Screening, preventative and chronic disease care in cancer survivors


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Nada Khan1
1University of Oxford, Oxford, UK

Abstract

Cancer survivors are at increased risk of ill health due to a risk of second cancers, late effects of treatment and other comorbidities. The risk of adverse health can be reduced through use of preventative services and screening. Chronic disease management remains an important issue for older survivors, many of whom have one or more comorbid diseases. Previous research from the US has highlighted the under use of preventative care and chronic disease monitoring in individuals with cancer.

More than half of all people with a cancer diagnosis will live more than five years post-diagnosis and second cancers and non-cancer related illnesses will contribute to a significant proportion of the long-term morbidity and mortality in this population. In the United Kingdom, general practice is responsible for the long-term care of cancer survivors following discharge from hospital follow-up. There is a dearth of information on how well this population is cared for in primary care.

This presentation will focus on use of preventative care and chronic disease management amongst a cohort of British cancer survivors. The research involves an in-depth analysis of a large primary care database representing a community-based sample of cancer survivors compared to a non-cancer control population. The main outcomes include routine disease screening and monitoring of chronic diseases including diabetes, hypertension and coronary artery disease. Some of the findings from this study differ from previous research from the United States, and reasons for this divergence in quality of care will be discussed.