Dansk Selskab for Almen Medicin logoDansk Selskab for Almen Medicin logo
Klinisk vejledning

Publiseret: 2019

Kræftopfølgning i almen praksis

OBS: Vejledning over 5 år

DSAM tager forbehold for, at der kan være nye retningslinjer/ny evidens på området. Vi har dog valgt at lade vejledningen være aktiv, da der stadig er en del brugbar information i den.

Referencer

(1) Rubin G, Berendsen A, Crawford SM, Dommett R, Earle C, Emery J, et al. The expanding role of primary care in cancer control. Lancet Oncol 2015 Sep;16(12):1231-1272.

(2) Sundhedsdatastyrelsen, cancerregisteret: sundhedsdatastyrelsen.dk/da/tal-og-analyser/analyser-og-rapporter/sygdomme/cancerregisteret

(3) NORDCAN. Kræftstatistik: nøgletal og figurer. 2017; Available at: www-dep.iarc.fr/NORDCAN/DK/frame.asp. Accessed 05/15, 2017.

(4) Diabetesforeningen. Diabetes i Danmark. 2015; Available at: www.diabetes.dk/presse/diabetes-i-tal/diabetes-i-danmark.aspx Accessed 05/15, 2017.

(5) Sundhedsstyrelsen (National Board of Health). Monitorering & Medicinsk Teknologivurdering Kontrolforløb for gynækologiske kræftpatienter – en medicinsk teknologivurdering. 11(2) ed. København: Sundhedsstyrelsen; 2009.

(6) Crnalic S, Hildingsson C, Bergh A, Widmark A, Svensson O, Lofvenberg R. Early diagnosis and treatment is crucial for neurological recovery after surgery for metastatic spinal cord compression in prostate cancer. Acta Oncol 2013 May;52(4):809-815.

(7) Grunfeld E, Mant D, Yudkin P, Adewuyi-Dalton R, Cole D, Stewart J, et al. Routine follow up of breast cancer in primary care: randomised trial. BMJ 1996 Sep 14;313(7058):665-669.

(8) Salani R, Backes FJ, Fung MF, Holschneider CH, Parker LP, Bristow RE, et al. Posttreatment surveillance and diagnosis of recurrence in women with gynecologic malignancies: Society of Gynecologic Oncologists recommendations. Am J Obstet Gynecol 2011 Jun;204(6):466-478.

(9) Sundhedsstyrelsen (National Board of Health). Opfølgningsprogrammer for kræftsygdomme. 2017; Available at: www.sst.dk/da/sygdom-og-behandling/kraeft/opfoelgningsprogrammer Accessed 03/01, 2017.

(10) Emery J. Cancer survivorship--the role of the GP. Aust Fam Physician 2014 Aug;43(8):521-525.

(11) Christensen KS, Cold S, Hansen T, Jørgensen M, Petersen BD. Medicinsk Kommunikation. 2.th ed. København: Fadl's Forlag; 2015.

(12) Stewart M, Brown JB, Donner A, McWhinney IR, Oates J, Weston WW, et al. The impact of patient-centered care on outcomes. J Fam Pract 2000 Sep;49(9):796-804.

(13) Kræftens Bekæmpelse. Kræftramtes behov og oplevelser gennem behandling og i efterforløbet. Kræftens Bekæmpelses Barometerundersøgelse. København: Kræftens Bekæmpelse; 2013.

(14) Larsen N. Omsorg for kræftpatienter 2 - organisering hos Allerødlægerne. Månedsskrift for almen praksis 2014 Maj(05).

(15) Dagens Medicin. Korsørlæger holder tæt kontakt til deres kræftpatienter. Dagens Medicin 2013 11/28.

(16) Khan NF, Watson E, Rose PW. Primary care consultation behaviours of long-term, adult survivors of cancer in the UK. Br J Gen Pract 2011 Mar;61(584):197-199.

(17) Christensen KG, Fenger-Gron M, Flarup KR, Vedsted P. Use of general practice, diagnostic investigations and hospital services before and after cancer diagnosis - a population-based nationwide registry study of 127,000 incident adult cancer patients. BMC Health Serv Res 2012 Jul 28;12:224-6963-12-224.

(18) McCabe MS, Bhatia S, Oeffinger KC, Reaman GH, Tyne C, Wollins DS, et al. American Society of Clinical Oncology statement: achieving high-quality cancer survivorship care. J Clin Oncol 2013 Feb 10;31(5):631-640.

