The perceptions of Australian oncologists about cognitive changes in cancer survivors

Smidt, Kate; Mackenzie, Lynette; Dhillon, Haryana M.; Vardy, Janette; Lewis, Joanne; Loh, Siew Yim

doi:10.1007/s00520-016-3315-y

Cited by 24 publications

(22 citation statements)

References 34 publications

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“…Although CRCI is a well-described phenomenon and awareness of such a problem has recently increased among the medical community, only 37% of breast cancer survivors with cognitive difficulties report to have discussed these concerns with a healthcare provider [65], and most healthcare professionals declare to be uncertain about how to manage CRCI [66].…”

Section: Long-term Cognitive Disorders In Breast Cancer Survivorsmentioning

confidence: 99%

Long-Term Fatigue and Cognitive Disorders in Breast Cancer Survivors

Joly

Lange

Santos

et al. 2019

Cancers

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Survivors of early-stage breast cancer may report treatment-related side effects that persist for several years after the end of primary treatment. Among these, fatigue and cognitive disorders are frequent complaints and can negatively impact quality of life. Cancer-related fatigue is a very prevalent and distressing long-term side effect among breast cancer survivors that typically improves after completion of treatment, although many patients report severe fatigue several years post-treatment. Cognitive disorders are also common among survivors of breast cancer, especially if treated with chemotherapy. These symptoms are usually mild-to-moderate and often transient. Cognitive recovery is frequently observed within months or a few years after completion of chemotherapy or endocrine therapy. However, some breast cancer survivors may have persistent cognitive difficulties. Several types of interventions have proved to be beneficial in reducing cancer-related fatigue and cognitive difficulties. Most of these interventions for cancer-related fatigue are thought to be effective by reducing inflammation or disrupting pro-inflammatory circuits. Further studies are needed on cognitive management that has showed promising results. This narrative review summarizes the state of the art regarding long-term fatigue and cognitive disorders in patients with early breast cancer, describing prevalence, impact, pathophysiology, and risk factors, and focusing on available interventions.

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Section: Long-term Cognitive Disorders In Breast Cancer Survivorsmentioning

confidence: 99%

Long-Term Fatigue and Cognitive Disorders in Breast Cancer Survivors

Joly

Lange

Santos

et al. 2019

Cancers

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“…Several qualitative studies have been published on patients' perceptions of their cancer management [29], their relationship with the healthcare team [30] and their interest in medical education [31,32]. Other studies have examined the perceptions of healthcare teams on their patients' treatment [33][34][35]. These studies revealed a number of factors leading to communication difficulties between the patient, the oncologist and the GP.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

“…In our study, we found that increasing communication between different practitioners, in a way that is perceptible to the patient, reduces the use of emergency departments and increases the use of GPs in primary care. This makes it clear that by improving communication and coordination between GPs and oncologists, we have a direct impact on quality of life (less hospitalization, patient-friendly management) and on the patient's survival [30][31][32][33][34][35][36].…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Improving communication between the general practitioner and the oncologist: a key role in coordinating care for patients suffering from cancer

et al. 2020

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Background: Patients suffering from cancers are increasingly numerous in general practice consultations. The General Practitioner (GP) should be at the heart of the management of patients. Several studies have examined the perceptions of GPs confronted with the patient suffering from cancer and the relationships of GPs with oncologists, but few studies have focused on the patients' perspective. We studied the three-way relationship between the oncologist, the GP, and the patient, from the patient's point of view. Methods: A questionnaire validated by a group consisting of GPs, oncologists, nurses, an epidemiologist and quality analyst, was administered over a three-week period to patients suffering from cancer receiving chemotherapy in a day hospital. Results: The analysis was based on 403 questionnaires. Patients had confidence in the GP's knowledge of oncology in 88% of cases; 49% consulted their GP for pain, 15% for cancer-related advice, and 44% in emergencies. Perceived good GP/oncologist communication led patients to turn increasingly to their GP for cancer-related consultations (RR = 1.14; p = 0.01) and gave patients confidence in the GP's ability to manage cancer-related problems (RR = 1.30; p < 0.01). Mention by the oncologist of the GP's role increased the consultations for complications (RR = 1.82; p < 0.01) as well as recourse to the GP in an emergency (RR = 1.35; p < 0.01). Conclusion: Patients suffering from cancer considered that the GP was competent, but did not often consult their GP for cancer-related problems. There is a discrepancy between patients' beliefs and their behaviour. When the oncologist spoke to patients of the GP's role, patients had recourse to their GP more often. Systematically integrating a GP consultation to conclude cancer diagnosis disclosure, could improve management and care coordination.

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“…Several qualitative studies have been published on patients' perceptions of their cancer management [29], their relationship with the healthcare team [30] and their interest in medical education [31,32]. Other studies have examined the perceptions of healthcare teams on their patients' treatment [33][34][35]. These studies revealed a number of factors leading to communication di culties between the patient, the oncologist and the GP.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Improving communication between the general practitioner and the oncologist: a key role in coordinating care for patients suffering from cancer.

Druel

Gimenez

Paricaud³

et al. 2020

Preprint

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Background: Patients suffering from cancers are increasingly numerous in general practice consultations. The General Practitioner (GP) should be at the heart of the management of patients. Several studies have examined the perceptions of GPs confronted with the patient suffering from cancer and the relationships of GPs with oncologists, but few studies have focused on the patients’ perspective. We studied the three-way relationship between the oncologist, the GP, and the patient, from the patient’s point of view. Methods: A questionnaire validated by a group consisting of GPs, oncologists, nurses, an epidemiologist and quality analyst, was administered over a three-week period to patients suffering from cancer receiving chemotherapy in a day hospital. Results: The analysis was based on 403 questionnaires. Patients had confidence in the GP’s knowledge of oncology in 88 % of cases; 49 % consulted their GP for pain, 15 % for cancer-related advice, and 44 % in emergencies. Perceived good GP/oncologist communication led patients to turn increasingly to their GP for cancer-related consultations (RR = 1.14; p = 0.01) and gave patients confidence in the GP’s ability to manage cancer-related problems (RR = 1.30; p < 0.01). Mention by the oncologist of the GP’s role increased the consultations for complications (RR = 1.82; p < 0.01) as well as recourse to the GP in an emergency (RR = 1.35; p < 0.01). Conclusion: Patients suffering from cancer considered that the GP was competent, but did not often consult their GP for cancer-related problems. There is a discrepancy between patients’ beliefs and their behaviour. When the oncologist spoke to patients of the GP’s role, patients had recourse to their GP more often. Systematically integrating a GP consultation to conclude cancer diagnosis disclosure, could improve management and care coordination.

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The perceptions of Australian oncologists about cognitive changes in cancer survivors

Cited by 24 publications

References 34 publications

Long-Term Fatigue and Cognitive Disorders in Breast Cancer Survivors

Long-Term Fatigue and Cognitive Disorders in Breast Cancer Survivors

Improving communication between the general practitioner and the oncologist: a key role in coordinating care for patients suffering from cancer

Improving communication between the general practitioner and the oncologist: a key role in coordinating care for patients suffering from cancer.

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