Although based on a ridiculously small study (42 people), the results make intuitive sense to me. Some primary care doctors are clearly better than others (I am particularly fortunate) but my relationship with my transplant team is deeper in some ways, given what we have gone through over the past three years. For transplant patients, there is a good booklet for patient and primary care doctor follow-up, to partially address this issue. Quote:
“Follow-up care is not just about making sure your cancer’s not back. It’s about making sure you monitor and get care for problems like cardiovascular issues and bone density issues that might happen because of some of your cancer treatments. It’s the health prevention piece that’s usually done in primary care,” (Dr. Shawna) Hudson said.
Dr. Catherine Broome, an associate professor of medicine and a medical oncologist at Georgetown University’s Lombardi Comprehensive Cancer Center, said while the study is small, it does raise important issues.
“As a medical community in general, we’ve struggled with this question about follow-up care for a number of years. Economics and health care reimbursements are beginning to play a role in how we’re asked to manage these patients,” Broome said.
“I personally do like to try and follow my patients much longer than the first few years. When I see them, I may be a bit more focused on some of those things that might be overlooked by a primary care physician, like an early-stage breast cancer patient who got chemo and may be cured but who might experience long-term effects such as thyroid abnormalities,” said Broome. “The subtle signs might be more obvious to us.”