Cancer care coordinator: Promoting multidisciplinary care-A pilot study in Australian general practice

M. Jiwa, G. Longman, D. Sriram, J.L. Sherriff, K. Briffa, Toni Musiello

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    Abstract

    Aim: We hypothesised that patients treated for breast cancer would benefit from targeted therapeutic action delivered by general practitioners on the recommendations of a multidisciplinary team based in primary care. Methods: Patients scheduled for follow-up visits at a hospital surgical clinic were invited to complete a self-administered care needs assessment and be interviewed by a breast care nurse. Members of the multidisciplinary team discussed the audio-recorded interviews within 2 weeks. The team made recommendations for each patient, which were presented to the general practitioner as a suggested 'care plan'. Health status information was collected via the Short Form 36 and Anxiety and Depression data via the Hospital anxiety and Depression Scale at recruitment and 3 months later. Results: Among the 74 women who were invited to participate, 21 were recruited over a 6-month period (28%), 19 of whom completed the study (90%). The mean age was 55 years (range 38-61 years) and the mean time in follow-up was 23 months (range 16-38 months). The team identified a median of three problems per patient (range 2-7) and made an average of two recommendations per patient for referral to an allied health professional (range 0-5). At 3 months, 17 women had attended their general practitioner, 11 of whom felt their condition had improved as a result of the intervention. There was no significant change in Short Form 36 or Hospital Anxiety and Depression Scale score after the intervention. Conclusions: Primary care-based multidisciplinary review of treated breast cancer patients is feasible and, for most, results in benefit. However, only a minority of eligible patients participated in this pilot study and the logistics of organising the reviews warrants careful consideration. © 2012 Australian College of Nursing Ltd.
    Original languageEnglish
    Pages (from-to)67-73
    JournalCollegian
    Volume20
    Issue number1
    DOIs
    Publication statusPublished - 2013

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    Jiwa, M., Longman, G., Sriram, D., Sherriff, J. L., Briffa, K., & Musiello, T. (2013). Cancer care coordinator: Promoting multidisciplinary care-A pilot study in Australian general practice. Collegian, 20(1), 67-73. https://doi.org/10.1016/j.colegn.2012.03.007