Background
Long-term follow-up of childhood cancer survivors is mainly organised by paediatric oncologists and until now general practitioners
(GPs) are rarely involved. To ensure appropriate follow-up for all survivors into adulthood, a combined effort of paediatric
oncologists and general practitioners might be the solution. We investigated the willingness of GPs, who had followed a postgraduate
course on late effects of cancer treatment, to participate in a shared care model for follow-up of adult childhood cancer
survivors as well as what their requirements would be in case of participation.
Methods
From the Northern Netherlands, 358 GPs participated in a postgraduate course on late effects in paediatric cancer survivors.
After the course, they were asked to complete a 10-item questionnaire on motivation to participate in the regular follow-up
of adult childhood cancer survivors as well as their conditions to participate.
Results
The response rate was 65%. Of the responders, 97% were willing to participate in a shared care model for follow-up and 64%
felt that it was their responsibility to be in charge of childhood cancer survivors. The main requirements for participation
were the availability of guidelines (64%), sufficient information about the patient’s medical history (37%), and short communication
lines (45%). The main barriers to participate were workload (16%), lack of knowledge (15%), and lack of communication (13%).
Conclusion
A significant number of GPs are ready to participate in the long-term follow-up of adult childhood cancer survivors if adequate
guidelines and medical information is provided and communication lines are clear.
Keywords Childhood cancer survivors - Long-term follow-up - General practitioners