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dc.contributor.authorBrims, Fraser
dc.date.accessioned2017-07-27T05:20:35Z
dc.date.available2017-07-27T05:20:35Z
dc.date.created2017-07-26T11:11:22Z
dc.date.issued2017
dc.identifier.citationBrims, F. 2017. Integrated care for resected early stage lung cancer: innovations and exploring patient needs. BMJ Open Respiratory Research. 4 (1): Article ID e000175.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/54322
dc.identifier.doi10.1136/bmjresp-2016-000175
dc.description.abstract

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.

dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.titleIntegrated care for resected early stage lung cancer: innovations and exploring patient needs
dc.typeJournal Article
dcterms.source.volume4
dcterms.source.startPagee000175
dcterms.source.endPagee000175
dcterms.source.titleBMJ Open Respiratory Research
curtin.departmentCurtin Medical School
curtin.accessStatusOpen access


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