[Cancer care calls for a more prominent role for general practitioners]

Increasing numbers of patients with cancer as well as treatment options call for a more prominent role for general practitioners in the oncology care chain. Late detection of some forms of cancer means that their prognosis has not sufficiently improved during the last 40 years. The use of risk models and diagnostic decision rules, integrated in the general practitioner's information system, might lead to earlier detection of cancer. New diagnostic tests and biomarkers can also contribute. General practitioners can support cancer patients when they have to make complicated treatment decisions. They can also provide (partial) aftercare and follow-up. Since most cancer patients prefer to spend the last phase of their lives at home, the general practitioner is the appropriate person to support these patients. Good palliative care requires personal support, medical expertise, and cooperation between caregivers. A more prominent role for general practitioners in cancer care will require investments in general practice and agreements within the regional care network.