TY - JOUR
T1 - General practitioners' management of cancers in Australian adolescents and young adults
AU - Patterson, Pandora
AU - Allison, Kimberley R.
AU - Milley, Kristi M.
AU - Chima, Sophie A.
AU - Harrison, Christopher
PY - 2018
Y1 - 2018
N2 - General practitioners (GPs) are often the first point of contact adolescents and young adults (AYAs, aged 10–29) with cancer have with the health system, and they are well‐placed to coordinate their complex medical and psychosocial care. This study is the first to report characteristics of patients, GPs and cancers involved in AYA cancer management consultations in Australia, using data from a nationally representative sample of 972,100 patient‐GP encounters in 2006–2016. AYA cancers were managed in 212 encounters, equating to approximately 137 per 100,000 AYA consultations. This rate was higher in older AYAs (25–29 years) and those who held a concession card. Approximately 30% of cancers managed were classified as “new”, with GPs primarily providing counselling, education, and referrals to specialist care, imaging and pathology. This suggests that GPs are involved in the ongoing care of AYAs with cancer from diagnosis, in conjunction with other healthcare professionals. This is an encouraging indication of the potential for integrated multidisciplinary care extending from active treatment into survivorship; however, further work is needed to explore the changing role of GPs across the cancer trajectory.
AB - General practitioners (GPs) are often the first point of contact adolescents and young adults (AYAs, aged 10–29) with cancer have with the health system, and they are well‐placed to coordinate their complex medical and psychosocial care. This study is the first to report characteristics of patients, GPs and cancers involved in AYA cancer management consultations in Australia, using data from a nationally representative sample of 972,100 patient‐GP encounters in 2006–2016. AYA cancers were managed in 212 encounters, equating to approximately 137 per 100,000 AYA consultations. This rate was higher in older AYAs (25–29 years) and those who held a concession card. Approximately 30% of cancers managed were classified as “new”, with GPs primarily providing counselling, education, and referrals to specialist care, imaging and pathology. This suggests that GPs are involved in the ongoing care of AYAs with cancer from diagnosis, in conjunction with other healthcare professionals. This is an encouraging indication of the potential for integrated multidisciplinary care extending from active treatment into survivorship; however, further work is needed to explore the changing role of GPs across the cancer trajectory.
KW - Australia
KW - cancer
KW - physicians (general practice)
KW - teenagers
KW - young adults
UR - http://handle.westernsydney.edu.au:8081/1959.7/uws:49467
U2 - 10.1111/ecc.12968
DO - 10.1111/ecc.12968
M3 - Article
VL - 27
JO - European Journal of Cancer Care
JF - European Journal of Cancer Care
IS - 6
M1 - e12968
ER -