Suivi au long cours des patients atteints de cancer du sein, cancer colorectal et cancer de la prostate, par les médecins généralistes comparé aux spécialistes : une revue systématique de la littérature de 2006 à 2017

Abstract : The lifespan of patients with breast, colorectal and prostate cancer is increasing. Long-term follow-up is performed either by general practitioners, by specialists or both. The medical recommendations do not define the role of the different physicians in the follow-up. The objective of this study is to compare long-term follow-up realised by specialists and that performed by general practitioners in terms of morbidity, mortality, quality of life and cost-effectiveness. A systematic review of the literature of articles published between 2006 and 2017 by searching MEDLINE, EMBASE, Cochrane Library, BDSP and Gray Literature Search was conducted according to the Cochrane Methodology. Patients diagnosed with breast, colorectal and prostate cancer after completion of adjuvant treatments were included. There is no difference in morbidity and mortality for breast cancer, no significant result for colorectal cancer and no data for prostatic cancer. There is no difference in quality of life for breast and colorectal cancer and no data for prostate cancer. Patients followed by specialists benefit more from the recommended follow-up specific for cancer. Patients followed by general practitioners benefit more from monitoring and screening for non-cancer-related diseases. Cost-effectiveness evaluation methods for breast and prostate cancer are in favor of early follow-up by general practitioners. Follow-up by the general practitioner does not affect morbidity, mortality and quality of life for breast cancer. In order to make a general conclusion more recent studies, with a larger number of patients and longer follow-up durations, would be needed.
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Master Thesis
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Submitted on : Friday, May 24, 2019 - 3:16:42 PM
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Viràg Daroczy. Suivi au long cours des patients atteints de cancer du sein, cancer colorectal et cancer de la prostate, par les médecins généralistes comparé aux spécialistes : une revue systématique de la littérature de 2006 à 2017. Médecine humaine et pathologie. 2019. ⟨dumas-02139222⟩

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