h4>Background</h4>The fast growing demand and the shortage of resources are pushing toward more efficient models of survivorship care delivery. The Associazione Italiana di Oncologia Medica (AIOM) established an interdisciplinary working group with the purpose of promoting organizationa...

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Autores principales:	Gianmauro Numico, Carmine Pinto, Stefania Gori, Giovanni Ucci, Massimo Di Maio, Maurizio Cancian, Francesco De Lorenzo, Nicola Silvestris
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/4c3174317c144a41a8f1fd4492954642
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spelling	oai:doaj.org-article:4c3174317c144a41a8f1fd44929546422021-11-25T06:10:14ZClinical and organizational issues in the management of surviving breast and colorectal cancer patients: attitudes and feelings of medical oncologists.1932-620310.1371/journal.pone.0101170https://doaj.org/article/4c3174317c144a41a8f1fd44929546422014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24983237/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>The fast growing demand and the shortage of resources are pushing toward more efficient models of survivorship care delivery. The Associazione Italiana di Oncologia Medica (AIOM) established an interdisciplinary working group with the purpose of promoting organizational improvements at the national level. A survey aimed at assessing attitudes and feelings of oncologists was considered preliminary to further initiatives.<h4>Methods</h4>A 25-item questionnaire, sent to the mailing list of the Society, explored the following issues on the practice of breast and colorectal cancer patients' follow up: 1) organization; 2) clinical features; 3) feelings about the different meanings of follow-up.<h4>Results</h4>Ninety-one oncologists of 160 institutions (57%) answered to the questionnaire. Although follow up is considered a distinct oncological activity in 68%, a fully shared organization between specialists is not common and communications with Primary Care Physicians are not structured in the majority of the cases. Fifty-five and 30% of the oncologists follow breast and colorectal cancer patients indefinitely. In case of discharge a survivorship care plan is delivered in only 9%. The majority of respondents do not hold a role of follow up in mortality reduction.<h4>Conclusions</h4>Although survivorship care represents a significant part of the oncologists' workload, an "oncology-centered" model is largely adopted and established care pathways are still incomplete. Survivorship care needs to be put at the center of an educational policy and of a widespread organizational effort, directed at improving appropriateness and quality.Gianmauro NumicoCarmine PintoStefania GoriGiovanni UcciMassimo Di MaioMaurizio CancianFrancesco De LorenzoNicola SilvestrisPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 7, p e101170 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Gianmauro Numico Carmine Pinto Stefania Gori Giovanni Ucci Massimo Di Maio Maurizio Cancian Francesco De Lorenzo Nicola Silvestris Clinical and organizational issues in the management of surviving breast and colorectal cancer patients: attitudes and feelings of medical oncologists.
description	<h4>Background</h4>The fast growing demand and the shortage of resources are pushing toward more efficient models of survivorship care delivery. The Associazione Italiana di Oncologia Medica (AIOM) established an interdisciplinary working group with the purpose of promoting organizational improvements at the national level. A survey aimed at assessing attitudes and feelings of oncologists was considered preliminary to further initiatives.<h4>Methods</h4>A 25-item questionnaire, sent to the mailing list of the Society, explored the following issues on the practice of breast and colorectal cancer patients' follow up: 1) organization; 2) clinical features; 3) feelings about the different meanings of follow-up.<h4>Results</h4>Ninety-one oncologists of 160 institutions (57%) answered to the questionnaire. Although follow up is considered a distinct oncological activity in 68%, a fully shared organization between specialists is not common and communications with Primary Care Physicians are not structured in the majority of the cases. Fifty-five and 30% of the oncologists follow breast and colorectal cancer patients indefinitely. In case of discharge a survivorship care plan is delivered in only 9%. The majority of respondents do not hold a role of follow up in mortality reduction.<h4>Conclusions</h4>Although survivorship care represents a significant part of the oncologists' workload, an "oncology-centered" model is largely adopted and established care pathways are still incomplete. Survivorship care needs to be put at the center of an educational policy and of a widespread organizational effort, directed at improving appropriateness and quality.
format	article
author	Gianmauro Numico Carmine Pinto Stefania Gori Giovanni Ucci Massimo Di Maio Maurizio Cancian Francesco De Lorenzo Nicola Silvestris
author_facet	Gianmauro Numico Carmine Pinto Stefania Gori Giovanni Ucci Massimo Di Maio Maurizio Cancian Francesco De Lorenzo Nicola Silvestris
author_sort	Gianmauro Numico
title	Clinical and organizational issues in the management of surviving breast and colorectal cancer patients: attitudes and feelings of medical oncologists.
title_short	Clinical and organizational issues in the management of surviving breast and colorectal cancer patients: attitudes and feelings of medical oncologists.
title_full	Clinical and organizational issues in the management of surviving breast and colorectal cancer patients: attitudes and feelings of medical oncologists.
title_fullStr	Clinical and organizational issues in the management of surviving breast and colorectal cancer patients: attitudes and feelings of medical oncologists.
title_full_unstemmed	Clinical and organizational issues in the management of surviving breast and colorectal cancer patients: attitudes and feelings of medical oncologists.
title_sort	clinical and organizational issues in the management of surviving breast and colorectal cancer patients: attitudes and feelings of medical oncologists.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/4c3174317c144a41a8f1fd4492954642
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Clinical and organizational issues in the management of surviving breast and colorectal cancer patients: attitudes and feelings of medical oncologists.

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