(19) Nekhlyudov L, O'malley DM, Hudson SV. Integrating primary care providers in the care of cancer survivors: gaps in evidence and future opportunities. Lancet Oncol 2017 Jan;18(1):e30-e38.

(20) Holm T, Lassen J, Genefke J, Melchiorsen H, Hybel U, Sørensen J. Tværsektorielt samarbejde mellem almen praksis og hospital - Shared care belyst ved antikoagulansbehandling som eksempel - en medicinsk teknologivurdering. 2006;6 (2).

(21) PLO og Kræftens Bekæmpelse. Kræftpatienter og almen praksis - en styrket indsats. 2017; Available at: pdf.cancer.dk/kraeftpatienter-og-almen-praksis-en-styrket-indsats/ Accessed 05/15, 2017.

(22) Sundhedsstyrelsen (National Board of Health). Vejledning om epikriser ved udskrivelse fra sygehuse mv. 2007; Available at: www.sst.dk/~/media/C77778F79BEE44CBA99B3BC88450FCF5.ashx Accessed 04/26, 2017.

(23) Walter FM, Usher-Smith JA, Yadlapalli S, Watson E. Caring for people living with, and beyond, cancer: an online survey of GPs in England. Br J Gen Pract 2015 Nov;65(640):e761-8.

(24) Grønvold M, Pedersen C, Jensen CR, Faber MT, Johnsen AT. Kræftpatientens verden. En undersøgelse af hvad danske kræftpatienter har brug for. København: Kræftens Bekæmpelse; 2006.

(25) Hoekstra RA, Heins MJ, Korevaar JC. Health care needs of cancer survivors in general practice: a systematic review. BMC Fam Pract 2014 May 13;15:94-2296-15-94.

(26) Yalom ID. Kærlighedens Bøddel. 3rd ed. København: Hans Reitzels Forlag; 2007.

(27) Frank A. Just listening: Narrative and deep illness. Families, Systems, & Health 1998;16(3):197-212.

(28) Brody H. "My story is broken; can you help me fix it?" Medical ethics and the joint construction of narrative. Lit Med 1994 Spring;13(1):79-92.

(29) Launer J. Narrative-based Primay Care.: Radcliffe Medical Press Ltd; 2002.

(30) Schein EH. Spørg - den ædle kunst at spørge ydmygt i stedet for at belære. København: Gyldendal; 2014.

(31) Hvas L, Getz L. Narrativ medicin i almen praksis - del 1 Månedsskrift for almen praksis 2013:765--771.

(32) Jefford M, Karahalios E, Pollard A, Baravelli C, Carey M, Franklin J, et al. Survivorship issues following treatment completion--results from focus groups with Australian cancer survivors and health professionals. J Cancer Surviv 2008 Mar;2(1):20-32.

(33) Hansen DG, Hjortbak BR, Jarlbaek L. Cancer rehabilitation of adult patients. Ugeskr Laeger 2014 May 12;176(10):V01140026.

(34) Recklitis CJ, Syrjala KL. Provision of integrated psychosocial services for cancer survivors post-treatment. Lancet Oncol 2017 Jan;18(1):e39-e50.

(35) Simard S, Thewes B, Humphris G, Dixon M, Hayden C, Mireskandari S, et al. Fear of cancer recurrence in adult cancer survivors: a systematic review of quantitative studies. J Cancer Surviv 2013 Sep;7(3):300-322.

(36) Sundhedsstyrelsen (National Board of Health). Forløbsprogram for rehabilitering og palliation i forbindelse med kræft  - del af samler forløbsprogram for kræft. 2012; Available at: www.sst.dk/~/media/8D462333D76845B1B09CAF40F9476087.ashx

(37) Rehabiliteringsforum Danmark. Rehabilitering i Danmark. Hvidbog om rehabilitering. 2004; Available at: www.marselisborgcentret.dk/viden-om-rehabilitering/definitioner-af-rehabilitering/.. Accessed 05/15, 2017.

(38) Johnsen AT, Petersen MA, Pedersen L, Groenvold M. Symptoms and problems in a nationally representative sample of advanced cancer patients. Palliat Med 2009 Sep;23(6):491-501.

