PILOT STUDY ON GPs PERCEPTION ON SURVIVORS CA-PRI

PILOT STUDY ON GPs PERCEPTION ON SURVIVORS CA-PRI Giorgio Visentin, Antoni Peris

Cancer perception survivors

Authors Moro Agnese Collecchia Giampaolo Visentin Giorgio Longo Eliso Longoni Paolo Bertolissi Stefano Di Giovanbattista Elisabetta Gambarelli Lino Urli Katia Favero Giorgio Bondielli Giuliana Carolina Manzotti Victor Silvestre Mª José Jareño Susana Vilalta Maribel Santamaria Daniel Garcia Silvia Gonzalez Laura Gimenez Emilia Bosch Ionuts Chiriac Carlos Bernades Claudia Gomez

Material and methods Register all the patients with a diagnosis of neoplastic disease from 1 st of February to the 28° of February, Fill the questionnaire, paying attention to the problems related to the Quality of Life still present caused by the neoplasm in the subgroup of stabilized patients Exclusion criteria: baso and spinocellulare carcinoma of the skin

Italian GPs It. patients Catalan GPs Cat. patients 1 42 1 2 2 18 2 5 3 18 3 4 4 14 4 5 5 8 5 12 6 61 6 6 7 25 7 9 8 25 8 0 9 17 9 0 10 20 10 0 11 24 11 0

<60 i <60 c 60 -70 i 60 -70 c >70 i >70 c toti breast 20 3 23 1 50 7 93 linfoma 10 2 leukemia 3 2 lung 5 2 colon 3 1 prostate uterus bladder 1 5 10 1 3 10 21 2 1 36 18 3 31 2 2 3 2 larinx 3 14 12 13 2 2 4 1 6 4 2 12 6 4 7

Stage of the disease <60 (61)i waiting 2 3, 2% <60 (17)c 60 -70 (74)i 0 4 5, 4% 60 -70 (9)c >70 (137)i >70 (17)c 0 1 0, 7% 1 5, 8% Under treatment 9 5 10 14, 7% 29, 4% 13, 5% 2 22, 2% 12 8, 37% 1 5. 8% >6 months after 9 6 14, 7% 35, 2% 1 11, 1% 11 8% 1 5, 8% 6 66, 6% 100 72, 9% 13 76, 4% 9 1 stable worsening 6 8, 1 40 4 52 65, 5% 23, 5% 70, 2% 1 1 2 0

Characteristic of the sample • 221/272 (81, 2%) patients are stable or they have completed their therapy more than 6 months before • 119/221 (53, 8%) have no problems recorded • <60 23/40 (37, 7%) • 60 -70 31/55 (56, 3%) • >70 59/113 (52, 2%)

Problems of the disease <60 i (61) <60 c (17) Clinical 34, 4% Psycological 60 -70 c (9) >70 i (137) >70 c (17) 29, 4% 37, 8% 33, 3% 34, 3% 23. 5% 44, 2% 23, 5% 44, 5% 0 32, 8% 17, 6% social 27, 8% 0 5, 4% 0 4, 3% 5, 8% certificate 22, 9% 11, 7% 8, 1% 11, 1% 10, 9% 5, 8% familiar 13, 1% 5, 8% 6, 7% 0 2, 1% 0 environment 1. 6% 0 1, 3% 0 2, 9% 0 disability 11, 7% 6, 7% 0 12, 4% 17, 6% 7, 3% 5, 8% 3, 2% management 0 0 60 -70 i (74) 0 0

>70 • Abdominal pain and astenia: familiar support isn’t appropriate • Digestive disorders in gastropatic patient: anxious and irritable during the control tests • Chronic dispepsia and stypsis. Anxious for the eventual connection with his neoplastic disease • After surgical treatment, both her and her daughter (actual care giver) are terrified by the posibility of another cancer or a recurrency • Erectile disfunction; worsening of a preexisting anxious depressive disorder phisical activity hindered by iatrogenic floppy abdomen

>70 • Persistent depressive attitude • Chronic alcoholism with behavioural disorders • 2 years ago she tried to suicide. She became lonely after the sons left her house she has now conflictual relationship • She need care from the unique son • Anxiety and depression, right arm oedema, osteoporosis, divorce, familiar relationship problematic • When she became 65 years old the income from social service has been blocked, she has 67% of disability • Sexual disorder after prostatic surgery • Very good recovery: it last anxiety during the control tests, she lives alone

60 -70 • “Familiar conflicts” anxious depressive syndrome, actually improved with therapy (breast cancer) • Worsening of a pre-existing chronic psycosis • She has a 36 years old oligophrenic daughter with serious need of care • Recent divorce (ovaric cancer) • Anxiety and depression relational problemswith the wife due to secondary erectile disfunction and loss of his work

<60 • Frequent sick leave due to pain to the arm • After retirement he tried a part time work (because of Economic problems) without exit for the sick leave • He is afraid to become ill and in the meantime he refuses any control • Working problems for the sick leaves due to the controls