Making an IMPACT: A priority setting consultation exercise to improve outcomes in patients with locally advanced, recurrent and metastatic colorectal cancer.
Colorectal cancer
Metastatic cancer
Multidisciplinary team
Journal
European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
ISSN: 1532-2157
Titre abrégé: Eur J Surg Oncol
Pays: England
ID NLM: 8504356
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
received:
13
01
2019
revised:
05
03
2019
accepted:
04
04
2019
pubmed:
18
5
2019
medline:
9
6
2020
entrez:
18
5
2019
Statut:
ppublish
Résumé
The IMPACT (Improving the Management of Patients with Advanced Colorectal Tumours) initiative was established by the Association of Coloproctology of Great Britain and Ireland in 2017 as a consortium of surgeons (colorectal, hepatobiliary, thoracic), oncologists, radiologists, pathologists, palliative care physicians, patients, carers and charity stakeholders who will work together to improve outcomes in patients with advanced and metastatic colorectal cancer. To establish this initiative, better information is required to establish how further intervention is focused. This paper details the approaches used, and outcomes generated, from a priority setting exercise to inform the design of the IMPACT initiative. A mixed method approach was employed to set the priorities of patients, clinicians and other key stakeholders in the delivery of optimal care. This consisted of two patient centered consultation events and a questionnaire. A total of 128 participants took part in the consultation exercise; 15 patients, 5 carers/family members, 5 charity representatives and 113 healthcare professionals. Nine key themes for focus were identified, these were: current service provision, specialist services, communication, education, access to care, definitions and standardisation, research and audit, outcome measures, and funding of specialist care. These future priorities will be developed with collaborative engagement in a systematic manner to produce an overall cohesive programme which will deliver a sustainable and efficient clinical and academic service to improving the management of patients with advanced colorectal tumours.
Identifiants
pubmed: 31097310
pii: S0748-7983(19)30397-X
doi: 10.1016/j.ejso.2019.04.005
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1567-1574Investigateurs
A Acheson
(A)
K Adams
(K)
R Adams
(R)
D Alsina
(D)
A Antoniou
(A)
R Arnott
(R)
S Bach
(S)
N Battersby
(N)
M Bedford
(M)
A Beggs
(A)
E Belcher
(E)
L Boulstridge
(L)
K Boyle
(K)
J Bradbury
(J)
M Braun
(M)
E Brown
(E)
G Brown
(G)
D Burling
(D)
I Cameron
(I)
K Campbell
(K)
K Carney
(K)
T Cecil
(T)
M Chapman
(M)
S Chapman
(S)
P Chong
(P)
P Coyne
(P)
S Clark
(S)
S Crane
(S)
I Daniels
(I)
J Davies
(J)
L Davies
(L)
M Davies
(M)
C Dawson
(C)
P Dawson
(P)
M Duff
(M)
A Demick
(A)
K Elavia
(K)
R Gardner
(R)
M Evans
(M)
S Fenwick
(S)
S Galbraith
(S)
J Good
(J)
D Gilbert
(D)
B Griffiths
(B)
R Hargest
(R)
J Hill
(J)
R Hompes
(R)
E Huguet
(E)
J Jenkins
(J)
S Kapur
(S)
S Karandikar
(S)
C Katte
(C)
N Kumar
(N)
G Langman
(G)
M Lim
(M)
R Lopes de Azevedo-Gilbert
(R)
A Macdonald
(A)
M Machesney
(M)
P Mathur
(P)
C Maxwell-Armstrong
(C)
D McArthur
(D)
F McDermott
(F)
U McDermott
(U)
A Mirnezami
(A)
P Mitchell
(P)
F Mohamed
(F)
B Moran
(B)
M Morris
(M)
J Murphy
(J)
A Nakas
(A)
C Norris
(C)
S O'Dwyer
(S)
I Panagiotopoulou
(I)
G Pellino
(G)
F Polignano
(F)
C Powell
(C)
A Renehan
(A)
P Rowbottom
(P)
P Sagar
(P)
L Samuel
(L)
J Seligmann
(J)
I Shaikh
(I)
A Simpson
(A)
P Skaife
(P)
P Skarrot
(P)
W Speake
(W)
A Stearns
(A)
N A Stylianides
(NA)
P Sutton
(P)
K Swarnkar
(K)
C Taylor
(C)
G Tebala
(G)
G Thorpe
(G)
J Tiernan
(J)
G Toogood
(G)
D Vimalchandran
(D)
K Walker
(K)
C Walsh
(C)
O Warren
(O)
H Wasan
(H)
F Welsh
(F)
J Wheeler
(J)
S Whitley
(S)
M Wilson
(M)
D Winter
(D)
H Youssef
(H)
Informations de copyright
Copyright © 2019. Published by Elsevier Ltd.