{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T23:06:35Z","timestamp":1789427195792,"version":"build-2803163510"},"reference-count":33,"publisher":"Georg Thieme Verlag KG","license":[{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The rising number of cancer survivors in Germany increases the need for long-term, coordinated cross-sectoral care. General practitioners (GPs) play a key role, yet evidence on regional structures and GPs\u2019 perspectives is limited. This study examines cancer survivorship care in Bavaria by combining a regional capacity analysis with a statewide GP survey.<\/jats:p>\n                  <jats:p>A mixed-methods study was conducted in Bavaria, combining a regional structural analysis of physician availability and projected survivorship care demand with a statewide anonymous quantitative online GP survey on care experiences, collaboration, digital tools, training needs, vaccination practices, and reimbursement.<\/jats:p>\n                  <jats:p>In 2024, 9553 Bavarian GPs cared for approximately 380000 cancer survivors, with 17% living in areas of GP undersupply. Northern and Eastern Bavaria showed particularly high patient loads and projected shortages. Among 574 surveyed GPs, 72.7% perceived survivorship care as challenging. Key barriers included insufficient cross-sectoral collaboration (76.9%), limited knowledge of co-treating colleagues\u2019 activities (72.6%), incomplete treatment information (31.7%), and inadequate reimbursement (95.2%). While most GPs (71.5%) considered the electronic patient record (ePA) promising, only 56.9% used KIM at least occasionally. 73.1% expressed interest in dedicated training and guidance, particularly regarding vaccination responsibilities and timing (64.1%).<\/jats:p>\n                  <jats:p>GPs in Bavaria face increasing structural and organizational challenges due to rising survivor numbers and regional workforce shortages. Improved information exchange, strengthened cross-sectoral collaboration, consistent digital communication, targeted GP training, and continuous regional monitoring, are essential to ensure sustainable, high-quality survivorship care across Germany.<\/jats:p>","DOI":"10.1055\/a-2937-2937","type":"journal-article","created":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T22:51:19Z","timestamp":1789426279000},"source":"Crossref","is-referenced-by-count":0,"title":["Cancer Survivorship Care in Bavaria: General Practitioners\u2019 Perspectives and a Regional Capacity Analysis"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1788-5235","authenticated-orcid":false,"given":"Laura","family":"Oestreich","sequence":"first","affiliation":[{"name":"LMU University Hospital, LMU Medizin, Ludwig-Maximilians-Universit\u00e4t M\u00fcnchen, Germany","place":["Munich"],"department":["Department of Medicine III"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg","family":"Schelling","sequence":"first","affiliation":[{"name":"Bayerischer Haus\u00e4rzteverband, Germany","place":["Munich"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"von Bergwelt-Baildon","sequence":"first","affiliation":[{"name":"LMU University Hospital, LMU Medizin, Ludwig-Maximilians-Universit\u00e4t M\u00fcnchen, Germany","place":["Munich"],"department":["Department of Medicine III"]},{"name":"Bavarian Cancer Research Center (BZKF), Germany","place":["Munich"]},{"name":"German Cancer Consortium (DKTK), partner site Munich, a partnership between DKFZ and LMU University Hospital, Germany","place":["Munich"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Berger-Th\u00fcrmel","sequence":"first","affiliation":[{"name":"LMU University Hospital, LMU Medizin, Ludwig-Maximilians-Universit\u00e4t M\u00fcnchen, Germany","place":["Munich"],"department":["Department of Medicine III"]},{"name":"Bavarian Cancer Research Center (BZKF), Germany","place":["Munich"]},{"name":"German Cancer Consortium (DKTK), partner site Munich, a partnership between DKFZ and LMU University Hospital, Germany","place":["Munich"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Schoenberg","sequence":"additional","affiliation":[{"name":"Bavarian Cancer Research Center (BZKF), Germany","place":["Munich"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,9,14]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1023","DOI":"10.1016\/S0140-6736(17)33326-3","article-title":"Global surveillance of trends in cancer survival 2000\u201314 (CONCORD-3): analysis of individual records for 37513025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries","volume":"391","author":"C Allemani","year":"2018","journal-title":"The Lancet"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"2649","DOI":"10.1002\/ijc.29316","article-title":"Recent cancer survival in Germany: An analysis of common and less common cancers","volume":"136","author":"L Jansen","year":"2015","journal-title":"International