PILOT STUDY ON GPs

PERCEPTIONON

SURVIVORS

CA-PRI

Giorgio Visentin, Antoni Peris

Cancer perception survivors

Authors

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

Moro Agnese

Collecchia Giampaolo

Visentin Giorgio

Longo Eliso

Longoni Paolo

Bertolissi Stefano

Di Giovanbattista Elisabetta

Gambarelli Lino

Urli Katia

Favero Giorgio

Bondielli Giuliana

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

12 12 0

<60i <60c 60-70i 60-70c >70i >70c toti

breast 20 3 23 1 50 7 93

linfoma 10 2 2 14

leukemia 3 2 1 5 10

lung 5 2 1 3 10

colon 3 1 12 21 1 36

prostate 13 2 18 3 31

uterus 2 3 2 3 7

larinx 2 4 1 6

bladder 2 6 4 4 2 12

Stage of the disease

<60

(61)i<60

(17)c60-70 (74)i

60-70

(9)c

>70

(137)i

>70 (17)c

waiting2

3,2%0

4

5,4%0

1

0,7%

1

5,8%

Under treatment

9

14,7%

5

29,4%

10

13,5%

2

22,2%

12

8,37%

1

5.8%

>6 months after

9

14,7%

6

35,2%

6

8,1

1

11,1%

11

8%

1

5,8%

stable40

65,5%

4

23,5%

52

70,2%

6

66,6%

100

72,9%

13

76,4%

worsening1

1,6%

1

5,8%

2

2,7%0

9

6,5%

1

5,8%

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%)

<60i (61)

<60c

(17)

60-70i

(74)

60-70c

(9)

>70i

(137)

>70c

(17)

Clinical 34,4% 29,4% 37,8% 33,3% 34,3% 23.5%

Psycological 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 3,2% 11,7% 6,7% 0 12,4% 17,6%

management 0 0 00

7,3% 5,8%

Problems of the disease

>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 pre-existing 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