Making an IMPACT: A priority setting consultation exercise to improve outcomes in patients with locally advanced, recurrent and metastatic colorectal cancer
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, palliati...
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| Veröffentlicht in: | European journal of surgical oncology 2019-09, Vol.45 (9), p.1567-1574 |
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| creator | Vallance, A.E. Harji, D. Fearnhead, N.S. Acheson, A. Adams, K. Adams, R. Alsina, D. Antoniou, A. Arnott, R. Bach, S. Battersby, N. Bedford, M. Beggs, A. Belcher, E. Boulstridge, L. Boyle, K. Bradbury, J. Braun, M. Brown, E. Brown, G. Burling, D. Cameron, I. Campbell, K. Carney, K. Cecil, T. Chapman, M. Chapman, S. Chong, P. Clark, S. Crane, S. Davies, J. Davies, L. Davies, M. Dawson, C. Dawson, P. Duff, M. Demick, A. Evans, M. Fenwick, S. Galbraith, S. Gilbert, D. Griffiths, B. Hargest, R. Hill, J. Hompes, R. Huguet, E. Jenkins, J. Kapur, S. Karandikar, S. Katte, C. Kumar, N. Langman, G. Lim, M. Lopes de Azevedo-Gilbert, R. Macdonald, A. Mathur, P. Maxwell-Armstrong, C. McArthur, D. McDermott, F. McDermott, U. Mirnezami, A. Mitchell, P. Mohamed, F. Moran, B. Morris, M. Murphy, J. Nakas, A. Norris, C. O'Dwyer, S. Panagiotopoulou, I. Pellino, G. Powell, C. Renehan, A. Rowbottom, P. Sagar, P. Samuel, L. Seligmann, J. Shaikh, I. Skarrot, P. Speake, W. Stearns, A. Stylianides, N.A. Sutton, P. Swarnkar, K. Taylor, C. Tebala, G. Thorpe, G. Tiernan, J. Toogood, G. Vimalchandran, D. Walker, K. Walsh, C. Warren, O. Wasan, H. Welsh, F. Wheeler, J. Whitley, S. Wilson, M. Winter, D. Youssef, H. |
| description | 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. |
| doi_str_mv | 10.1016/j.ejso.2019.04.005 |
| format | Article |
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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.</description><identifier>ISSN: 0748-7983</identifier><identifier>EISSN: 1532-2157</identifier><identifier>DOI: 10.1016/j.ejso.2019.04.005</identifier><identifier>PMID: 31097310</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adult ; Colorectal cancer ; Colorectal Neoplasms - pathology ; Colorectal Neoplasms - surgery ; Female ; Humans ; Male ; Metastatic cancer ; Multidisciplinary team ; Patient Care Planning - organization & administration ; Referral and Consultation ; Surveys and Questionnaires ; United Kingdom</subject><ispartof>European journal of surgical oncology, 2019-09, Vol.45 (9), p.1567-1574</ispartof><rights>2019</rights><rights>Copyright © 2019. Published by Elsevier Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-4c387485ecb11a1e072add981faa02dd66a030460441d3e68711b507a9461ba13</citedby><cites>FETCH-LOGICAL-c356t-4c387485ecb11a1e072add981faa02dd66a030460441d3e68711b507a9461ba13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S074879831930397X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31097310$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vallance, A.E.</creatorcontrib><creatorcontrib>Harji, D.</creatorcontrib><creatorcontrib>Fearnhead, N.S.