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  • Current Oncology is published by MDPI from Volume 28 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Multimed Inc..
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1 February 2018

Assessing Post-Radiotherapy Handover Notes from a Family Physician Perspective

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1
University of British Columbia School of Medicine, Prince George, BC, Canada
2
Department of Radiation Oncology, British Columbia Cancer Agency—Centre for the North, Prince George, BC, Canada
3
Department of Surgery, University of British Columbia, Vancouver, BC, Canada
4
Northern Health, Prince George, BC, Canada

Abstract

Background: Across our province, post-radiotherapy (RT) handover notes are sent to family physicians (FPS) after RT. Based on previous FP feedback, we created a revised post-radiotherapy handover note with more information requested by FPS. The purpose of this study was to determine whether the revised handover note improved the note as a communication aid. Methods: Potential common and rare treatment side effects, oncologist contact information, and treatment intent were added to the revised handover note. Both versions were sent alongside a questionnaire to FPS. Paired t-tests were carried out to compare satisfaction differences. Results: There was a response rate of 37% for the questionnaires. Significantly greater clarity in the following categories was observed: responsibility for patient follow-up (mean score improvement of 1.2 on a 7-point Likert scale, p < 0.001), follow-up schedule (1.1, p < 0.001) as well as how and when to contact the oncologist (1.4, p = 0.001). Family physicians were also more content with how the institute transitioned care back to them (1.5, p = 0.012). Overall, FPS were generally satisfied with the content of the revised post-RT handover note and noted improvement over the previous version. The frequency of investigations and institute supports initiated such as counselling services were suggested further additions. Conclusions: The inclusion of potential treatment side effects, oncologist contact information, treatment intent and a well-laid out follow-up schedule were essential information needed by FPS for an effective post-RT completion note. With these additions, the revised post-RT handover note showed significant improvement.

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