Patients' and healthcare professionals' views of cancer follow-up : systematic review
BACKGROUND: Cancer follow-up places a significant burden on hospital outpatient clinics. There are increasing calls to develop alternative models of provision.
AIM: To undertake a systematic review of qualitative studies examining patients' and healthcare professionals' views about cancer follow-up.
DESIGN OF STUDY: Systematic review.
SETTING: Primary and secondary care.
METHOD: Comprehensive literature searches included: 19 electronic databases, online trial registries, conference proceedings, and bibliographies of included studies. Eligible studies included qualitative studies examining patients' and healthcare professionals' views of cancer follow-up. Studies of patients with any type of cancer, considered free of active disease, or no longer receiving active treatment were included. Findings were synthesised using thematic analysis.
RESULTS: Nineteen studies were included; seven were linked to randomised controlled trials. Eight studies examined the views of healthcare professionals (four of which included GPs) and 16 examined the views of patients. Twelve descriptive themes were identified, from which 12 perceived implications for practice were derived. Most themes related to conventional follow-up in secondary care. Some views concerning other models of care were based on participants' ideas, rather than experiences.
CONCLUSION: Patients' main concern is recurrent disease, and they find regular follow-up, expertise of specialists, and quick access to tests reassuring. Information regarding the effectiveness of follow-up is not given to patients who also have unmet information needs, which would help them to cope and be more involved. Continuity of care, unhurried consultations, and psychosocial support are important, but sometimes lacking in secondary care. GPs are thought to be unwilling and to have insufficient time and expertise to conduct follow-up.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2009 |
|---|---|
| Erschienen: |
2009 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:59 |
|---|---|
| Enthalten in: |
The British journal of general practice : the journal of the Royal College of General Practitioners - 59(2009), 564 vom: 01. Juli, Seite e248-59 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Lewis, Ruth A [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Journal Article |
|---|
| Anmerkungen: |
Date Completed 02.10.2009 Date Revised 08.04.2022 published: Print Citation Status MEDLINE |
|---|
| doi: |
10.3399/bjgp09X453576 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM189668547 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM189668547 | ||
| 003 | DE-627 | ||
| 005 | 20231223184027.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231223s2009 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.3399/bjgp09X453576 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n0632.xml |
| 035 | |a (DE-627)NLM189668547 | ||
| 035 | |a (NLM)19566991 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Lewis, Ruth A |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Patients' and healthcare professionals' views of cancer follow-up |b systematic review |
| 264 | 1 | |c 2009 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 02.10.2009 | ||
| 500 | |a Date Revised 08.04.2022 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: Cancer follow-up places a significant burden on hospital outpatient clinics. There are increasing calls to develop alternative models of provision | ||
| 520 | |a AIM: To undertake a systematic review of qualitative studies examining patients' and healthcare professionals' views about cancer follow-up | ||
| 520 | |a DESIGN OF STUDY: Systematic review | ||
| 520 | |a SETTING: Primary and secondary care | ||
| 520 | |a METHOD: Comprehensive literature searches included: 19 electronic databases, online trial registries, conference proceedings, and bibliographies of included studies. Eligible studies included qualitative studies examining patients' and healthcare professionals' views of cancer follow-up. Studies of patients with any type of cancer, considered free of active disease, or no longer receiving active treatment were included. Findings were synthesised using thematic analysis | ||
| 520 | |a RESULTS: Nineteen studies were included; seven were linked to randomised controlled trials. Eight studies examined the views of healthcare professionals (four of which included GPs) and 16 examined the views of patients. Twelve descriptive themes were identified, from which 12 perceived implications for practice were derived. Most themes related to conventional follow-up in secondary care. Some views concerning other models of care were based on participants' ideas, rather than experiences | ||
| 520 | |a CONCLUSION: Patients' main concern is recurrent disease, and they find regular follow-up, expertise of specialists, and quick access to tests reassuring. Information regarding the effectiveness of follow-up is not given to patients who also have unmet information needs, which would help them to cope and be more involved. Continuity of care, unhurried consultations, and psychosocial support are important, but sometimes lacking in secondary care. GPs are thought to be unwilling and to have insufficient time and expertise to conduct follow-up | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Review | |
| 650 | 4 | |a Systematic Review | |
| 700 | 1 | |a Neal, Richard D |e verfasserin |4 aut | |
| 700 | 1 | |a Hendry, Maggie |e verfasserin |4 aut | |
| 700 | 1 | |a France, Barbara |e verfasserin |4 aut | |
| 700 | 1 | |a Williams, Nefyn H |e verfasserin |4 aut | |
| 700 | 1 | |a Russell, Daphne |e verfasserin |4 aut | |
| 700 | 1 | |a Hughes, Dyfrig A |e verfasserin |4 aut | |
| 700 | 1 | |a Russell, Ian |e verfasserin |4 aut | |
| 700 | 1 | |a Stuart, Nicholas S A |e verfasserin |4 aut | |
| 700 | 1 | |a Weller, David |e verfasserin |4 aut | |
| 700 | 1 | |a Wilkinson, Clare |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t The British journal of general practice : the journal of the Royal College of General Practitioners |d 1997 |g 59(2009), 564 vom: 01. Juli, Seite e248-59 |w (DE-627)NLM012664286 |x 1478-5242 |7 nnns |
| 773 | 1 | 8 | |g volume:59 |g year:2009 |g number:564 |g day:01 |g month:07 |g pages:e248-59 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.3399/bjgp09X453576 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 59 |j 2009 |e 564 |b 01 |c 07 |h e248-59 | ||