</creatorcontrib><creatorcontrib>Acheson, 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C.</creatorcontrib><creatorcontrib>Renehan, A.</creatorcontrib><creatorcontrib>Rowbottom, P.</creatorcontrib><creatorcontrib>Sagar, P.</creatorcontrib><creatorcontrib>Samuel, L.</creatorcontrib><creatorcontrib>Seligmann, J.</creatorcontrib><creatorcontrib>Shaikh, I.</creatorcontrib><creatorcontrib>Skarrot, P.</creatorcontrib><creatorcontrib>Speake, W.</creatorcontrib><creatorcontrib>Stearns, A.</creatorcontrib><creatorcontrib>Stylianides, N.A.</creatorcontrib><creatorcontrib>Sutton, P.</creatorcontrib><creatorcontrib>Swarnkar, K.</creatorcontrib><creatorcontrib>Taylor, C.</creatorcontrib><creatorcontrib>Tebala, G.</creatorcontrib><creatorcontrib>Thorpe, G.</creatorcontrib><creatorcontrib>Tiernan, J.</creatorcontrib><creatorcontrib>Toogood, G.</creatorcontrib><creatorcontrib>Vimalchandran, D.</creatorcontrib><creatorcontrib>Walker, K.</creatorcontrib><creatorcontrib>Walsh, C.</creatorcontrib><creatorcontrib>Warren, O.</creatorcontrib><creatorcontrib>Wasan, H.</creatorcontrib><creatorcontrib>Welsh, F.</creatorcontrib><creatorcontrib>Wheeler, J.</creatorcontrib><creatorcontrib>Whitley, S.</creatorcontrib><creatorcontrib>Wilson, M.</creatorcontrib><creatorcontrib>Winter, D.</creatorcontrib><creatorcontrib>Youssef, H.</creatorcontrib><creatorcontrib>IMPACT collaborative</creatorcontrib><title>Making an IMPACT: A priority setting consultation exercise to improve outcomes in patients with locally advanced, recurrent and metastatic colorectal cancer</title><title>European journal of surgical oncology</title><addtitle>Eur J Surg Oncol</addtitle><description>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.</description><subject>Adult</subject><subject>Colorectal cancer</subject><subject>Colorectal Neoplasms - pathology</subject><subject>Colorectal Neoplasms - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Metastatic cancer</subject><subject>Multidisciplinary team</subject><subject>Patient Care Planning - organization & administration</subject><subject>Referral and Consultation</subject><subject>Surveys and Questionnaires</subject><subject>United 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Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201909</creationdate><title>Making an IMPACT: A priority setting consultation exercise to improve outcomes in patients with locally advanced, recurrent and metastatic colorectal cancer</title><author>Vallance, A.E. ; Harji, D. ; Fearnhead, N.S. ; Acheson, A. ; Adams, K. ; Adams, R. ; Alsina, D. ; Antoniou, A. ; Arnott, R. ; Bach, S. ; Battersby, N. ; Bedford, M. ; Beggs, A. ; Belcher, E. ; Boulstridge, L. ; Boyle, K. ; Bradbury, J. ; Braun, M. ; Brown, E. ; Brown, G. ; Burling, D. ; Cameron, I. ; Campbell, K. ; Carney, K. ; Cecil, T. ; Chapman, M. ; Chapman, S. ; Chong, P. ; Clark, S. ; Crane, S. ; Davies, J. ; Davies, L. ; Davies, M. ; Dawson, C. ; Dawson, P. ; Duff, M. ; Demick, A. ; Evans, M. ; Fenwick, S. ; Galbraith, S. ; Gilbert, D. ; Griffiths, B. ; Hargest, R. ; Hill, J. ; Hompes, R. ; Huguet, E. ; Jenkins, J. ; Kapur, S. ; Karandikar, S. ; Katte, C. ; Kumar, N. ; Langman, G. ; Lim, M. ; Lopes