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French general practitioners' attitude towards breast cancer in older women: A qualitative study.
Zavaroni, Marine; Oudé-Engberink, Agnès; Antoine, Valéry.
Afiliación
  • Zavaroni M; Department of Geriatric Medicine, CHU Nimes, Univ Montpellier, Nîmes, France.
  • Oudé-Engberink A; Department of General Medicine, Univ Montpellier, Montpellier, France; CEPS platform, site Saint-Charles, 34000 Montpellier, France; Maison de santé pluri-professionnelle universitaire Avicenne, 2 rue Ibn Sinai dit Avicenne, 66300 Cabestany, France; Institut Desbrest d'Epidemiologie et de Sante Publique, IDESP UMR UA11 INSERM - Univ. Montpellier, Montpellier, France.
  • Antoine V; Department of Geriatric Medicine, CHU Nimes, Univ Montpellier, Nîmes, France; Institut Desbrest d'Epidemiologie et de Sante Publique, IDESP UMR UA11 INSERM - Univ. Montpellier, Montpellier, France. Electronic address: valery.antoine@chu-nimes.fr.
J Geriatr Oncol ; 12(7): 1076-1084, 2021 09.
Article en En | MEDLINE | ID: mdl-34045153
INTRODUCTION: In France, general practitioners (GPs) are usually the first-line healthcare contact for breast cancer (BC) screening/diagnosis in older women, information about therapies, access to cancer specialists, management of comorbidities and follow-up. GPs' practices may influence the factors involved in the unfavorable prognosis of BC in older patients: delay in diagnosis, insufficiently active treatment and the impact of associated morbidities. OBJECTIVE: The aim of this study was to explore GPs' experience, to understand the factors which shape their care of older women with BC and to identify ways in which this care might be improved. METHOD: This was a two-part qualitative study among GPs following COREQ guidelines. We analysed themes arising from group and semi-directive personal interviews. RESULTS: GPs had diverse attitudes caused by 1/ the GPs' professional values, in response to their mission for local referral, their overall knowledge of the patient's context and wishes; 2/ the impact of comorbidities; 3/ the GPs' own experiences (confrontation with the disease, emotional ties established with the patient, embarrassment about examinations); 4/ prejudicial connotations (therapies judged as being too aggressive). GPs expressed interest for training, for inclusion in a coordinated multidisciplinary organisation with oncologists and geriatricians, confirming the GP's position (to better inform their patients, participate in the therapeutic decision and ensure the continuity of care). CONCLUSION: To improve their care of older patients with BC, GPs would welcome improved relationships with geriatricians and oncologists, more information support and a more clearly defined role in the geriatric oncology care pathway.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Mama / Médicos Generales Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies / Qualitative_research Límite: Aged / Female / Humans País/Región como asunto: Europa Idioma: En Revista: J Geriatr Oncol Año: 2021 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Países Bajos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Mama / Médicos Generales Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies / Qualitative_research Límite: Aged / Female / Humans País/Región como asunto: Europa Idioma: En Revista: J Geriatr Oncol Año: 2021 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Países Bajos