Type of treatment, symptoms and patient satisfaction play an important role in primary care contact during prostate cancer follow-up: results from the population-based PROFILES registry

Abstract Background With the increasing attention for the role of General Practitioners (GPs) after cancer treatment, it is important to better understand the involvement of GPs following prostate cancer treatment. This study investigates factors associated with GP contact during follow-up of prosta...

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Autores principales: Barbara M. Wollersheim, Mies van Eenbergen, Kristel M. van Asselt, Laurent M. C. L. Fossion, Evert L. Koldewijn, Jorg R. Oddens, Eric H. Oomens, Bart P. Wijsman, Lonneke V. van de Poll-Franse, Nicole P. M. Ezendam
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Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/77060aefd4e04ae78ec652fcd1950ac0
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spelling oai:doaj.org-article:77060aefd4e04ae78ec652fcd1950ac02021-11-08T11:04:09ZType of treatment, symptoms and patient satisfaction play an important role in primary care contact during prostate cancer follow-up: results from the population-based PROFILES registry10.1186/s12875-021-01567-w1471-2296https://doaj.org/article/77060aefd4e04ae78ec652fcd1950ac02021-11-01T00:00:00Zhttps://doi.org/10.1186/s12875-021-01567-whttps://doaj.org/toc/1471-2296Abstract Background With the increasing attention for the role of General Practitioners (GPs) after cancer treatment, it is important to better understand the involvement of GPs following prostate cancer treatment. This study investigates factors associated with GP contact during follow-up of prostate cancer survivors, such as patient, treatment and symptom variables, and satisfaction with, trust in, and appraised knowledge of GPs. Methods Of 787 prostate cancer survivors diagnosed between 2007 and 2013, and selected from the Netherlands Cancer Registry, 557 (71%) responded to the invitation to complete a questionnaire. Multivariable logistic regression analyses were performed to investigate which variables were associated with GP contact during follow- up. Results In total, 200 (42%) prostate cancer survivors had contact with their GP during follow-up, and 76 (16%) survivors preferred more contact. Survivors who had an intermediate versus low educational level (OR = 2.0) were more likely to have had contact with their GP during follow-up. Survivors treated with surgery (OR = 2.8) or hormonal therapy (OR = 3.5) were also more likely to seek follow-up care from their GP compared to survivors who were treated with active surveillance. Patient reported bowel symptoms (OR = 1.4), hormonal symptoms (OR = 1.4), use of incontinence aids (OR = 1.6), and being satisfied with their GP (OR = 9.5) were also significantly associated with GP contact during follow-up. Conclusions Education, treatment, symptoms and patient satisfaction were associated with GP contact during prostate cancer follow-up. These findings highlight the potential for adverse side-effects to be managed in primary care. In light of future changes in cancer care, evaluating prostate cancer follow-up in primary care remains important.Barbara M. WollersheimMies van EenbergenKristel M. van AsseltLaurent M. C. L. FossionEvert L. KoldewijnJorg R. OddensEric H. OomensBart P. WijsmanLonneke V. van de Poll-FranseNicole P. M. EzendamBMCarticleProstate cancer survivorsGeneral practitionerPrimary healthcare contactFollow-upMedicine (General)R5-920ENBMC Family Practice, Vol 22, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Prostate cancer survivors
General practitioner
Primary healthcare contact
Follow-up
Medicine (General)
R5-920
spellingShingle Prostate cancer survivors
General practitioner
Primary healthcare contact
Follow-up
Medicine (General)
R5-920
Barbara M. Wollersheim
Mies van Eenbergen
Kristel M. van Asselt
Laurent M. C. L. Fossion
Evert L. Koldewijn
Jorg R. Oddens
Eric H. Oomens
Bart P. Wijsman
Lonneke V. van de Poll-Franse
Nicole P. M. Ezendam
Type of treatment, symptoms and patient satisfaction play an important role in primary care contact during prostate cancer follow-up: results from the population-based PROFILES registry
description Abstract Background With the increasing attention for the role of General Practitioners (GPs) after cancer treatment, it is important to better understand the involvement of GPs following prostate cancer treatment. This study investigates factors associated with GP contact during follow-up of prostate cancer survivors, such as patient, treatment and symptom variables, and satisfaction with, trust in, and appraised knowledge of GPs. Methods Of 787 prostate cancer survivors diagnosed between 2007 and 2013, and selected from the Netherlands Cancer Registry, 557 (71%) responded to the invitation to complete a questionnaire. Multivariable logistic regression analyses were performed to investigate which variables were associated with GP contact during follow- up. Results In total, 200 (42%) prostate cancer survivors had contact with their GP during follow-up, and 76 (16%) survivors preferred more contact. Survivors who had an intermediate versus low educational level (OR = 2.0) were more likely to have had contact with their GP during follow-up. Survivors treated with surgery (OR = 2.8) or hormonal therapy (OR = 3.5) were also more likely to seek follow-up care from their GP compared to survivors who were treated with active surveillance. Patient reported bowel symptoms (OR = 1.4), hormonal symptoms (OR = 1.4), use of incontinence aids (OR = 1.6), and being satisfied with their GP (OR = 9.5) were also significantly associated with GP contact during follow-up. Conclusions Education, treatment, symptoms and patient satisfaction were associated with GP contact during prostate cancer follow-up. These findings highlight the potential for adverse side-effects to be managed in primary care. In light of future changes in cancer care, evaluating prostate cancer follow-up in primary care remains important.
format article
author Barbara M. Wollersheim
Mies van Eenbergen
Kristel M. van Asselt
Laurent M. C. L. Fossion
Evert L. Koldewijn
Jorg R. Oddens
Eric H. Oomens
Bart P. Wijsman
Lonneke V. van de Poll-Franse
Nicole P. M. Ezendam
author_facet Barbara M. Wollersheim
Mies van Eenbergen
Kristel M. van Asselt
Laurent M. C. L. Fossion
Evert L. Koldewijn
Jorg R. Oddens
Eric H. Oomens
Bart P. Wijsman
Lonneke V. van de Poll-Franse
Nicole P. M. Ezendam
author_sort Barbara M. Wollersheim
title Type of treatment, symptoms and patient satisfaction play an important role in primary care contact during prostate cancer follow-up: results from the population-based PROFILES registry
title_short Type of treatment, symptoms and patient satisfaction play an important role in primary care contact during prostate cancer follow-up: results from the population-based PROFILES registry
title_full Type of treatment, symptoms and patient satisfaction play an important role in primary care contact during prostate cancer follow-up: results from the population-based PROFILES registry
title_fullStr Type of treatment, symptoms and patient satisfaction play an important role in primary care contact during prostate cancer follow-up: results from the population-based PROFILES registry
title_full_unstemmed Type of treatment, symptoms and patient satisfaction play an important role in primary care contact during prostate cancer follow-up: results from the population-based PROFILES registry
title_sort type of treatment, symptoms and patient satisfaction play an important role in primary care contact during prostate cancer follow-up: results from the population-based profiles registry
publisher BMC
publishDate 2021
url https://doaj.org/article/77060aefd4e04ae78ec652fcd1950ac0
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