Primary care providers’ comfort in caring for cancer survivors: Implications for risk-stratified care
Corresponding Author
Larissa Nekhlyudov
Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA
Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Correspondence
Larissa Nekhlyudov, Brigham and Women's Hospital Primary Care Associates, 800 Huntington Ave, 6th Floor, Boston, MA 02115, USA.
Email: [email protected]
Search for more papers by this authorCraig Snow
Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Search for more papers by this authorLauren P. Knelson
Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Search for more papers by this authorKate E. Dibble
Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Search for more papers by this authorCatherine M. Alfano
Cancer Care Management and Research, Northwell Health Cancer Institute, New York, New York, USA
Search for more papers by this authorAnn H. Partridge
Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Search for more papers by this authorCorresponding Author
Larissa Nekhlyudov
Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA
Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Correspondence
Larissa Nekhlyudov, Brigham and Women's Hospital Primary Care Associates, 800 Huntington Ave, 6th Floor, Boston, MA 02115, USA.
Email: [email protected]
Search for more papers by this authorCraig Snow
Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Search for more papers by this authorLauren P. Knelson
Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Search for more papers by this authorKate E. Dibble
Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Search for more papers by this authorCatherine M. Alfano
Cancer Care Management and Research, Northwell Health Cancer Institute, New York, New York, USA
Search for more papers by this authorAnn H. Partridge
Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Search for more papers by this authorAbstract
Personalized, risk-stratified care aims to “right size” the involvement of primary care providers (PCPs), oncology and specialized practitioners in caring for cancer survivors. Our survey found limited comfort among PCPs in cancer surveillance and management of treatment-related effects. In hypothetical case scenarios, PCPs reported least comfort in caring for a survivor of childhood cancer, followed by young adult-onset cancer, and greater comfort in caring for a survivor of adult-onset breast cancer. While education and training of PCPs is essential, risk-stratification strategies need to identify patients who may transition to primary care and those who may require ongoing survivorship-focused follow-up.
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