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Choose Wisely A consultation with the general practitioner between diagnosis and therapy choice for cancer patients E.A. (Eveline) Noteboom Project team: C.W. Helsper, A.M. May, E. van der Wall, N.J. de Wit

Choose Wisely Consultation Challenge GP and patient lose contact after diagnosis Complex therapy choice for cancer patients Personal therapy choice: considering preferences and wishes Shared Decision Making Diagnosis Secondary care Option talk Deliberation Decision talk Choose Wisely Consultation Patient and GP Content Reflecting on diagnosis and therapy options Preferences and wishes Questions for secondary care Solution = Choose Wisely consultation GP Goals Prepare patient for SDM in secondary care Facilitate continuity of primary care

Aim To better incorporate personal goals and preferences for cancer treatment through development, evaluation and implementation of the Choose Wisely Consultation in primary care for cancer patients. Methods 45 Choose Wisely consultations Cancer patients with either colon-, lung-, breast-, prostate-, gynaecologic cancer or melanoma palliative treatment >18yr curative intent >70yr Mixed-methods design Quantitative: questionnaires Qualitative: interviews and focus groups

First results Patients – General Practitioners – Medical Specialists Contact moment outside hospital is appreciated GP is familiar and knows patient Extra moment to ask questions and reflect on choice However: Does not seem to influence therapy choice for patients treated with curative intent Tailored approach for individual patient Discussion about discussing medical considerations in primary care Contact: e.a.noteboom@umcutrecht.nl