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General internists' preferences and knowledge about the care of adult survivors of childhood cancer: a cross-sectional survey.

Publication ,  Journal Article
Suh, E; Daugherty, CK; Wroblewski, K; Lee, H; Kigin, ML; Rasinski, KA; Ford, JS; Tonorezos, ES; Nathan, PC; Oeffinger, KC; Henderson, TO
Published in: Ann Intern Med
January 7, 2014

BACKGROUND: Adult childhood cancer survivors (CCSs) are at high risk for illness and premature death. Little is known about the physicians who provide their routine medical care. OBJECTIVE: To determine general internists' self-reported attitudes and knowledge about the care of CCSs. DESIGN: Cross-sectional survey. SETTING: Mailed survey delivered between September 2011 and August 2012. PARTICIPANTS: Random sample of 2000 U.S. general internists. MEASUREMENTS: Care preferences, comfort levels with caring for CCSs (7-point Likert scale: 1 = very uncomfortable, 7 = very comfortable), familiarity with available surveillance guidelines (7-point Likert scale: 1 = very unfamiliar, 7 = very familiar), and concordance with Children's Oncology Group Long-Term Follow-Up Guidelines in response to a clinical vignette. RESULTS: The response rate was 61.6% (1110 of 1801). More than half the internists (51.1%) reported caring for at least 1 CCS; 72.0% of these internists never received a treatment summary. On average, internists were "somewhat uncomfortable" caring for survivors of Hodgkin lymphoma, acute lymphoblastic leukemia, and osteosarcoma. Internists reported being "somewhat unfamiliar" with available surveillance guidelines. In response to a clinical vignette about a young adult survivor of Hodgkin lymphoma, 90.6% of respondents did not appropriately recommend yearly breast cancer surveillance, 85.1% did not appropriately recommended cardiac surveillance, and 23.6% did not appropriately recommend yearly thyroid surveillance. Access to surveillance guidelines and treatment summaries were identified as the most useful resources for caring for CCSs. LIMITATION: Findings, based on self-report, may not reflect actual clinical practice. CONCLUSION: Although most general internists report involvement in the care of CCSs, many seem unfamiliar with available surveillance guidelines and would prefer to follow patients in collaboration with a cancer center. PRIMARY FUNDING SOURCE: National Cancer Institute.

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Published In

Ann Intern Med

DOI

EISSN

1539-3704

Publication Date

January 7, 2014

Volume

160

Issue

1

Start / End Page

11 / 17

Location

United States

Related Subject Headings

  • Survivors
  • Surveys and Questionnaires
  • Practice Patterns, Physicians'
  • Practice Guidelines as Topic
  • Physicians, Primary Care
  • Neoplasms
  • Middle Aged
  • Male
  • Internal Medicine
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
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Suh, E., Daugherty, C. K., Wroblewski, K., Lee, H., Kigin, M. L., Rasinski, K. A., … Henderson, T. O. (2014). General internists' preferences and knowledge about the care of adult survivors of childhood cancer: a cross-sectional survey. Ann Intern Med, 160(1), 11–17. https://doi.org/10.7326/M13-1941
Suh, Eugene, Christopher K. Daugherty, Kristen Wroblewski, Hannah Lee, Mackenzie L. Kigin, Kenneth A. Rasinski, Jennifer S. Ford, et al. “General internists' preferences and knowledge about the care of adult survivors of childhood cancer: a cross-sectional survey.Ann Intern Med 160, no. 1 (January 7, 2014): 11–17. https://doi.org/10.7326/M13-1941.
Suh E, Daugherty CK, Wroblewski K, Lee H, Kigin ML, Rasinski KA, et al. General internists' preferences and knowledge about the care of adult survivors of childhood cancer: a cross-sectional survey. Ann Intern Med. 2014 Jan 7;160(1):11–7.
Suh, Eugene, et al. “General internists' preferences and knowledge about the care of adult survivors of childhood cancer: a cross-sectional survey.Ann Intern Med, vol. 160, no. 1, Jan. 2014, pp. 11–17. Pubmed, doi:10.7326/M13-1941.
Suh E, Daugherty CK, Wroblewski K, Lee H, Kigin ML, Rasinski KA, Ford JS, Tonorezos ES, Nathan PC, Oeffinger KC, Henderson TO. General internists' preferences and knowledge about the care of adult survivors of childhood cancer: a cross-sectional survey. Ann Intern Med. 2014 Jan 7;160(1):11–17.

Published In

Ann Intern Med

DOI

EISSN

1539-3704

Publication Date

January 7, 2014

Volume

160

Issue

1

Start / End Page

11 / 17

Location

United States

Related Subject Headings

  • Survivors
  • Surveys and Questionnaires
  • Practice Patterns, Physicians'
  • Practice Guidelines as Topic
  • Physicians, Primary Care
  • Neoplasms
  • Middle Aged
  • Male
  • Internal Medicine
  • Humans