XXIII Congresso CSeRMEG 28–29 ottobre 2011 ACUZIE E CRONICITÀ NELLE CURE PRIMARIE: organizzazione, formazione e ricerca - www.csermeg.it

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

2. Cancer perception survivors

4. 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

5. 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

6. 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

7. <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

8. Stage of the disease
<60
(61)i
<60
(17)c
60-70
(74)i
60-70
(9)c
>70
(137)i
>70
(17)c
waiting
2
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%
stable
40
65,5%
4
23,5%
52
70,2%
6
66,6%
100
72,9%
13
76,4%
worsening
1
1,6%
1
5,8%
2
2,7%
0
9
6,5%
1
5,8%

9. 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%)

10. Problems of the disease
<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 0
0
7,3% 5,8%

11. >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

12. >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

13. 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

14. <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