Journal of Cancer"},{"key":"ref3","volume-title":"From Cancer Patient to Cancer Survivor: Lost in Transition","author":"Institute of Medicine and National Research Council","year":"2005"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"3372","DOI":"10.1200\/JCO.2016.68.3870","article-title":"Categorization of Cancer Survivors: Why We Need It","volume":"34","author":"A Surbone","year":"2016","journal-title":"J Clin Oncol"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1093\/annonc\/mdn305","article-title":"Long-term survivorship after cancer: how far have we come?","volume":"19","author":"S Foss\u00e5","year":"2008","journal-title":"Ann Oncol"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1007\/s00761-021-00988-7","article-title":"Krebspr\u00e4valenz in Deutschland 2017","volume":"27","author":"V Arndt","year":"2021","journal-title":"Onkologe"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1093\/jncics\/pky031","article-title":"Still a Cancer Patient-Associations of Cancer Identity With Patient-Reported Outcomes and Health Care Use Among Cancer Survivors","volume":"4","author":"M Thong","year":"2018","journal-title":"JNCI Cancer Spectr"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"2438","DOI":"10.1056\/NEJMra1712502","article-title":"Cancer Survivorship","volume":"379","author":"CL Shapiro","year":"2018","journal-title":"New England Journal of Medicine"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"893","DOI":"10.1200\/JCO.2016.70.5400","article-title":"Prevention and Monitoring of Cardiac Dysfunction in Survivors of Adult Cancers: American Society of Clinical Oncology Clinical Practice Guideline","volume":"35","author":"LC Armenian SH","year":"2017","journal-title":"J Clin Oncol"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2025.115602","article-title":"Navigating rare cancer care: Patient-reported insights into patient journeys, time to diagnosis, decision-making and care coordination from a national cross-sectional study in Germany","volume":"226","author":"L Oestreich","year":"2025","journal-title":"European Journal of Cancer"},{"key":"ref11","volume-title":"Versorgungsatlas Bayern: \u00c4rztedemografie und Bedarfsprognosen","author":"Kassen\u00e4rzte Vereinigung Bayerns (KVB)","year":"2024"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"e34","DOI":"10.2196\/jmir.2042","article-title":"Improving the quality of web surveys: The checklist for reporting results of internet e-surveys (CHERRIES)","volume":"6","author":"G Eysenbach","year":"2004","journal-title":"J Med Internet Res"},{"key":"ref16","volume-title":"\u00dcbersicht Versorgungssituation: Haus\u00e4rzte","author":"Kassen\u00e4rzte Vereinigung Bayerns (KVB)","year":"2025"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1186\/s12875-025-02840-y","article-title":"Approaches towards averting a potential structural shortage of general practitioners: results of a quantitative survey on attitudes, experiences, and ideas from general practitioners in the Federal Republic of Germany","volume":"26","author":"J Wangler","year":"2025","journal-title":"BMC Primary Care"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2025.105364","article-title":"Equal access to primary care \u2013 A reference for spatial allocation in Germany","volume":"158","author":"A Haering","year":"2025","journal-title":"Health Policy"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1055\/s-0030-1268448","article-title":"Was ist k\u00fcnftigen Haus\u00e4rzten bei der Niederlassungsentscheidung wichtig? Ergebnisse einer postalischen Befragung junger \u00c4rzte in Deutschland","volume":"74","author":"C Roick","year":"2012","journal-title":"Gesundheitswesen"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"368","DOI":"10.1186\/s12885-019-5561-0","article-title":"Follow-up care after treatment for prostate cancer: evaluation of a supported self-management and remote surveillance programme","volume":"19","author":"J Frankland","year":"2019","journal-title":"BMC Cancer"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1899","DOI":"10.1038\/bjc.2014.505","article-title":"Survivorship care plans in cancer: a systematic review of care plan outcomes","volume":"111","author":"ME Brennan","year":"2014","journal-title":"British Journal of Cancer"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1080\/13814788.2018.1478960","article-title":"Experiences of general practitioners participating in oncology meetings with specialists to support GP-led survivorship care; an interview study from the Netherlands","volume":"24","author":"A van Leeuwen","year":"2018","journal-title":"European Journal of General Practice"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"260","DOI":"10.1186\/1745-6215-14-260","article-title":"Evaluating a nurse-led survivorship care package (SurvivorCare) for bowel cancer survivors: study protocol for a randomized controlled