ABS ePoster Library

Introduction: We wanted to assess the acquaintance of GPs with the terminology used in the letters sent from breast outpatient consultations and the letter format they prefer. The aim is to improve communication between primary and tertiary care.
Method: Two samples of breast cancer outpatient letters were handed to GPs attending post-graduate educational events. One letter had a systemic summary highlighting the diagnosis and management plan, followed by a short descriptive paragraph of the consultation (Format 1). The other letter had the same information but was much longer with a narrative description of events (Format 2). A questionnaire was then handed to the GPs to assess their preference of the style of correspondence and knowledge of terminology used in breast cancer care.
Results:54 GPs answered the questionnaire: 39% said they had enough time to fully read correspondence. 87% preferred the shorter letter version (Format 1). 73% preferred the letter to be addressed to the referring GP. While the majority (>70%)understood basic biological information, including ER, HER2, mammoplasty and sentinel node, less than 17 % understood the acronyms DIEP, TRAM or implant with ADM reconstruction.
Conclusion: A descriptive summary at the beginning of correspondence in out patient letters was the preferred option particularly with the limited administration time available. Acronyms need to be explained particularly when they involve specialised treatment options. Further research on communication between primary and tertiary care needs to be addressed to optimise patient care.