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Off to a good start after a cancer diagnosis: implementation of a time out consultation in primary care before cancer treatment decision.
Noteboom, Eveline A; de Wit, Niek J; van Asseldonk, Ingrid J E M; Janssen, Monique C A M; Lam-Wong, Wai Yee; Linssen, Rob H P J; Pepels, Manon J A E; Schrama, Natascha A W P; Trompper, Mariëlle E H; Veldhuizen, L Maaike; Wijtvliet, Anne P; Zeldenrust, Ed G F; Hendrikx, Ans M; van de Boomen, Wil A; Elbersen, Dorothé M; Jacobs, Esther M G; van der Wall, Elsken; Helsper, Charles W.
Afiliación
  • Noteboom EA; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, P.O. Box 85500, 3508 GA, Utrecht, The Netherlands. e.a.noteboom@umcutrecht.nl.
  • de Wit NJ; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, P.O. Box 85500, 3508 GA, Utrecht, The Netherlands.
  • van Asseldonk IJEM; Quality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
  • Janssen MCAM; Quality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
  • Lam-Wong WY; Quality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
  • Linssen RHPJ; Quality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
  • Pepels MJAE; Quality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
  • Schrama NAWP; Quality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
  • Trompper MEH; Quality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
  • Veldhuizen LM; Quality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
  • Wijtvliet AP; Quality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
  • Zeldenrust EGF; Quality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
  • Hendrikx AM; Quality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
  • van de Boomen WA; Quality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
  • Elbersen DM; Quality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
  • Jacobs EMG; Quality of Life Group, Elkerliek Hospital, P.O. Box 98, 5700, AB, Helmond, The Netherlands.
  • van der Wall E; Department of Medical Oncology, University Medical Center Utrecht, Utrecht University, P.O. Box 85500, Utrecht, 3508 GA, The Netherlands.
  • Helsper CW; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, P.O. Box 85500, 3508 GA, Utrecht, The Netherlands.
J Cancer Surviv ; 14(1): 9-13, 2020 02.
Article en En | MEDLINE | ID: mdl-31734854
PURPOSE: Supportive care for cancer patients may benefit from improving treatment decisions and optimal use of the family physicians' and specialists' strengths. To improve shared decision-making (SDM) and facilitate continuity of primary care during treatment, a cancer care path including a "time out consultation" (TOC) in primary care before treatment decision, was implemented. This study assesses the uptake of a TOC and the added value for SDM. METHODS: For patients with metastatic lung or gastro-intestinal cancer, a TOC was introduced in their care path in a southern region of The Netherlands, from April until October 2016. Uptake of a TOC was measured to reflect on facilitation of continuity of primary care. The added value for SDM and overall experiences were evaluated with questionnaires and semi-structured interviews among patients, family physicians, and specialists. RESULTS: Of the 40 patients who were offered a TOC, 31 (78%) had a TOC. Almost all patients, family physicians, and specialists expressed that they experienced added value for SDM. This includes a stimulating effect on reflection on choice (expressed by 83% of patients) and improved preparation for treatment decision (75% of patients). Overall added value of a TOC for SDM, only evaluated among family physicians and specialists, was experienced by 71% and 86% of these physicians, respectively. CONCLUSION AND IMPLICATIONS FOR CANCER SURVIVORS: The first experiences with a TOC in primary care before cancer treatment decision suggest that it may help to keep the GP "in the loop" after a cancer diagnosis and that it may contribute to the SDM process, according to patients, family physicians, and specialists.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Derivación y Consulta / Toma de Decisiones / Neoplasias Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies / Qualitative_research Límite: Female / Humans / Male / Middle aged Idioma: En Revista: J Cancer Surviv Año: 2020 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Derivación y Consulta / Toma de Decisiones / Neoplasias Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies / Qualitative_research Límite: Female / Humans / Male / Middle aged Idioma: En Revista: J Cancer Surviv Año: 2020 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Estados Unidos