trial","volume":"14","author":"M Jefford","year":"2013","journal-title":"Trials"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2023.102346","article-title":"SCORE: a randomised controlled trial evaluating shared care (general practitioner and oncologist) follow-up compared to usual oncologist follow-up for survivors of colorectal cancer","volume":"66","author":"M Jefford","year":"2023","journal-title":"eClinicalMedicine"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"12855","DOI":"10.1007\/s00432-023-05145-8","article-title":"Implementation of a clinical long-term follow-up database for adult childhood cancer survivors in Germany: a feasibility study at two specialised late effects clinics","volume":"149","author":"M Sleimann","year":"2023","journal-title":"Journal of Cancer Research and Clinical Oncology"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"765","DOI":"10.1093\/fampra\/cmz028","article-title":"General practitioners\u2019 involvement during survivorship care of colon cancer in the Netherlands: primary health care utilization during survivorship care of colon cancer, a prospective multicentre cohort study","volume":"36","author":"L Duineveld","year":"2019","journal-title":"Family Practice"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"895","DOI":"10.1007\/s00432-017-2343-4","article-title":"The role of the general practitioner in cancer care: a survey of the patients\u2019 perspective","volume":"143","author":"V Lang","year":"2017","journal-title":"Journal of Cancer Research and Clinical Oncology"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"990","DOI":"10.1007\/s11764-016-0545-4","article-title":"The role of the GP in follow-up cancer care: a systematic literature review","volume":"10","author":"JA Meiklejohn","year":"2016","journal-title":"Journal of Cancer Survivorship"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1093\/fampra\/cmt088","article-title":"German general practitioners\u2019 views on their involvement and role in cancer care: a qualitative study","volume":"31","author":"A Dahlhaus","year":"2014","journal-title":"Family Practice"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1007\/s11764-010-0117-y","article-title":"Views of primary care physicians and oncologists on cancer follow-up initiatives in primary care: an online survey","volume":"4","author":"EK Watson","year":"2010","journal-title":"Journal of Cancer Survivorship"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"779","DOI":"10.1089\/tmj.2024.0528","article-title":"Current Use, Challenges, Barriers, and Chances of Telemedicine in the Ambulatory Sector in Germany \u2013 A Survey Study Among Practicing Cardiologists, Internists, and General Practitioners","volume":"31","author":"J Gehrmann","year":"2025","journal-title":"Telemedicine and e-Health"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1007\/s12553-025-00942-2","article-title":"Digital solutions supporting the quality-of-life of European cancer patients and their caregivers: a systematic literature review","volume":"15","author":"C Ancona","year":"2025","journal-title":"Health and Technology"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1007\/s15006-025-4788-8","article-title":"Die ePA \u2013 eine Riesenchance f\u00fcr die Krebsbehandlung","volume":"167","author":"C von Kalle","year":"2025","journal-title":"MMW \u2013 Fortschritte der Medizin"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"588","DOI":"10.1007\/s00103-020-03123-w","article-title":"Impfen bei Immundefizienz","volume":"63","author":"H-J Laws","year":"2020","journal-title":"Bundesgesundheitsblatt \u2013 Gesundheitsforschung \u2013 Gesundheitsschutz"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1007\/s15006-020-0341-y","article-title":"Endlich geht der Impfpass nicht mehr in der Waschmaschine verloren \u2013 Digitale Impfdokumentation","volume":"126","author":"L Sanftenberg","year":"2020","journal-title":"MMW \u2013 Fortschritte der Medizin"},{"key":"ref40","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2021.691197","article-title":"Attitudes Toward and Use of Prostate-Specific Antigen Testing Among Urologists and General Practitioners in Germany: A Survey","volume":"11","author":"S Kappen","year":"2021","journal-title":"Front Oncol"}],"container-title":["DMW - Deutsche Medizinische Wochenschrift"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2937-2937.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T22:51:20Z","timestamp":1789426280000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2937-2937"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,14]]},"references-count":33,"URL":"https:\/\/doi.org\/10.1055\/a-2937-2937","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0012-0472","1439-4413"],"issn-type":[{"value":"0012-0472","type":"print"},{"value":"1439-4413","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,14]]}}}