Assessing Post-Radiotherapy Handover Notes from a Family Physician Perspective

Abstract

Background: Across our province, post-radiotherapy (RT) handover notes are sent to family physicians (FPS) after RT. Based on previous FP feedback, we created a revised post-radiotherapy handover note with more information requested by FPS. The purpose of this study was to determine whether the revised handover note improved the note as a communication aid. Methods: Potential common and rare treatment side effects, oncologist contact information, and treatment intent were added to the revised handover note. Both versions were sent alongside a questionnaire to FPS. Paired t-tests were carried out to compare satisfaction differences. Results: There was a response rate of 37% for the questionnaires. Significantly greater clarity in the following categories was observed: responsibility for patient follow-up (mean score improvement of 1.2 on a 7-point Likert scale, p < 0.001), follow-up schedule (1.1, p < 0.001) as well as how and when to contact the oncologist (1.4, p = 0.001). Family physicians were also more content with how the institute transitioned care back to them (1.5, p = 0.012). Overall, FPS were generally satisfied with the content of the revised post-RT handover note and noted improvement over the previous version. The frequency of investigations and institute supports initiated such as counselling services were suggested further additions. Conclusions: The inclusion of potential treatment side effects, oncologist contact information, treatment intent and a well-laid out follow-up schedule were essential information needed by FPS for an effective post-RT completion note. With these additions, the revised post-RT handover note showed significant improvement.