Integrated care for resected early stage lung cancer: innovations and exploring patient needs
AuthorHo, J; McWilliams, A; Emery, J; Saunders, C; Reid, C; Robinson, S; Brims, F
Source TitleBMJ Open Respiratory Research
PublisherBMJ PUBLISHING GROUP
University of Melbourne Author/sEmery, Jonathan
Document TypeJournal Article
CitationsHo, J., McWilliams, A., Emery, J., Saunders, C., Reid, C., Robinson, S. & Brims, F. (2017). Integrated care for resected early stage lung cancer: innovations and exploring patient needs. BMJ OPEN RESPIRATORY RESEARCH, 4 (1), https://doi.org/10.1136/bmjresp-2016-000175.
Access StatusOpen Access
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.
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