scholarly journals BT19: The use of a novel teledermatology/teledermoscopy service to maintain a dermatology cancer service in the midst of the COVID‐19 pandemic

2021 ◽  
Vol 185 (S1) ◽  
pp. 184-184
Keyword(s):  
Cancer Service

scholarly journals Impact of COVID-19 on cancer service delivery: results from an international survey of oncology clinicians

ESMO Open ◽  
2020 ◽  
Vol 5 (6) ◽  
pp. e001090
Author(s):  
Grace Chazan ◽  
Fanny Franchini ◽  
Marliese Alexander ◽  
Susana Banerjee ◽  
Linda Mileshkin ◽  
...  
Keyword(s):  
Service Delivery ◽  
Patient Survival ◽  
Objective Assessment ◽  
Healthcare Delivery ◽  
Policy Implications ◽  
Clinical Practices ◽  
Cancer Service ◽  
Face To Face ◽  
Community Transmission ◽  
Negative Impacts

ObjectivesTo report clinician-perceived changes to cancer service delivery in response to COVID-19.DesignMultidisciplinary Australasian cancer clinician survey in collaboration with the European Society of Medical Oncology.SettingBetween May and June 2020 clinicians from 70 countries were surveyed; majority from Europe (n=196; 39%) with 1846 COVID-19 cases per million people, Australia (AUS)/New Zealand (NZ) (n=188; 38%) with 267/236 per million and Asia (n=75; 15%) with 121 per million at time of survey distribution.ParticipantsMedical oncologists (n=372; 74%), radiation oncologists (n=91; 18%) and surgical oncologists (n=38; 8%).ResultsEighty-nine per cent of clinicians reported altering clinical practices; more commonly among those with versus without patients diagnosed with COVID-19 (n=142; 93% vs n=225; 86%, p=0.03) but regardless of community transmission levels (p=0.26). More European clinicians (n=111; 66.1%) had treated patients diagnosed with COVID-19 compared with Asia (n=20; 27.8%) and AUS/NZ (n=8; 4.8%), p<0.001. Many clinicians (n=307; 71.4%) reported concerns that reduced access to standard treatments during the pandemic would negatively impact patient survival. The reported proportion of consultations using telehealth increased by 7.7-fold, with 25.1% (n=108) of clinicians concerned that patient survival would be worse due to this increase. Clinicians reviewed a median of 10 fewer outpatients/week (including non-face to face) compared with prior to the pandemic, translating to 5010 fewer specialist oncology visits per week among the surveyed group. Mental health was negatively impacted for 52.6% (n=190) of clinicians.ConclusionClinicians reported widespread changes to oncology services, in regions of both high and low COVID-19 case numbers. Clinician concerns of potential negative impacts on patient outcomes warrant objective assessment, with system and policy implications for healthcare delivery at large.

The organizational context and use of routine data for cancer service management

2009 ◽  
Vol 29 (3) ◽  
pp. 153-160 ◽  
Author(s):  
Dawn Wilkinson ◽  
Ewan Ferlie ◽  
Rachael Addicott ◽  
Mark McCarthy
Keyword(s):  
Service Management ◽  
Organizational Context ◽  
Routine Data ◽  
Cancer Service

scholarly journals PTU-036 Endoscopic Management of Malignant Gastric Outlet Obstruction: Results from a Newly Created Regional Cancer Service

Gut ◽  
2013 ◽  
Vol 62 (Suppl 1) ◽  
pp. A57.2-A58
Author(s):  
D Ismail ◽  
J Deacon ◽  
B Macfarlane ◽  
D L Morris ◽  
M Fullard ◽  
...  
Keyword(s):  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Endoscopic Management ◽  
Cancer Service ◽  
Malignant Gastric Outlet Obstruction

scholarly journals Understanding rural caregivers’ experiences of cancer care when accessing metropolitan cancer services: a qualitative study

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e028315 ◽  
Author(s):  
Anna Ugalde ◽  
Sarah Blaschke ◽  
Anna Boltong ◽  
Penelope Schofield ◽  
Sanchia Aranda ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Cancer Treatment ◽  
Social Workers ◽  
Thematic Analysis ◽  
Rural Areas ◽  
Rural Setting ◽  
Cancer Service ◽  
Rural Caregivers ◽  
Cancer Services ◽  
Rural Australia

ObjectiveTo explore the experiences of cancer caregivers who live in rural Australia and travel to a metropolitan cancer health service to access cancer treatment.DesignA qualitative study using semistructured, audio-recorded interviews conducted between December 2017 and July 2018 with caregivers and social workers. Thematic analysis using interpretative descriptive techniques performed on textual interview data within a critical realist paradigm to develop understanding of rural caregivers’ lived experiences.SettingParticipants were from rural areas attending a metropolitan cancer centre in Australia and social workers.Participants21 caregivers (16 female) of people with cancer living in rural Australia within a minimum distance of 100 km from the metropolitan cancer centre where they access treatment, and five social workers employed at a metropolitan cancer service with experience of working with rural patients and caregivers.ResultsThematic analysis developed two overarching themes: theme 1:caregiving in the rural settingdescribes the unique circumstance in which caregiving for a person with cancer takes place in the rural setting at considerable distance from the cancer service where the person receives treatment. This is explored in three categories: ‘Rural community and culture’, ‘Life adjustments’ and ‘Available supports’. Theme 2:accessing metropolitan cancer servicescaptures the multiplicity of tasks and challenges involved in organising and coordinating the journey to access cancer treatment in a metropolitan hospital, which is presented in the following categories: ‘Travel’, ‘Accommodation’ and ‘Health system navigation’.ConclusionsCaregivers who live in rural areas face significant challenges when confronting geographic isolation between their rural home environment and the metropolitan setting, where the patient accessed cancer treatment. There is a need for healthcare services to identify this group to develop feasible and sustainable ways to provide interventions that have the best chance of assisting rural caregivers in supporting the patient while maintaining their own health and well-being.

scholarly journals Evaluation of breast cancer service screening programme with a Bayesian approach: mortality analysis in a Finnish region

2009 ◽  
Vol 121 (3) ◽  
pp. 671-678 ◽  
Author(s):  
Jenny Chia-Yun Wu ◽  
Ahti Anttila ◽  
Amy Ming-Fang Yen ◽  
Matti Hakama ◽  
Irma Saarenmaa ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Bayesian Approach ◽  
Screening Programme ◽  
Cancer Service ◽  
Mortality Analysis
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