title: [General practitioner relevant recommendations in German cancer guidelines: a systematic review].
abstract: BACKGROUND
  As part of the "Cancer Care in the Family Practice" project sponsored by the German Cancer Aid association, this overview for the first time assesses to what extent general practitioners (GPs) are considered in the formulation of German cancer guidelines.
  
  
  METHODS
  Guidelines relating to cancer care for adult patients were sought in eight national guideline and specialist association portals. Identified guidelines were initially examined to discover whether they referred to health care programmes, which were specifically developed for general practice, whether GPs were involved in their development, and whether GPs were regarded, either directly or at least indirectly, as a target group. Subsequently, all recommendations that were relevant to GPs were assigned to various main categories (communication, treatment measures) as well as subcategories and quantitatively assessed.
  
  
  RESULTS
  Of a total of 559 hits, 29 relevant guidelines were identified, of which 21 clearly referred to cancer care programmes in general practice. Eight guidelines reported that GPs were involved in the development of the guideline, and in four GPs were directly addressed as a target group. The majority of relevant recommendations were assigned to the category 'communication' but often included recommendations for the implementation of measures that were not directly applicable to family doctors (such as diagnosis and therapy). Relevant recommendations were found mostly in S3 guidelines.
  
  
  CONCLUSIONS
  Not a single cancer guideline mentioned family practice health care programmes, and less than half of them involved family doctors in their development process. Most recommendations from cancer guidelines could not be directly implemented by GPs. The guideline's development stage and subject matter (tumour-specific or across all tumour entities) appeared to influence its potential relevance to GPs.
authors: Institut für Allgemeinmedizin, Goethe-Universität Frankfurt am Main, Deutschland. Electronic address: siebenhofer@allgemeinmedizin.uni-frankfurt.de.
authors: Andrea
authors: A
authors: Siebenhofer
authors: EBM Review Center, Medizinische Universität Graz, Österreich; Universitätsklinik für Innere Medizin, Klinische Abteilung für Endokrinologie und Stoffwechsel, Medizinische Universität Graz, Österreich.
authors: Karl
authors: K
authors: Horvath
authors: EBM Review Center, Medizinische Universität Graz, Österreich; HEALTH - Institut für Biomedizin und Gesundheitswissenschaften, JOANNEUM RESEARCH Forschungsgesellschaft mbH, Graz, Österreich.
authors: Thomas
authors: T
authors: Semlitsch
authors: Institut für Allgemeinmedizin, Goethe-Universität Frankfurt am Main, Deutschland; Deutsches Krebsforschungszentrum (DKFZ), Heidelberg, Deutschland; Deutsches Konsortium für Translationale Krebsforschung (DKTK), Heidelberg, Deutschland.
authors: Jasper
authors: J
authors: Plath
authors: EBM Review Center, Medizinische Universität Graz, Österreich; Institut für Medizinische Informatik, Statistik und Dokumentation, Medizinische Universität Graz, Österreich.
authors: Klaus
authors: K
authors: Jeitler
mesh_terms: D000328:Adult; D058006:General Practice; D005858:Germany; D006801:Humans; D009369:Neoplasms / Q000628:therapy*; D017410:Practice Guidelines as Topic
keywords: Allgemeinmedizin; General practitioner; Hausarzt; Krebs; Leitlinien; Onkologie; cancer; guideline; oncology; primary care