(39) Jorgensen TL, Hallas J, Friis S, Herrstedt J. Comorbidity in elderly cancer patients in relation to overall and cancer-specific mortality. Br J Cancer 2012 Mar 27;106(7):1353-1360.

(40) Barnett K, Mercer SW, Norbury M, Watt G, Wyke S, Guthrie B. Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet 2012 Jul 7;380(9836):37-43.

(41) Tetsche MS, Dethlefsen C, Pedersen L, Sorensen HT, Norgaard M. The impact of comorbidity and stage on ovarian cancer mortality: a nationwide Danish cohort study. BMC Cancer 2008 Jan 29;8:31-2407-8-31.

(42) Luchtenborg M, Jakobsen E, Krasnik M, Linklater KM, Mellemgaard A, Moller H. The effect of comorbidity on stage-specific survival in resected non-small cell lung cancer patients. Eur J Cancer 2012 Dec;48(18):3386-3395.

(43) Deckx L, van den Akker M, Metsemakers J, Knottnerus A, Schellevis F, Buntinx F. Chronic Diseases among Older Cancer Survivors. J Cancer Epidemiol 2012;2012:206414.

(44) Travis LB, Demark Wahnefried W, Allan JM, Wood ME, Ng AK. Aetiology, genetics and prevention of secondary neoplasms in adult cancer survivors. Nat Rev Clin Oncol 2013 May;10(5):289-301.

(45) Midtgaard J, Johansen C, Lysdahl SH, Thisted LB, Ankersen L, Birto K, et al. Ti anbefalinger til kræftpatienter til understøttelse af sundhedsfremme og patientrettet forebyggelse [Ten recommendations for cancer survivors supporting health improvement and secondary prevention]. Ugeskr Laeger 2017 Jan 23;179(4):V06160425.

(46) Demark-Wahnefried W, Aziz NM, Rowland JH et al. Riding the crest of the teachable moment: promoting long-term health after the diagnosis of cancer. J Clin Oncol 2005;23:5814-30. 

(47) Nielsen KM, Borchsenius JI, Offersen BV, Langer SW, Nielsen HM, Rasmussen VG, et al. Cardiovascular complications following thoracic radiotherapy in patients with cancer. Ugeskr Laeger 2016 Sep 26;178(39):V05160362.

(48) Giza DE, Iliescu G, Hassan S, Marmagkiolis K, Iliescu C. Cancer as a Risk Factor for Cardiovascular Disease. Curr Oncol Rep 2017 Jun;19(6):39-017-0601-x.

(49) Okwuosa TM, Anzevino S, Rao R. Cardiovascular disease in cancer survivors. Postgrad Med J 2017 Feb;93(1096):82-90.

(50) Schultz PN, Beck ML, Stava C, Vassilopoulou-Sellin R. Health profiles in 5836 long-term cancer survivors. Int J Cancer 2003 Apr 20;104(4):488-495.

(51) Oeffinger KC, Mertens AC, Sklar CA, Kawashima T, Hudson MM, Meadows AT, et al. Chronic health conditions in adult survivors of childhood cancer. N Engl J Med 2006 Oct 12;355(15):1572-1582.

(52) Cardinale D, Bacchiani G, Beggiato M, Colombo A, Cipolla CM. Strategies to prevent and treat cardiovascular risk in cancer patients. Semin Oncol 2013 Apr;40(2):186-198.

(53) Hvid Poulsen M, Nielsen MF, Walter S. Prostate cancer and osteoporosis. Ugeskr Laeger 2013 Mar 18;175(12):821.

(54) Runowicz CD, Leach CR, Henry NL, Henry KS, Mackey HT, Cowens-Alvarado RL, et al. American Cancer Society/American Society of Clinical Oncology Breast Cancer Survivorship Care Guideline. J Clin Oncol 2016 Feb 20;34(6):611-635.

(55) Liberman D, Mehus B, Elliott SP. Urinary adverse effects of pelvic radiotherapy. Transl Androl Urol 2014 Jun;3(2):186-195.

(56) Noonan EM, Farrell TW. Primary Care of the Prostate Cancer Survivor. Am Fam Physician 2016 May 1;93(9):764-770.

(57) PDQ Supportive and Palliative Care Editorial Board. Lymphedema (PDQ(R)): Health Professional Version. In PDQ Cancer Information Summaries (Internet). National Cancer Institute (US), Bethesda (MD); 2002-2015.