de Azevedo-Gilbert, R. ; Macdonald, A. ; Mathur, P. ; Maxwell-Armstrong, C. ; McArthur, D. ; McDermott, F. ; McDermott, U. ; Mirnezami, A. ; Mitchell, P. ; Mohamed, F. ; Moran, B. ; Morris, M. ; Murphy, J. ; Nakas, A. ; Norris, C. ; O'Dwyer, S. ; Panagiotopoulou, I. ; Pellino, G. ; Powell, C. ; Renehan, A. ; Rowbottom, P. ; Sagar, P. ; Samuel, L. ; Seligmann, J. ; Shaikh, I. ; Skarrot, P. ; Speake, W. ; Stearns, A. ; Stylianides, N.A. ; Sutton, P. ; Swarnkar, K. ; Taylor, C. ; Tebala, G. ; Thorpe, G. ; Tiernan, J. ; Toogood, G. ; Vimalchandran, D. ; Walker, K. ; Walsh, C. ; Warren, O. ; Wasan, H. ; Welsh, F. ; Wheeler, J. ; Whitley, S. ; Wilson, M. ; Winter, D. ; Youssef, H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-4c387485ecb11a1e072add981faa02dd66a030460441d3e68711b507a9461ba13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Colorectal cancer</topic><topic>Colorectal Neoplasms - pathology</topic><topic>Colorectal Neoplasms - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Metastatic cancer</topic><topic>Multidisciplinary team</topic><topic>Patient Care Planning - organization & administration</topic><topic>Referral and Consultation</topic><topic>Surveys and Questionnaires</topic><topic>United Kingdom</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vallance, A.E.</creatorcontrib><creatorcontrib>Harji, D.</creatorcontrib><creatorcontrib>Fearnhead, N.S.</creatorcontrib><creatorcontrib>Acheson, A.</creatorcontrib><creatorcontrib>Adams, K.</creatorcontrib><creatorcontrib>Adams, R.</creatorcontrib><creatorcontrib>Alsina, D.</creatorcontrib><creatorcontrib>Antoniou, A.</creatorcontrib><creatorcontrib>Arnott, R.</creatorcontrib><creatorcontrib>Bach, S.</creatorcontrib><creatorcontrib>Battersby, N.</creatorcontrib><creatorcontrib>Bedford, M.</creatorcontrib><creatorcontrib>Beggs, A.</creatorcontrib><creatorcontrib>Belcher, E.</creatorcontrib><creatorcontrib>Boulstridge, L.</creatorcontrib><creatorcontrib>Boyle, K.</creatorcontrib><creatorcontrib>Bradbury, J.</creatorcontrib><creatorcontrib>Braun, M.</creatorcontrib><creatorcontrib>Brown, E.</creatorcontrib><creatorcontrib>Brown, G.</creatorcontrib><creatorcontrib>Burling, D.</creatorcontrib><creatorcontrib>Cameron, I.</creatorcontrib><creatorcontrib>Campbell, K.</creatorcontrib><creatorcontrib>Carney, K.</creatorcontrib><creatorcontrib>Cecil, T.</creatorcontrib><creatorcontrib>Chapman, M.</creatorcontrib><creatorcontrib>Chapman, S.</creatorcontrib><creatorcontrib>Chong, P.</creatorcontrib><creatorcontrib>Clark, S.</creatorcontrib><creatorcontrib>Crane, S.</creatorcontrib><creatorcontrib>Davies, J.</creatorcontrib><creatorcontrib>Davies, L.</creatorcontrib><creatorcontrib>Davies, M.</creatorcontrib><creatorcontrib>Dawson, C.</creatorcontrib><creatorcontrib>Dawson, P.</creatorcontrib><creatorcontrib>Duff, M.</creatorcontrib><creatorcontrib>Demick, A.</creatorcontrib><creatorcontrib>Evans, M.</creatorcontrib><creatorcontrib>Fenwick, S.</creatorcontrib><creatorcontrib>Galbraith, S.</creatorcontrib><creatorcontrib>Gilbert, D.