Background: Fatigue is the most common and persistent symptom among women in first five years after a breast cancer diagnosis. However, long-term prevalence of fatigue, survivors, needs further investigation. Aim: To compare fatigue experienced by survivors with that reference population to evaluate determinants fatigue. Design Setting: A cross-sectional cohort study 350 ≥5 diagnosis matched age general practitioner. Method: was measured using Multidimensional Inventory (MFI-20), sum score...

The increasing number of cancer survivors has heightened demands on hospital-based follow-up care resources. To address this, involving general practitioners (GPs) in oncological is proposed. This study explores secondary providers' views integrating GPs into for curatively treated breast and colorectal survivors. A qualitative exploratory was conducted using semi-structured interviews with Dutch medical specialists nurse practitioners. Interviews were recorded, transcribed verbatim,...

Background Physical activity (PA) benefits cancer survivors' health, yet no PA programs are incorporated in general practice. Aim Evaluate outcomes of a program Design and Setting Single-arm intervention implementation study among survivors 15 Dutch practices. Method Patients aged ≥18 years ≥6 months post-cancer treatment were eligible. The nine-month comprised counselling sessions with primary care practitioner (PCP, aimed at increasing daily PA. Reach, Effectiveness, Implementation the...

Objective. The view that the general practitioner (GP) should be more involved during curative treatment of cancer is gaining support. This study aimed to assess current role GP patients with colorectal (CRC). Design. Historical prospective study, using primary care data from two cohorts. Setting. Registration Network Groningen (RNG) consisting 18 GPs in three group practices a dynamic population about 30 000 patients. Subjects. Patients who underwent for CRC (n = 124) and matched without...

The number of patients that can no longer be cured but may expect to live with their cancer diagnosis for a substantial period is increasing. These 'prolonged incurable cancer' are often overlooked in research and clinical practice. Patients encounter problems traditionally seen from palliative or survivorship perspective this insufficient cover the wide range physical psychosocial prolonged encounter. Elements both fields should, therefore, delivered concordantly further optimize care...

To clarify experiences and preferences of patients regarding the current future role GPs during treatment follow-up care colorectal cancer (CRC).Qualitative semi-structured, audio-recorded, face-to-face interviews in patients' homes north Netherlands were performed. Patients sampled purposively on age, gender, time since diagnoses primary health use. Data transcribed verbatim analysed thematically by two independent researchers until saturation was reached.Twenty-two interviewed. played a...

For shared decision making, it is crucial to identify patients' priorities regarding health outcomes. Our aim was study whether healthcare professionals know these priorities. In this cross-sectional we included older patients who had make a treatment decision, their general practitioners (GPs) and medical specialists. Agreement between the main outcome as prioritised by using Outcome Prioritization Tool (OPT) perception of same professionals. Eighty-seven were included. Median age 76 years,...

The rising number of colorectal cancer (CRC) survivors is likely to impose a burden on healthcare systems. Effective resource allocation between primary and hospital care ensure ongoing high-quality under discussion. Therefore, it important understand the current role GPs during follow-up CRC. This study explores use patients 2–6 years after CRC treatment. Annual rates face-to-face contacts, prescribed medication referrals were compared age, gender GP matched controls in historical...

An efficient diagnostic pathway and early stage diagnosis for cancer patients is widely pursued. This study aims to chart the duration of with symptomatic oesophageal gastric cancer, identify factors associated long assess association tumour at diagnosis.

Introduction: In the Netherlands, onset of coronavirus pandemic saw shifts in primary health service provision away from physical consultations, cancer-screening programs were temporarily halted, and government messaging focused on remaining at home. March April 2020, weekly cancer diagnoses decreased to 73% their pre-COVID levels, 39% for skin cancer. This study aims explore effect COVID patient presentations cancer-related symptoms care The Netherlands. Methods: Retrospective cohort using...

Background Early detection of colorectal cancer (CRC) is important to achieve better survival. Discriminating symptoms suggestive CRC from benign conditions a challenge for GPs because most known ‘alarm symptoms’ have low predictive values. Aim To further understand the diagnostic process in general practice terms healthcare use and by analysing factors related intervals. Design setting A multimethod approach comprising historical, prospective registry study qualitative content analysis....

The use of patient-reported outcome measures is increasingly advocated to support high-quality cancer care. We therefore investigated the added value Distress Thermometer (DT) when combined with known predictors assess one-year survival in patients lung cancer.All had newly diagnosed or recurrent cancer, started systemic treatment, and participated intervention arm a previously published randomised controlled trial. A Cox proportional hazards model was fitted based on five selected for...

PurposeVarious long-term symptoms can manifest after breast cancer treatment, but we wanted to clarify whether these are more frequent among survivors than matched controls and if they associated with certain diagnoses.MethodsThis was a cross-sectional, population-based study of 350 treated chemo- and/or radiotherapy ≥5 years (median 10) diagnosis women without by age primary care physician. All completed questionnaire enquiring about symptoms, underwent echocardiography assess the left...

To investigate the treatment goals of older patients with non-curable cancer, whether those changed over time, and if so, what triggered changes.

Background Older patients with cancer often find it difficult to take part in shared decision making. Aim To assess the utility of Outcome Prioritisation Tool (OPT), designed aid discussion a patient regards their treatment goals, empower through structured conversations about generic goals GPs. Design and setting A randomised controlled trial 114 Dutch participants recruited between November 2015 January 2019, aged ≥60 years non-curable who had make an oncologist. The intervention group...