General practitioner involvement in follow-up of childhood cancer survivors: a systematic review

Singer, Sarah; Gianinazzi, Micòl E; Hohn, Anna; Kuehni, Claudia E; Michel, Gisela (2013). General practitioner involvement in follow-up of childhood cancer survivors: a systematic review. Pediatric blood & cancer, 60(10), pp. 1565-73. Wiley-Liss 10.1002/pbc.24586

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BACKGROUND An increasing number of childhood cancer survivors need long-term follow-up care. Different models address this problem, including that of follow-up by general practitioners (GP). We describe models that involve GPs in follow-up for childhood cancer survivors, their advantages and disadvantages, clinics that employ these models, and the elements essential to high-quality, GP-led follow-up care. PROCEDURE We searched four databases (PubMed [including Medline], Embase, Cochrane, and CINAHL) without language restrictions. RESULTS We found 26 publications, which explicitly mentioned GP-led follow-up. Two models were commonly described: GP-only, and shared care between GP and pediatric oncology or late effects clinic. The shared care model appears to have advantages over GP-only follow-up. We found four clinics using models of GP-led follow-up, described in five papers. We identified well-organized transition, treatment summary, survivorship care plan, education of GPs and guidelines as necessary components of successful follow-up. CONCLUSION Scarcity of literature necessitated a review rather than a meta-analysis. More research on the outcomes of GP-led care is necessary to confirm the model for follow-up of childhood cancer survivors in the long term. However, with the necessary elements in place, the model of GP-led follow-up, and shared care in particular, holds promise.

Item Type:

Journal Article (Original Article)


04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine

UniBE Contributor:

Singer, Sarah; Gianinazzi, Micol Eva; Hohn, Anna; Kühni, Claudia and Michel, Gisela


600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services








Doris Kopp Heim

Date Deposited:

08 Feb 2014 09:34

Last Modified:

11 Apr 2016 09:39

Publisher DOI:


PubMed ID:


Uncontrolled Keywords:

childhood cancer family physician follow-up general practitioner primary care survivor




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