2. Disclosure belangen NHG spreker
(Potentiële) belangenverstrengeling
n.v.t.
Voor bijeenkomst mogelijk relevante relaties met bedrijven
Sponsoring of onderzoeksgeld
Honorarium of andere (financiële) vergoeding
Aandeelhouder
Andere relatie, namelijk …
KWF Kankerbestrijding

3. 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

4. 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

5. 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

6. 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: