Integrated care for resected early stage lung cancer: innovations and exploring patient needs
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 type...
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| Format: | Journal Article |
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2017
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| Online Access: | http://hdl.handle.net/20.500.11937/54322 |
| _version_ | 1848759343574417408 |
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| author | Brims, Fraser |
| author_facet | Brims, Fraser |
| author_sort | Brims, Fraser |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T09:58:23Z |
| format | Journal Article |
| id | curtin-20.500.11937-54322 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:58:23Z |
| publishDate | 2017 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-543222017-09-13T16:09:32Z Integrated care for resected early stage lung cancer: innovations and exploring patient needs Brims, Fraser 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. 2017 Journal Article http://hdl.handle.net/20.500.11937/54322 10.1136/bmjresp-2016-000175 http://creativecommons.org/licenses/by/4.0/ fulltext |
| spellingShingle | Brims, Fraser Integrated care for resected early stage lung cancer: innovations and exploring patient needs |
| title | Integrated care for resected early stage lung cancer: innovations and exploring patient needs |
| title_full | Integrated care for resected early stage lung cancer: innovations and exploring patient needs |
| title_fullStr | Integrated care for resected early stage lung cancer: innovations and exploring patient needs |
| title_full_unstemmed | Integrated care for resected early stage lung cancer: innovations and exploring patient needs |
| title_short | Integrated care for resected early stage lung cancer: innovations and exploring patient needs |
| title_sort | integrated care for resected early stage lung cancer: innovations and exploring patient needs |
| url | http://hdl.handle.net/20.500.11937/54322 |