</creatorcontrib><creatorcontrib>Griffiths, B.</creatorcontrib><creatorcontrib>Hargest, R.</creatorcontrib><creatorcontrib>Hill, J.</creatorcontrib><creatorcontrib>Hompes, R.</creatorcontrib><creatorcontrib>Huguet, E.</creatorcontrib><creatorcontrib>Jenkins, J.</creatorcontrib><creatorcontrib>Kapur, S.</creatorcontrib><creatorcontrib>Karandikar, S.</creatorcontrib><creatorcontrib>Katte, C.</creatorcontrib><creatorcontrib>Kumar, N.</creatorcontrib><creatorcontrib>Langman, G.</creatorcontrib><creatorcontrib>Lim, M.</creatorcontrib><creatorcontrib>Lopes de Azevedo-Gilbert, R.</creatorcontrib><creatorcontrib>Macdonald, A.</creatorcontrib><creatorcontrib>Mathur, P.</creatorcontrib><creatorcontrib>Maxwell-Armstrong, C.</creatorcontrib><creatorcontrib>McArthur, D.</creatorcontrib><creatorcontrib>McDermott, F.</creatorcontrib><creatorcontrib>McDermott, U.</creatorcontrib><creatorcontrib>Mirnezami, A.</creatorcontrib><creatorcontrib>Mitchell, P.</creatorcontrib><creatorcontrib>Mohamed, F.</creatorcontrib><creatorcontrib>Moran, B.</creatorcontrib><creatorcontrib>Morris, M.</creatorcontrib><creatorcontrib>Murphy, J.</creatorcontrib><creatorcontrib>Nakas, A.</creatorcontrib><creatorcontrib>Norris, C.</creatorcontrib><creatorcontrib>O'Dwyer, S.</creatorcontrib><creatorcontrib>Panagiotopoulou, I.</creatorcontrib><creatorcontrib>Pellino, G.</creatorcontrib><creatorcontrib>Powell, C.</creatorcontrib><creatorcontrib>Renehan, A.</creatorcontrib><creatorcontrib>Rowbottom, P.</creatorcontrib><creatorcontrib>Sagar, P.</creatorcontrib><creatorcontrib>Samuel, L.</creatorcontrib><creatorcontrib>Seligmann, J.</creatorcontrib><creatorcontrib>Shaikh, I.</creatorcontrib><creatorcontrib>Skarrot, P.</creatorcontrib><creatorcontrib>Speake, W.</creatorcontrib><creatorcontrib>Stearns, A.</creatorcontrib><creatorcontrib>Stylianides, N.A.</creatorcontrib><creatorcontrib>Sutton, P.</creatorcontrib><creatorcontrib>Swarnkar, K.</creatorcontrib><creatorcontrib>Taylor, C.</creatorcontrib><creatorcontrib>Tebala, G.</creatorcontrib><creatorcontrib>Thorpe, G.</creatorcontrib><creatorcontrib>Tiernan, J.</creatorcontrib><creatorcontrib>Toogood, G.</creatorcontrib><creatorcontrib>Vimalchandran, D.</creatorcontrib><creatorcontrib>Walker, K.</creatorcontrib><creatorcontrib>Walsh, C.</creatorcontrib><creatorcontrib>Warren, O.</creatorcontrib><creatorcontrib>Wasan, H.</creatorcontrib><creatorcontrib>Welsh, F.</creatorcontrib><creatorcontrib>Wheeler, J.</creatorcontrib><creatorcontrib>Whitley, S.</creatorcontrib><creatorcontrib>Wilson, M.</creatorcontrib><creatorcontrib>Winter, D.</creatorcontrib><creatorcontrib>Youssef, H.</creatorcontrib><creatorcontrib>IMPACT collaborative</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vallance, A.E.</au><au>Harji, D.</au><au>Fearnhead, N.S.</au><au>Acheson, A.</au><au>Adams, K.</au><au>Adams, R.</au><au>Alsina, D.</au><au>Antoniou, A.</au><au>Arnott, R.</au><au>Bach, S.</au><au>Battersby, N.</au><au>Bedford, M.</au><au>Beggs, A.</au><au>Belcher, E.</au><au>Boulstridge, L.</au><au>Boyle, K.</au><au>Bradbury, J.</au><au>Braun, M.</au><au>Brown, E.