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Concordance between General Practitioners and Radiation Oncologists for Cancer Follow-Up Care

Author

Listed:
  • Tiffany Sandell

    (Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, NSW 2522, Australia
    Radiation Oncology Service, Illawarra Shoalhaven Local Health District, Wollongong, NSW 2500, Australia)

  • Andrew Miller

    (Radiation Oncology Service, Illawarra Shoalhaven Local Health District, Wollongong, NSW 2500, Australia)

  • Heike Schütze

    (Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, NSW 2522, Australia
    Centre for Primary Health Care and Equity, Faculty of Medicine, University of New South Wales, Sydney, NSW 2052, Australia)

Abstract

(1) Background: Patients treated with radiotherapy require follow-up care to detect and treat acute and late side effects, and to monitor for recurrence. The increasing demand for follow-up care poses a challenge for specialists and general practitioners. There is a perception that general practitioners do not have the specialised knowledge of treatment side effects and how to manage these. Knowing the concordance between general practitioner and oncologist clinical assessments can improve confidence in healthcare professionals. This study aimed to measure the level of agreement between general practitioners and radiation oncologists using a standardised clinical assessment; (2) Methods: a cross-sectional clinical practice study; sample aim of 20 breast, prostate or colorectal patients, three years post-radiotherapy treatment; their general practitioner and radiation oncologist; (3) Results: There was acceptable percent agreement (>75%) and a moderate to almost perfect agreement (Fleiss kappa) for all variables between the 15 general practitioner-radiation oncologist dyads; (4) Conclusions: The general practitioner and radiation oncologist concordance of a clinical follow-up assessment for radiation oncology patients is an important finding. These results can reassure both general practitioners and oncologists that general practitioners can provide cancer follow-up care. However, further studies are warranted to confirm the findings and improve reassurance for health professionals.

Suggested Citation

  • Tiffany Sandell & Andrew Miller & Heike Schütze, 2022. "Concordance between General Practitioners and Radiation Oncologists for Cancer Follow-Up Care," IJERPH, MDPI, vol. 20(1), pages 1-10, December.
  • Handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:108-:d:1010814
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