Managing colorectal cancer: the general practitioner's roles

Abstract

Colorectal cancer (CRC) contributes significantly to the morbidity and mortality of Australians. The introduction of the National Bowel Cancer Screening Project (NBCSP) has focused attention on the role of the general practitioner (GP) in screening for CRC. However, the role of the GP post-diagnosis has not been well-documented in Australia. This study aimed to identify and compare the roles of GPs in CRC management in Australia. Fifteen GPs practising in urban, rural and remote north Queensland were interviewed to explore self-reported roles in CRC management. All GPs reported having a role in diagnosis, referral, follow-up and palliative care. Treatment was provided by remote GPs only. GPs also reported acting as an advocate for their patient, providing post-operative care and co-ordinating care. Their care was influenced by the geographical location of their practice and also their relationship with the specialist. GPs with the strongest relationships with the specialist felt most confident in providing care for their patients and were able to ensure rapid referrals. The role of the GP in CRC management is substantial regardless of location. Improvements in the relationships between GPs and specialists could lead to better communication and greater shared care opportunities.