</au><au>Brown, G.</au><au>Burling, D.</au><au>Cameron, I.</au><au>Campbell, K.</au><au>Carney, K.</au><au>Cecil, T.</au><au>Chapman, M.</au><au>Chapman, S.</au><au>Chong, P.</au><au>Clark, S.</au><au>Crane, S.</au><au>Davies, J.</au><au>Davies, L.</au><au>Davies, M.</au><au>Dawson, C.</au><au>Dawson, P.</au><au>Duff, M.</au><au>Demick, A.</au><au>Evans, M.</au><au>Fenwick, S.</au><au>Galbraith, S.</au><au>Gilbert, D.</au><au>Griffiths, B.</au><au>Hargest, R.</au><au>Hill, J.</au><au>Hompes, R.</au><au>Huguet, E.</au><au>Jenkins, J.</au><au>Kapur, S.</au><au>Karandikar, S.</au><au>Katte, C.</au><au>Kumar, N.</au><au>Langman, G.</au><au>Lim, M.</au><au>Lopes de Azevedo-Gilbert, R.</au><au>Macdonald, A.</au><au>Mathur, P.</au><au>Maxwell-Armstrong, C.</au><au>McArthur, D.</au><au>McDermott, F.</au><au>McDermott, U.</au><au>Mirnezami, A.</au><au>Mitchell, P.</au><au>Mohamed, F.</au><au>Moran, B.</au><au>Morris, M.</au><au>Murphy, J.</au><au>Nakas, A.</au><au>Norris, C.</au><au>O'Dwyer, S.</au><au>Panagiotopoulou, I.</au><au>Pellino, G.</au><au>Powell, C.</au><au>Renehan, A.</au><au>Rowbottom, P.</au><au>Sagar, P.</au><au>Samuel, L.</au><au>Seligmann, J.</au><au>Shaikh, I.</au><au>Skarrot, P.</au><au>Speake, W.</au><au>Stearns, A.</au><au>Stylianides, N.A.</au><au>Sutton, P.</au><au>Swarnkar, K.</au><au>Taylor, C.</au><au>Tebala, G.</au><au>Thorpe, G.</au><au>Tiernan, J.</au><au>Toogood, G.</au><au>Vimalchandran, D.</au><au>Walker, K.</au><au>Walsh, C.</au><au>Warren, O.</au><au>Wasan, H.</au><au>Welsh, F.</au><au>Wheeler, J.</au><au>Whitley, S.</au><au>Wilson, M.</au><au>Winter, D.</au><au>Youssef, H.</au><aucorp>IMPACT collaborative</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Making an IMPACT: A priority setting consultation exercise to improve outcomes in patients with locally advanced, recurrent and metastatic colorectal cancer</atitle><jtitle>European journal of surgical oncology</jtitle><addtitle>Eur J Surg Oncol</addtitle><date>2019-09</date><risdate>2019</risdate><volume>45</volume><issue>9</issue><spage>1567</spage><epage>1574</epage><pages>1567-1574</pages><issn>0748-7983</issn><eissn>1532-2157</eissn><abstract>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.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>31097310</pmid><doi>10.1016/j.ejso.2019.04.005</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0748-7983 |
| ispartof | European journal of surgical oncology, 2019-09, Vol.45 (9), p.1567-1574 |
| issn | 0748-7983 1532-2157 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2232050961 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Colorectal cancer Colorectal Neoplasms - pathology Colorectal Neoplasms - surgery Female Humans Male Metastatic cancer Multidisciplinary team Patient Care Planning - organization & administration Referral and Consultation Surveys and Questionnaires United Kingdom |
| title | Making an IMPACT: A priority setting consultation exercise to improve outcomes in patients with locally advanced, recurrent and metastatic colorectal cancer |
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