What are the guidelines for creating a comprehensive oncology patient report for other healthcare providers?

From the Guidelines

A proper oncology patient report to other providers should include a comprehensive yet concise summary of the patient's cancer diagnosis, treatment plan, and current status, and should be communicated through electronic medical records, phone calls, or network collaboration, as recommended by the British Journal of Cancer in 2024 1. When creating the report, it is essential to begin with patient demographics and the specific cancer diagnosis, including histology, stage, molecular markers, and date of diagnosis. The treatment history should be detailed, including specific chemotherapy regimens with drug names and doses, radiation therapy with total dose and fractionation, surgical interventions, and dates of each treatment modality.

• The patient's response to treatment should be included using standardized criteria, such as complete response, partial response, stable disease, or progression.
• Current symptoms, performance status, relevant laboratory values, and recent imaging results should also be documented.
• Any treatment-related toxicities, their management, and supportive care measures in place should be noted.
• The current treatment plan, follow-up schedule, and any specific concerns requiring attention from the receiving provider should be concluded. It is also crucial to communicate effectively with the patient and other providers involved in their care, avoiding unnecessary delays in providing information and ensuring that the patient receives coherent recommendations and information, as suggested by the Journal of Clinical Oncology in 2017 1.
• Strategies for effective communication include avoiding jargon, using simple language tailored to the patient's educational level, and providing information in small doses, stopping frequently, and checking for comprehension.
• Checking for understanding by using a "teach back" or "talk back" method can also help ensure that the patient understands the information being communicated. By following these guidelines and using effective communication strategies, healthcare providers can ensure that oncology patients receive high-quality, continuous care, and that their needs are met throughout their treatment journey.

From the FDA Drug Label

The FDA drug label does not answer the question.

From the Research

Proper Oncology Patient Report

To create a proper oncology patient report for other providers, consider the following key elements:

• Patient demographics and medical history
• Cancer diagnosis and stage
• Treatment plans and outcomes
• Current medications and allergies
• Relevant laboratory and imaging results

Communication of Prognosis

When communicating prognosis to other healthcare providers, it is essential to:

• Document qualitative and quantitative prognosis in patient records 2
• Include prognosis in written correspondence, such as letters and discharge summaries 2
• Ensure timely communication of prognosis to facilitate optimal care planning 2

Treatment Plans and Outcomes

When reporting treatment plans and outcomes, consider including:

• Chemotherapy regimens and dosages, such as doxorubicin and cyclophosphamide 3, 4, 5, 6
• Response to treatment, including complete pathologic response (pCR) rates 3, 4, 6
• Toxicity profiles and adverse events 3, 4, 5, 6

Best Practices

Best practices for creating a proper oncology patient report include:

• Regularly updating patient records with current information 2
• Using clear and concise language in written correspondence 2
• Ensuring timely communication with other healthcare providers to facilitate coordinated care 2