The expanding role of primary care in cancer control
Greg Rubin,Annette J. Berendsen,S Michael Crawford,Rachel Dommett,Craig C. Earle,Jon Emery,Tom Fahey,Luigi Grassi,Eva Grunfeld,Sumit Gupta,Willie Hamilton,Sara Hiom,David J. Hunter,Georgios Lyratzopoulos,Una Macleod,Robert Mason,Geoffrey Mitchell,Richard D Neal,Michael D Peake,Martin Roland,Bohumil Seifert,Jeff Sisler,Jonathan Sussman,Stephen H. Taplin,Peter Vedsted,Teja Voruganti,Fiona M Walter,Jane Wardle,Eila Watson,David Weller,Richard C. Wender,Jeremy Whelan,James A. Whitlock,Clare Wilkinson,Niek J. de Wit,Camilla Zimmermann +35 more
TLDR
This Commission considers how this expanding role for primary care can work for cancer control, which has long been dominated by highly technical interventions centred on treatment, and in which the contribution of primary care has been largely perceived as marginal.Abstract:
The nature of cancer control is changing, with an increasing emphasis, fuelled by public and political demand, on prevention, early diagnosis, and patient experience during and after treatment. At the same time, primary care is increasingly promoted, by governments and health funders worldwide, as the preferred setting for most health care for reasons of increasing need, to stabilise health-care costs, and to accommodate patient preference for care close to home. It is timely, then, to consider how this expanding role for primary care can work for cancer control, which has long been dominated by highly technical interventions centred on treatment, and in which the contribution of primary care has been largely perceived as marginal. In this Commission, expert opinion from primary care and public health professionals with academic and clinical cancer expertise—from epidemiologists, psychologists, policy makers, and cancer specialists—has contributed to a detailed consideration of the evidence for cancer control provided in primary care and community care settings. Ranging from primary prevention to end-of-life care, the scope for new models of care is explored, and the actions needed to effect change are outlined. The strengths of primary care—its continuous, coordinated, and comprehensive care for individuals and families—are particularly evident in prevention and diagnosis, in shared follow-up and survivorship care, and in end-of-life care. A strong theme of integration of care runs throughout, and its elements (clinical, vertical, and functional) and the tools needed for integrated working are described in detail. All of this change, as it evolves, will need to be underpinned by new research and by continuing and shared multiprofessional development.read more
Citations
More filters
Journal ArticleDOI
TCGAbiolinks: an R/Bioconductor package for integrative analysis of TCGA data.
Antonio Colaprico,Tiago C. Silva,Catharina Olsen,Luciano Garofano,Claudia Cava,Davide Garolini,Thais S. Sabedot,Tathiane M. Malta,Stefano Maria Pagnotta,Isabella Castiglioni,Michele Ceccarelli,Gianluca Bontempi,Houtan Noushmehr +12 more
TL;DR: An R/Bioconductor package called TCGAbiolinks is developed to address bioinformatics challenges of the Cancer Genome Atlas data by using a guided workflow to allow users to query, download and perform integrative analyses of TCGA data.
Journal ArticleDOI
Anticipating the “Silver Tsunami”: Prevalence Trajectories and Comorbidity Burden among Older Cancer Survivors in the United States
TL;DR: The oldest adults (i.e., those >75 years) should be priority populations in a pressing cancer control and prevention research agenda that includes expanding criteria for clinical trials to recruit more elderly participants and developing relevant supportive care interventions.
Journal ArticleDOI
Cardiovascular Disease and Breast Cancer: Where These Entities Intersect: A Scientific Statement From the American Heart Association.
Laxmi S. Mehta,Karol E. Watson,Ana Barac,Theresa M. Beckie,Vera Bittner,Salvador Cruz-Flores,Susan Dent,Lavanya Kondapalli,Bonnie Ky,Tochukwu M. Okwuosa,Ileana L. Piña,Annabelle Santos Volgman +11 more
TL;DR: This document will provide a comprehensive overview of the prevalence of these diseases, shared risk factors, the cardiotoxic effects of therapy, and the prevention and treatment of CVD in breast cancer patients.