(58) Hershman DL, Lacchetti C, Dworkin RH, Lavoie Smith EM, Bleeker J, Cavaletti G, et al. Prevention and management of chemotherapy-induced peripheral neuropathy in survivors of adult cancers: American Society of Clinical Oncology clinical practice guideline. J Clin Oncol 2014 Jun 20;32(18):1941-1967.

(59) Kolb NA, Smith AG, Singleton JR, Beck SL, Stoddard GJ, Brown S, et al. The Association of Chemotherapy-Induced Peripheral Neuropathy Symptoms and the Risk of Falling. JAMA Neurol 2016 Jul 1;73(7):860-866.

(60) Smith EM, Pang H, Cirrincione C, Fleishman S, Paskett ED, Ahles T, et al. Effect of duloxetine on pain, function, and quality of life among patients with chemotherapy-induced painful peripheral neuropathy: a randomized clinical trial. JAMA 2013 Apr 3;309(13):1359-1367.

(61) Brewer JR, Morrison G, Dolan ME, Fleming GF. Chemotherapy-induced peripheral neuropathy: Current status and progress. Gynecol Oncol 2016 Jan;140(1):176-183.

(62) El-Shami K, Oeffinger KC, Erb NL, Willis A, Bretsch JK, Pratt-Chapman ML, et al. American Cancer Society Colorectal Cancer Survivorship Care Guidelines. CA Cancer J Clin 2015 Nov-Dec;65(6):428-455.

(63) Faubion SS, Loprinzi CL, Ruddy KJ. Management of Hormone Deprivation Symptoms After Cancer. Mayo Clin Proc 2016 Aug;91(8):1133-1146.

(64) Resnick MJ, Lacchetti C, Bergman J, Hauke RJ, Hoffman KE, Kungel TM, et al. Prostate cancer survivorship care guideline: American Society of Clinical Oncology Clinical Practice Guideline endorsement. J Clin Oncol 2015 Mar 20;33(9):1078-1085.

(65) Andersen BL, DeRubeis RJ, Berman BS, Gruman J, Champion VL, Massie MJ, et al. Screening, assessment, and care of anxiety and depressive symptoms in adults with cancer: an American Society of Clinical Oncology guideline adaptation. J Clin Oncol 2014 May 20;32(15):1605-1619.

(66) Pearson EJ, Morris ME, di Stefano M, McKinstry CE. Interventions for cancer-related fatigue: a scoping review. Eur J Cancer Care (Engl) 2016 Jun 2.

(67) LaVoy EC, Fagundes CP, Dantzer R. Exercise, inflammation, and fatigue in cancer survivors. Exerc Immunol Rev 2016;22:82-93.

(68) Rayner L, Price A, Evans A, Valsraj K, Hotopf M, Higginson IJ. Antidepressants for the treatment of depression in palliative care: systematic review and meta-analysis. Palliat Med 2011 Jan;25(1):36-51.

(69) Bower JE, Bak K, Berger A, Breitbart W, Escalante CP, Ganz PA, et al. Screening, assessment, and management of fatigue in adult survivors of cancer: an American Society of Clinical oncology clinical practice guideline adaptation. J Clin Oncol 2014 Jun 10;32(17):1840-1850.

(70) Mitchell AJ, Ferguson DW, Gill J, Paul J, Symonds P. Depression and anxiety in long-term cancer survivors compared with spouses and healthy controls: a systematic review and meta-analysis. Lancet Oncol 2013 Jul;14(8):721-732.

(71) Walsh D, Donnelly S, Rybicki L. The symptoms of advanced cancer: relationship to age, gender, and performance status in 1,000 patients. Support Care Cancer 2000 May;8(3):175-179.

(72) Ewertz M, Jensen AB. Late effects of breast cancer treatment and potentials for rehabilitation. Acta Oncol 2011 Feb;50(2):187-193.

(73) Inhestern L, Beierlein V, Bultmann JC, Moller B, Romer G, Koch U, et al. Anxiety and depression in working-age cancer survivors: a register-based study. BMC Cancer 2017 May 19;17(1):347-017-3347-9.

(74) Morton LM, Swerdlow AJ, Schaapveld M, Ramadan S, Hodgson DC, Radford J, et al. Current knowledge and future research directions in treatment-related second primary malignancies. EJC Suppl 2014 Jun;12(1):5-17.

