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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Caring for survivors of breast cancer: perspective of the primary care physician</title>
<author><name sortKey="Smith, S L" sort="Smith, S L" uniqKey="Smith S" first="S. L." last="Smith">S. L. Smith</name>
<affiliation><nlm:aff id="af1-conc-18-e218">Division of Radiation Oncology, Department of Surgery, Faculty of Medicine, University of British Columbia, Vancouver, and BC Cancer Agency–Vancouver Island Centre, Victoria, BC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Wai, E S" sort="Wai, E S" uniqKey="Wai E" first="E. S." last="Wai">E. S. Wai</name>
<affiliation><nlm:aff id="af1-conc-18-e218">Division of Radiation Oncology, Department of Surgery, Faculty of Medicine, University of British Columbia, Vancouver, and BC Cancer Agency–Vancouver Island Centre, Victoria, BC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alexander, C" sort="Alexander, C" uniqKey="Alexander C" first="C." last="Alexander">C. Alexander</name>
<affiliation><nlm:aff id="af2-conc-18-e218"> Breast Cancer Outcomes Unit, BC Cancer Agency–Vancouver Island Centre, Victoria, BC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Singh Arlson, S" sort="Singh Arlson, S" uniqKey="Singh Arlson S" first="S." last="Singh Arlson">S. Singh Arlson</name>
<affiliation><nlm:aff id="af3-conc-18-e218"> School of Nursing, California State University–Beach, Long Beach, CA, U.S.A</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">21980253</idno>
<idno type="pmc">3185903</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3185903</idno>
<idno type="RBID">PMC:3185903</idno>
<date when="2011">2011</date>
<idno type="wicri:Area/Pmc/Corpus">002D79</idno>
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</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Caring for survivors of breast cancer: perspective of the primary care physician</title>
<author><name sortKey="Smith, S L" sort="Smith, S L" uniqKey="Smith S" first="S. L." last="Smith">S. L. Smith</name>
<affiliation><nlm:aff id="af1-conc-18-e218">Division of Radiation Oncology, Department of Surgery, Faculty of Medicine, University of British Columbia, Vancouver, and BC Cancer Agency–Vancouver Island Centre, Victoria, BC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Wai, E S" sort="Wai, E S" uniqKey="Wai E" first="E. S." last="Wai">E. S. Wai</name>
<affiliation><nlm:aff id="af1-conc-18-e218">Division of Radiation Oncology, Department of Surgery, Faculty of Medicine, University of British Columbia, Vancouver, and BC Cancer Agency–Vancouver Island Centre, Victoria, BC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alexander, C" sort="Alexander, C" uniqKey="Alexander C" first="C." last="Alexander">C. Alexander</name>
<affiliation><nlm:aff id="af2-conc-18-e218"> Breast Cancer Outcomes Unit, BC Cancer Agency–Vancouver Island Centre, Victoria, BC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Singh Arlson, S" sort="Singh Arlson, S" uniqKey="Singh Arlson S" first="S." last="Singh Arlson">S. Singh Arlson</name>
<affiliation><nlm:aff id="af3-conc-18-e218"> School of Nursing, California State University–Beach, Long Beach, CA, U.S.A</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Current Oncology</title>
<idno type="ISSN">1198-0052</idno>
<idno type="eISSN">1718-7729</idno>
<imprint><date when="2011">2011</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>Background and Objectives</title>
<p>Increasing numbers of women are surviving breast cancer, and survivorship care is becoming more complex. Primary care physicians provide care for most survivors of breast cancer in the Canadian province of British Columbia. The present study offers insight into the confidence of primary care physicians in their abilities to provide such care. It also explores potential ways to assist those providers in enhancing this aspect of their practice.</p>
</sec>
<sec><title>Methods</title>
<p>A questionnaire was mailed to 1000 primary care physicians caring for survivors of breast cancer. The questionnaire explored the perspectives of the responding physicians on their ability to manage various aspects of survivorship care for breast cancer patients, identified preferences for the content and format of communication from oncologists at the time of transition from active oncology treatment to survivorship, and determined the means most commonly used to obtain knowledge about breast cancer. This 1-page, 31-item checkbox and open-answer questionnaire assessed the perceptions of primary care physicians about the care of breast cancer survivors after completion of active treatment and their personal preferences for resources providing information about breast cancer.</p>
</sec>
<sec><title>Results</title>
<p>The questionnaire response rate was 59%. Primary care physicians reported being most confident in screening for recurrence and managing patient anxiety; they were least confident in managing lymphedema and providing psychosocial counselling. Compared with physicians following fewer survivors of breast cancer, those who followed more breast cancer survivors had higher confidence in managing the biomedical aspects of follow-up and in providing counselling about nutrition and exercise. Most physicians found discharge letters from oncologists to be useful. Point-form discharge information was preferred by 43%; detailed description, by 19%; and both formats, by 38%. The most useful information items identified for inclusion in a discharge letter were a diagnosis and treatment summary and the recommended surveillance and endocrine therapy. Continuing medical education events and online resources were the means most commonly used to obtain knowledge about breast cancer.</p>
</sec>
<sec><title>Conclusions</title>
<p>Primary care physicians who provide follow-up for survivors of breast cancer report that they are confident in managing care and satisfied with discharge letters containing a diagnosis and treatment summary, and recommendations for surveillance and endocrine treatment. At the time of patient discharge, additional information about common medical and psychosocial issues in this patient population would be useful to primary care physicians. Preferred means to access current breast cancer information include continuing medical education events and online resources.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Curr Oncol</journal-id>
