Introducing a time out consultation with the general practitioner between diagnosis and start of colorectal cancer treatment: Patient-reported outcomes
| Autor: | Jan Wind, Thijs Wieldraaijer, Henk van Weert, Marike de Meij, Sophie Zwaard |
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| Přispěvatelé: | General practice, Graduate School, ACS - Heart failure & arrhythmias, APH - Personalized Medicine, CCA - Cancer Treatment and Quality of Life, APH - Quality of Care |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Time-out medicine.medical_specialty Palliative treatment Colorectal cancer Decision Making General Practice colorectal cancer Time-to-Treatment primary care involvement 03 medical and health sciences 0302 clinical medicine Older patients General Practitioners Surveys and Questionnaires treatment decision Medicine Humans Patient Reported Outcome Measures Prospective Studies Prospective cohort study Referral and Consultation Aged Aged 80 and over time out consultation Physician-Patient Relations Primary Health Care business.industry Original Articles Middle Aged medicine.disease patient perspective Oncology Patient Satisfaction 030220 oncology & carcinogenesis Family medicine general practitioner Female Original Article Treatment decision making business Colorectal Neoplasms |
| Zdroj: | European Journal of Cancer Care European journal of cancer care. Wiley-Blackwell |
| ISSN: | 1365-2354 0961-5423 |
| Popis: | Objective To evaluate the introduction of a “time out consultation” with the general practitioner (GP) recommended to patients following the diagnosis of colorectal carcinoma (CRC) before start of treatment. Methods A prospective study using questionnaires to compare the number of GP consultations, with their content and outcomes before and after the introduction of an additional consultation with the GP to improve decision‐making and adequate support. Results 72 patients before and 98 patients after the introduction of the “time out consultation” participated. Introduction of the consultation increased the number of patients to contact their GP from 67% to 80%, but did not change kind or content of the consultations. Patients felt the consultation was comforting and were more satisfied with the GP after the introduction. There was no difference in outcomes measured by the questionnaires in all patients combined, but men, older patients and patients with palliative treatment options only did improve on specific outcomes after the introduction. Conclusion The introduction of the “time out consultation” did not change the kind or content of GP consultations before start of CRC treatment, but patients did feel more comforted and satisfied. Subgroups of patients benefited on specific outcomes. |
| Databáze: | OpenAIRE |
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