Integrated care for resected early stage lung cancer: innovations and exploring patient needs
MetadataShow full item record
There is no consensus as to the duration and nature of follow-up following surgical resection with curative intent of lung cancer. The integration of cancer follow-up into primary care is likely to be a key future area for quality and cost-effective cancer care. Evidence from other solid cancer types demonstrates that such follow-up has no adverse outcomes, similar health-related quality of life, high patient satisfaction rates at a lower cost to the healthcare system. Core elements for successful models of shared cancer care are required: clear roles and responsibilities, timely effective communication, guidance on follow-up protocols and common treatments and rapid routes to (re)access specialist care. There is thus a need for improved communication between hospital specialists and primary care. Unmet needs for patients with early stage lung cancer are likely to include psychological symptoms and carer stress; the importance of smoking cessation may frequently be overlooked or underappreciated in the current hospital-based follow-up system. There is therefore a need for quality randomised controlled trials of patients with resected early stage lung cancer to establish optimal protocols for primary care-based follow-up and to more adequately address patients' and carers' unmet psychosocial needs, including the crucial role of smoking cessation.
Showing items related by title, author, creator and subject.
Turner, Sian Elizabeth (2009)Background and research questions. The characterization of chronic persistent asthma in an older adult population is not well defined. This is due to the difficulties in separating the diagnosis of asthma from that of ...
The experience of lung cancer in Aboriginal and Torres Strait Islander peoples and what it means for policy, service planning and deliveryDavidson, Patricia; McGrath, Sarah; DiGiacomo, Michelle; Thompson, Sandra; Bessarab, Dawn; Newton, P; Durey, Angela; Jiwa, Moyez (2012)Background: Aboriginal and Torres Strait Islander peoples experience inferior outcomes following diagnosis of lung cancer. Aim: To examine the experience of lung cancer in this population and identify reasons for poorer ...
Do patients with long-term side effects of cancer treatment benefits from general practitioner support? A literature review.Ngune, I.; Jiwa, Moyez; McManus, Alexandra; Hughes, Jeff (2015)Background: Alongside specialist cancer clinics, general practitioners have an important role in cancer patients’ follow-up care, yet no literature summarises the nature, extent and impact of their involvement. This paper ...