Integrated care for resected early stage lung cancer: innovations and exploring patient needs
dc.contributor.author | Brims, Fraser | |
dc.date.accessioned | 2017-07-27T05:20:35Z | |
dc.date.available | 2017-07-27T05:20:35Z | |
dc.date.created | 2017-07-26T11:11:22Z | |
dc.date.issued | 2017 | |
dc.identifier.citation | Brims, 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.uri | http://hdl.handle.net/20.500.11937/54322 | |
dc.identifier.doi | 10.1136/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.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.title | Integrated care for resected early stage lung cancer: innovations and exploring patient needs | |
dc.type | Journal Article | |
dcterms.source.volume | 4 | |
dcterms.source.startPage | e000175 | |
dcterms.source.endPage | e000175 | |
dcterms.source.title | BMJ Open Respiratory Research | |
curtin.department | Curtin Medical School | |
curtin.accessStatus | Open access |