Integrated care for resected early stage lung cancer: Innovations and exploring patient needs

Jan Ho, Annette McWilliams, Jon Emery, Christobel Saunders, Christopher Reid, Suzanne Robinson, Fraser Brims

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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 followup 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.

Original languageEnglish
Article numbere000175
Number of pages5
JournalBMJ Open Respiratory Research
Issue number1
Early online date12 Jun 2017
Publication statusPublished - 1 Aug 2017


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