Use of shared care and routine tests in follow-up after treatment for localised cutaneous melanoma
العنوان: | Use of shared care and routine tests in follow-up after treatment for localised cutaneous melanoma |
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المؤلفون: | Pascale Guitera, Mbathio Dieng, Donald Low, Cynthia Low, Robin M. Turner, Angela C Webster, Rachael L. Morton, Katy J.L. Bell, Marisa C. Jenkins, Les Irwig, Robyn P. M. Saw, Wei Yin Lim |
المصدر: | BMC Health Services Research BMC Health Services Research, Vol 18, Iss 1, Pp 1-9 (2018) |
بيانات النشر: | BioMed Central, 2018. |
سنة النشر: | 2018 |
مصطلحات موضوعية: | Diagnostic Imaging, Male, medicine.medical_specialty, Skin Neoplasms, Aftercare, Follow-up studies, Health informatics, Health administration, Interviews as Topic, 030207 dermatology & venereal diseases, 03 medical and health sciences, 0302 clinical medicine, General Practitioners, Surveys and Questionnaires, Medicine, Humans, Practice Patterns, Physicians', Melanoma, Qualitative Research, Aged, Neoplasm Staging, Shared care, business.industry, lcsh:Public aspects of medicine, Health Policy, Nursing research, Public health, Cancer, lcsh:RA1-1270, Middle Aged, medicine.disease, 3. Good health, Telephone interview, Practice patterns, general practitioners, 030220 oncology & carcinogenesis, Family medicine, Cutaneous melanoma, Female, Interdisciplinary communication, business, Research Article |
الوصف: | Background Patients may decide to undertake shared care with a general practitioner (GP) during follow-up after treatment for localised melanoma. Routine imaging tests for surveillance may be commonly used despite no evidence of clinical utility. This study describes the frequency of shared care and routine tests during follow-up after treatment for localised melanoma. Methods We randomly sampled 351 people with localised melanoma [American Joint Cancer Committee (AJCC) substages 0 - II] who had not had recurrent or new primary melanoma diagnosed from a total of 902 people diagnosed and treated for localised melanoma at a specialist centre in 2014. We interviewed participants by telephone about their experience of follow-up in the past year, and documented the proportion of patients who were undertaking shared care follow-up with a GP. We also recorded the frequency and type of investigations during follow-up. We calculated weighted estimates that are representative of the full inception cohort. Results Of the 351 people who were invited to participate, 230 (66%) people consented to the telephone interview. The majority undertook shared care follow-up with a GP (61%). People who choose to have shared care follow-up with a GP are more likely to be male (p = 0.006), have lower AJCC stage (p for trend = 0.02), reside in more remote areas (p for trend |
وصف الملف: | application/pdf |
اللغة: | English |
تدمد: | 1472-6963 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::09fc2ed476d7d9425f901574a610fd70 http://europepmc.org/articles/PMC6011416 |
حقوق: | OPEN |
رقم الأكسشن: | edsair.doi.dedup.....09fc2ed476d7d9425f901574a610fd70 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 14726963 |
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