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Primary care provider–led cancer survivorship care in the first 5 years following initial cancer treatment: a scoping review of the barriers and solutions to implementation

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Abstract

Purpose

To synthesize the barriers to primary care provider (PCP)–led cancer survivorship care (≤ 5 years after initial cancer treatment) experienced by healthcare systems around the world, and to explore potential solutions that would succeed within a developed country.

Methods

A scoping review of peer-reviewed articles and grey literature was conducted. Four electronic databases (Medline, Embase, Web of Science Core Collection, and Google Scholar) were searched for articles prior to April 2021.

Results

Ninety-seven articles published across the globe (USA, Canada, Australia, European Union, and UK) met the review inclusion/exclusion criteria. The four most frequently discussed barriers to PCP-led survivorship care in healthcare systems were as follows: (1) insufficient communication between PCPs and cancer specialists, (2) limited PCP knowledge, (3) time restrictions for PCPs to provide comprehensive survivorship care, and (4) a lack of resources (e.g., survivorship care guidelines). Potential solutions to combat these barriers were as follows: (1) improving interdisciplinary communication, (2) bolstering PCP education, and (3) providing survivorship resources.

Conclusions

This scoping review identified and summarized key barriers and solutions to the provision of PCP-led cancer survivorship care. Importantly, the findings from this review provide insight and direction to guide optimization of cancer care practice within BC’s healthcare system.

Implications for Cancer Survivors

Optimizing the PCP-led survivorship care model will be a valuable contribution to the field of cancer survivorship care and will hopefully lead to more widespread use of this model, ultimately lessening the growing demand for cancer-specific care by cancer specialists.

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Data availability

The dataset generated and analyzed during the current study are available from the corresponding author on reasonable request.

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Funding

This work was supported by the “Clinical Research and QI Incubator Initiative” of the UBC Centre for Chronic Disease Prevention and Management, as well as BC Cancer Kelowna. BH received funding through the UBC Southern Medical Program Summer Student Research Program. Funders played no role in the design, conduct, or interpretation of this work.

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Authors and Affiliations

  1. Southern Medical Program, Faculty of Medicine, University of British Columbia, Kelowna, Canada

    Brian D. Hayes, Hannah G. Young, Sarah McCorquodale & Christine Voss

  2. BC Cancer, Kelowna, Canada

    Siavash Atrchian & Alissa Loader

  3. Department of Surgery, Division of Radiation Oncology and Developmental Therapeutics, Faculty of Medicine, University of British Columbia, Vancouver, Canada

    Siavash Atrchian

  4. Library, University of British Columbia Okanagan, Kelowna, Canada

    Mathew Vis-Dunbar

  5. Centre for Chronic Disease Prevention and Management, Faculty of Medicine, University of British Columbia, 1088 Discovery Avenue, Kelowna, BC, V1V 1V7, Canada

    Matthew J. Stork, Sofia Samper, Sarah McCorquodale & Christine Voss

  6. Department of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, Canada

    Satvir Pandher

  7. Department of Pediatrics, Faculty of Medicine, University of British Columbia, Vancouver, Canada

    Christine Voss

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  1. Brian D. Hayes
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  10. Christine Voss
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Contributions

Conceptualization: Siavash Atrchian, Christine Voss, and Brian Hayes. Methodology: Siavash Atrchian, Christine Voss, Mathew Vis-Dunbar, Satvir Pandher, and Brian Hayes. Validation: Christine Voss and Mathew Vis-Dunbar. Formal analysis: Brian Hayes and Mathew-Vis Dunbar. Investigation: Brian Hayes, Hannah Young, and Sofia Samper. Resources: Mathew Vis-Dunbar and Christine Voss. Data curation: Brian Hayes, Hannah Young, and Sofia Samper. Writing—original draft: Brian Hayes, Hannah Young, and Matthew Stork. Writing—review and editing: all authors.

Corresponding author

Correspondence to Christine Voss.

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Hayes, B.D., Young, H.G., Atrchian, S. et al. Primary care provider–led cancer survivorship care in the first 5 years following initial cancer treatment: a scoping review of the barriers and solutions to implementation. J Cancer Surviv 18, 352–365 (2024). https://doi.org/10.1007/s11764-022-01268-y

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