Journal ArticleDOI
Global cancer surgery: delivering safe, affordable, and timely cancer surgery
Richard Sullivan,Richard Sullivan,Olusegun I. Alatise,Benjamin O. Anderson,Benjamin O. Anderson,Riccardo A. Audisio,Philippe Autier,Ajay Aggarwal,Ajay Aggarwal,Ajay Aggarwal,Charles M. Balch,Murray F. Brennan,Anna J Dare,Anil K. D'Cruz,Alexander M.M. Eggermont,Kenneth A. Fleming,Serigne Magueye Gueye,Lars Hagander,Cristian A Herrera,Hampus Holmer,André Ilbawi,André Ilbawi,Anton Jarnheimer,Jiafu Ji,T. Peter Kingham,Jonathan Liberman,Andrew J M Leather,John G. Meara,Swagoto Mukhopadhyay,Shilpa S. Murthy,Shilpa S. Murthy,Sherif Omar,Groesbeck P. Parham,Groesbeck P. Parham,C S Pramesh,Robert Riviello,Danielle Rodin,Luiz A Santini,Shailesh V. Shrikhande,Mark G. Shrime,Robert J. Thomas,Audrey Tieko Tsunoda,Cornelis J.H. van de Velde,Umberto Veronesi,D K Vijaykumar,David A. K. Watters,David A. K. Watters,Shan Wang,Yi-Long Wu,Yi-Long Wu,Moez Zeiton,Arnie Purushotham,Arnie Purushotham,Arnie Purushotham +53 more
TL;DR: To deliver safe, affordable, and timely cancer surgery to all, surgery must be at the heart of global and national cancer control planning and wide equity and economic gaps are found.
Journal ArticleDOI
Integration of oncology and palliative care: a Lancet Oncology Commission
Stein Kaasa,Jon Håvard Loge,Matti Aapro,Tit Albreht,Rebecca Anderson,Eduardo Bruera,Cinzia Brunelli,Augusto Caraceni,Andrés Cervantes,David C. Currow,Luc Deliens,Marie Fallon,Xavier Gómez-Batiste,Kjersti Støen Grotmol,Breffni Hannon,Dagny Faksvåg Haugen,Irene J Higginson,Marianne Jensen Hjermstad,David Hui,Karin Jordan,Geana Paula Kurita,Philip Larkin,Guido Miccinesi,Friedemann Nauck,Rade Pribakovic,Gary Rodin,Per Sjøgren,Patrick Stone,Camilla Zimmermann,Tonje Lundeby +29 more
TL;DR: This Commission proposes the use of standardised care pathways and multidisciplinary teams to promote integration of oncology and palliative care, and calls for changes at the system level to coordinate the activities of professionals, and for the development and implementation of new and improved education programmes, with the overall goal of improving patient care.
References
More filters
Journal ArticleDOI
Audit and feedback: effects on professional practice and healthcare outcomes
Noah Ivers,Gro Jamtvedt,Signe Flottorp,Jane M. Young,Jan Odgaard-Jensen,Simon D. French,Mary Ann O’Brien,Marit Johansen,Jeremy M. Grimshaw,Andrew D Oxman +9 more
TL;DR: The results indicated that feedback may be more effective when baseline performance is low, the source is a supervisor or colleague, it is provided more than once, and the role of context and the targeted clinical behaviour was assessed.
Journal ArticleDOI
What is a randomised controlled trial
Andrea Cipriani,John R. Geddes +1 more
TL;DR: The Consolidated Statement of Reporting Trials (CONSORT) provides readers of RCTs with a list of criteria useful to assess trial validity (for full details visit www.consortstatement.org).
Journal ArticleDOI
Contribution of Primary Care to Health Systems and Health
TL;DR: The means by which primary care improves health have been identified, thus suggesting ways to improve overall health and reduce differences in health across major population subgroups.
Food, Nutrition, Physical Activity, and the Prevention of Cancer: a Global Perspective
Michael Marmot,T. Atinmo,Tim Byers,J Chen,T Hirohata,Alan Jackson,W. P. T. James,L Kolonel,Shiriki K. Kumanyika,C Leitzmann,Jim Mann,H Powers,K.S. Reddy,Elio Riboli,JA Rivera,Arthur Schatzkin,Jacob C. Seidell,D Shuker,Ricardo Uauy,Walter C. Willett,Steven H. Zeisel +20 more
TL;DR: The extent to which food, nutrition, physical activity, and body composition modify the risk of cancer, and to specify which factors are most important, is explored.
The second expert report, Food, Nutrition, Physical Activity and the Prevention of Cancer: A Global Perspective
TL;DR: In this article, the authors explore the extent to which food, nutrition, physical activity, and body composition modify the risk of cancer, and specify which factors are most important for cancer prevention.
Related Papers (5)
Is increased time to diagnosis and treatment in symptomatic cancer associated with poorer outcomes? Systematic review
Richard D Neal,Puvan Tharmanathan,Nafees Ud Din,Samuel Cotton,Julia Fallon-Ferguson,William Hamilton,Annie Hendry,Maggie Hendry,Ruth Lewis,Una Macleod,Elizabeth Mitchell,M Pickett,Tekendra K Rai,K Shaw,Nicholas Stuart,Marie Louise Tørring,Clare Wilkinson,Briony Williams,Nefyn Williams,Jon Emery +19 more