Cancer care coordinator: Promoting multidisciplinary care- A pilot study in Australian general practice
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...
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| Format: | Journal Article |
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Royal College of Nursing Australia
2013
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| Online Access: | http://hdl.handle.net/20.500.11937/49718 |
| _version_ | 1848758300828499968 |
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| author | Jiwa, Moyez Longman, G. Sriram, Deepa Sherriff, Jill Briffa, Kathy Musiello, T. |
| author_facet | Jiwa, Moyez Longman, G. Sriram, Deepa Sherriff, Jill Briffa, Kathy Musiello, T. |
| author_sort | Jiwa, Moyez |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T09:41:48Z |
| format | Journal Article |
| id | curtin-20.500.11937-49718 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:41:48Z |
| publishDate | 2013 |
| publisher | Royal College of Nursing Australia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-497182017-09-13T16:11:44Z Cancer care coordinator: Promoting multidisciplinary care- A pilot study in Australian general practice Jiwa, Moyez Longman, G. Sriram, Deepa Sherriff, Jill Briffa, Kathy Musiello, T. 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. 2013 Journal Article http://hdl.handle.net/20.500.11937/49718 10.1016/j.colegn.2012.03.007 Royal College of Nursing Australia restricted |
| spellingShingle | Jiwa, Moyez Longman, G. Sriram, Deepa Sherriff, Jill Briffa, Kathy Musiello, T. Cancer care coordinator: Promoting multidisciplinary care- A pilot study in Australian general practice |
| title | Cancer care coordinator: Promoting multidisciplinary care- A pilot study in Australian general practice |
| title_full | Cancer care coordinator: Promoting multidisciplinary care- A pilot study in Australian general practice |
| title_fullStr | Cancer care coordinator: Promoting multidisciplinary care- A pilot study in Australian general practice |
| title_full_unstemmed | Cancer care coordinator: Promoting multidisciplinary care- A pilot study in Australian general practice |
| title_short | Cancer care coordinator: Promoting multidisciplinary care- A pilot study in Australian general practice |
| title_sort | cancer care coordinator: promoting multidisciplinary care- a pilot study in australian general practice |
| url | http://hdl.handle.net/20.500.11937/49718 |