(75) Bergholdt SH, Søndergaard J, Larsen PV et al. A randomised controlled trial to improve general practitioners’ services in cancer rehabilitation: Effects on general practitioners’ proactivity and on patients’ participation in rehabilitation activities, Acta Oncologica (2013), 52:2, 400-409, DOI: 10.3109/0284186X.2012.741711.

(76) Nakaya N, Saito-Nakaya K, Bidstrup PE et al. Increased risk of severe depression in male partners of women with breast cancer. Cancer (2010); 116:5527-34.

(77) Nielsen, MK, Neergaard, MA, Jensen, AB et al. Psychological distress, health, and socio-economic factors in caregivers of terminally ill patients: a nationwide population-based cohort study. Support Care Cancer (2016) 24: 3057. doi:10.1007/s00520-016-3120-7.

(78) Hansen DG, Hjortbak BR, Jarlbaek L. Rehabilitering af voksne patienter med kræft [Cancer rehabilitation of adult patients]. Ugeskr Læger (2014) May 12;176(10). pii: 

(79) Shear MK. Clinical practice. Complicated grief. N Engl J Med 2015 Jan 8;372(2):153-160.

(80) Nielsen MK, Neergaard MA, Jensen AB, Vedsted P, Bro F, Guldin MB. Predictors of complicated grief and depression in bereaved caregivers: a nationwide prospective cohort study. J Pain Symptom Manage 2016 Dec 29.

(81) Guldin M. Tab og sorg. En grundbog for professionelle. 1st ed. København: Hans Reitzels Forlag; 2014. 

(82) Pollyea DA, Brown JM, Horning SJ. Utility of influenza vaccination for oncology patients. J Clin Oncol 2010 May 10;28(14):2481-2490.

(83) Dansk Lunge Cancer Gruppe. Visitation, diagnostik og stadie, referenceprogram, 2016, www.lungecancer.dk/documents/70028939-E58A-453E-AB21-032BE746549A.pdf

(84) Underwood JM, Townsend JS, Stewart SL, et al. Surveillance of demographic characteristics and health behaviors among adult cancer survivors—Behavioral Risk Factor Surveillance System, United States, 2009. MMWR Surveill Summ 61:1-23, 2012.

(85) Thybo P (2014). Det Dobbelte KRAM – et salutogent arbejdsgrundlag for temagruppen om mental sundhed i Sund By Netværket. Sund By Netværket. sund-by-net.dk/wp-content/uploads/2015/09/Thybo-P-2014-Det-Dobbelte-KRAM-Et-salutogent-arbejdsgrundlag-for-mental-sundhed-den-rigtige-udgave-27.06.2014.pdf    

(86) Berner IH, Tjørnhøj-Thomsen T (2017). Rødvin, gulerødder og sociale relationer. Kræftramte borgeres sundhedsopfattelser. Statens Institut for Folkesundhed.

(87) Sundhedsstyrelsen. Opfølgningsprogram for prostatakræft. 2015.

(88) Sundhedsstyrelsen. Opfølgningsprogram for urinblærekræft. 2015.

(89) Sundhedsstyrelsen. Opfølgningsprogram for nyrekræft. 2015.

(90) Hansen, DG, Hortbak, BR, Jarlbaek L. Rehabilitering af voksne patienter med kræft, Ugeskr.Laeger, 2014, 176, 10.

(91) Sundhedsstyrelsen. Vidensopsamling på senfølger efter kræft hos voksne. 2017.

(92) Murray SA, Kendall M, Boyd K, Grant L, Highet G, Sheikh A. (2010) Archetypical trajectories of social, psychological, and spiritual wellbeing and distress in family caregivers of patients with lung cancer: secondary analysis of serial qualitative interviews. BMJ 9;340:c2581. doi: 10.1136/bmj.c2581.

(93) Hvidt NC, Mikkelsen TB, Zwisler AD, Tofte JB, Assing Hvidt E. (2019) Spiritual, Religious and Existential Concerns of Cancer Survivors in a Secular Country with Focus on Age, Gender and Emotional Challenges. Supportive Care in Cancer. https://doi. org/DOI:10.1007/s00520-019-04775-4.

94) Rasmussen LA. Detecting recurrence of cancer and second primary cancer. Exploring the role of general practice. Ph.d. afhandling. Aarhus Universitet, Health, 2019. ISBN nr: 978-87-90004-74-3.