%0 Journal Article %1 bandarra2021building %A Bandarra, Maria Margarida Costa Ferreira %A Escoval, Ana %A da Costa, Luís Marques %D 2021 %J Journal of Oncology Research and Therapy (ISSN: 2574-710X) %K Chronicdisease Colorectalneoplasms Criticalpathways Deliveryofhealthcare Followupstudies Survivorship integrated %N 1 %P 7 %R https://doi.org/10.29011/2574-710X.010104 %T Building Consensus for the Follow-up of Colorectal Cancer Patients by Primary Care: A Nominal Group Technique Study %U https://www.gavinpublishers.com/article/view/building-consensus-for-the-follow-up-of-colorectal-cancer-patients-by-primary-care-a-nominal-group-technique-study %V 6 %X Background: In Portugal colorectal cancer has the highest number of new cases per year and cancer survivors five-year after diagnosis. While the number of cancer survivors increases, follow-up is perceived as the management of a chronic disease. Objective: To evaluate the viability of colorectal cancer patients’ follow-up in the primary care setting. Materials and Methods: The identification of colorectal patients who can be referred to the primary care for follow-up, the preferential follow-up model and which conditions need to be in place to secure the follow-up of those patients in the selected model was performed by a Nominal Group Technique. Results: The definition of a clinical pathway and identification of organizational and familial systems are critical. The objectives of the follow-up need to be clarified and need to be both patient and survivor centred. Discussion and Conclusions: Shared-care follow-up should take a multidisciplinary and survivor-centred approach, ensuring that information and communication are shared between settings with a clear definition of responsibilities, a survivor care plan and mechanisms for future referencing when justified. The complexity of cancer management can induce fragmentation and duplication of services. A cancer survivor could experience comorbidities resulting from therapeutic decisions’ side effects that transform their survival in a challenge, requiring an integrated approach between different specialities. Shared follow-up has the potential to help cancer survivors to cope with their disease from a physical, social, and psychological aspects.

@article{bandarra2021building, abstract = {Background: In Portugal colorectal cancer has the highest number of new cases per year and cancer survivors five-year after diagnosis. While the number of cancer survivors increases, follow-up is perceived as the management of a chronic disease. Objective: To evaluate the viability of colorectal cancer patients’ follow-up in the primary care setting. Materials and Methods: The identification of colorectal patients who can be referred to the primary care for follow-up, the preferential follow-up model and which conditions need to be in place to secure the follow-up of those patients in the selected model was performed by a Nominal Group Technique. Results: The definition of a clinical pathway and identification of organizational and familial systems are critical. The objectives of the follow-up need to be clarified and need to be both patient and survivor centred. Discussion and Conclusions: Shared-care follow-up should take a multidisciplinary and survivor-centred approach, ensuring that information and communication are shared between settings with a clear definition of responsibilities, a survivor care plan and mechanisms for future referencing when justified. The complexity of cancer management can induce fragmentation and duplication of services. A cancer survivor could experience comorbidities resulting from therapeutic decisions’ side effects that transform their survival in a challenge, requiring an integrated approach between different specialities. Shared follow-up has the potential to help cancer survivors to cope with their disease from a physical, social, and psychological aspects.}, added-at = {2021-02-05T12:00:54.000+0100}, author = {Bandarra, Maria Margarida Costa Ferreira and Escoval, Ana and da Costa, Luís Marques}, biburl = {https://www.bibsonomy.org/bibtex/2ebc051aa601d4fbc6498e0e9fd8f1f2a/alyssacarter}, doi = {https://doi.org/10.29011/2574-710X.010104}, interhash = {fa2f029a15ffba33c281449b3c62727c}, intrahash = {ebc051aa601d4fbc6498e0e9fd8f1f2a}, issn = {2574-710X}, journal = {Journal of Oncology Research and Therapy (ISSN: 2574-710X)}, keywords = {Chronicdisease Colorectalneoplasms Criticalpathways Deliveryofhealthcare Followupstudies Survivorship integrated}, language = {english}, month = {February }, number = 1, pages = 7, timestamp = {2021-10-09T12:41:29.000+0200}, title = {Building Consensus for the Follow-up of Colorectal Cancer Patients by Primary Care: A Nominal Group Technique Study}, url = {https://www.gavinpublishers.com/article/view/building-consensus-for-the-follow-up-of-colorectal-cancer-patients-by-primary-care-a-nominal-group-technique-study}, volume = 6, year = 2021 }