<journal-id journal-id-type="publisher-id">CO</journal-id>
<journal-title-group><journal-title>Current Oncology</journal-title>
</journal-title-group>
<issn pub-type="ppub">1198-0052</issn>
<issn pub-type="epub">1718-7729</issn>
<publisher><publisher-name>Multimed Inc.</publisher-name>
<publisher-loc>66 Martin St. Milton, ON, Canada L9T 2R2</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">21980253</article-id>
<article-id pub-id-type="pmc">3185903</article-id>
<article-id pub-id-type="publisher-id">conc-18-e218</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Cancer Rehabilitation and Survivorship</subject>
</subj-group>
</article-categories>
<title-group><article-title>Caring for survivors of breast cancer: perspective of the primary care physician</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Smith</surname>
<given-names>S.L.</given-names>
</name>
<degrees>BSc MD</degrees>
<xref ref-type="aff" rid="af1-conc-18-e218"><sup>*</sup>
</xref>
<xref ref-type="corresp" rid="c1-conc-18-e218"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Wai</surname>
<given-names>E.S.</given-names>
</name>
<degrees>BSc MS MD</degrees>
<xref ref-type="aff" rid="af1-conc-18-e218"><sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Alexander</surname>
<given-names>C.</given-names>
</name>
<degrees>CHIM</degrees>
<xref ref-type="aff" rid="af2-conc-18-e218"><sup>†</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Singh–Carlson</surname>
<given-names>S.</given-names>
</name>
<degrees>RN BSN MSN PhD</degrees>
<xref ref-type="aff" rid="af3-conc-18-e218"><sup>‡</sup>
</xref>
</contrib>
</contrib-group>
<aff id="af1-conc-18-e218"><label>*</label>
Division of Radiation Oncology, Department of Surgery, Faculty of Medicine, University of British Columbia, Vancouver, and BC Cancer Agency–Vancouver Island Centre, Victoria, BC</aff>
<aff id="af2-conc-18-e218"><label>†</label>
Breast Cancer Outcomes Unit, BC Cancer Agency–Vancouver Island Centre, Victoria, BC</aff>
<aff id="af3-conc-18-e218"><label>‡</label>
School of Nursing, California State University–Beach, Long Beach, CA, U.S.A</aff>
<author-notes><corresp id="c1-conc-18-e218">Correspondence to: Sally L. Smith, BC Cancer Agency–Vancouver Island Centre, 2410 Lee Avenue, Victoria, British Columbia V8R 6V5. E-mail: <email>ssmith11@bccancer.bc.ca</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>10</month>
<year>2011</year>
</pub-date>
<volume>18</volume>
<issue>5</issue>
<fpage>e218</fpage>
<lpage>e226</lpage>
<permissions><copyright-statement>2011 Multimed Inc.</copyright-statement>
<copyright-year>2011</copyright-year>
</permissions>
<abstract><sec><title>Background and Objectives</title>
<p>Increasing numbers of women are surviving breast cancer, and survivorship care is becoming more complex. Primary care physicians provide care for most survivors of breast cancer in the Canadian province of British Columbia. The present study offers insight into the confidence of primary care physicians in their abilities to provide such care. It also explores potential ways to assist those providers in enhancing this aspect of their practice.</p>
</sec>
<sec><title>Methods</title>
<p>A questionnaire was mailed to 1000 primary care physicians caring for survivors of breast cancer. The questionnaire explored the perspectives of the responding physicians on their ability to manage various aspects of survivorship care for breast cancer patients, identified preferences for the content and format of communication from oncologists at the time of transition from active oncology treatment to survivorship, and determined the means most commonly used to obtain knowledge about breast cancer. This 1-page, 31-item checkbox and open-answer questionnaire assessed the perceptions of primary care physicians about the care of breast cancer survivors after completion of active treatment and their personal preferences for resources providing information about breast cancer.</p>
</sec>
<sec><title>Results</title>
<p>The questionnaire response rate was 59%. Primary care physicians reported being most confident in screening for recurrence and managing patient anxiety; they were least confident in managing lymphedema and providing psychosocial counselling. Compared with physicians following fewer survivors of breast cancer, those who followed more breast cancer survivors had higher confidence in managing the biomedical aspects of follow-up and in providing counselling about nutrition and exercise. Most physicians found discharge letters from oncologists to be useful. Point-form discharge information was preferred by 43%; detailed description, by 19%; and both formats, by 38%. The most useful information items identified for inclusion in a discharge letter were a diagnosis and treatment summary and the recommended surveillance and endocrine therapy. Continuing medical education events and online resources were the means most commonly used to obtain knowledge about breast cancer.</p>
</sec>
<sec><title>Conclusions</title>
<p>Primary care physicians who provide follow-up for survivors of breast cancer report that they are confident in managing care and satisfied with discharge letters containing a diagnosis and treatment summary, and recommendations for surveillance and endocrine treatment. At the time of patient discharge, additional information about common medical and psychosocial issues in this patient population would be useful to primary care physicians. Preferred means to access current breast cancer information include continuing medical education events and online resources.</p>
</sec>
</abstract>
<kwd-group><kwd>Breast cancer survivors</kwd>
<kwd>primary care physician perspective</kwd>
<kwd>follow-up cancer care</kwd>
<kwd>survivorship care plans</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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