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Making an IMPACT: A priority setting consultation exercise to improve outcomes in patients with locally advanced, recurrent and metastatic colorectal cancer

2019; Elsevier BV; Volume: 45; Issue: 9 Linguagem: Inglês

10.1016/j.ejso.2019.04.005

1532-2157

Abigail Vallance, Deena Harji, Nicola Fearnhead, AG Acheson, Katie Adams, Richard Adams, Deborah Alsina, A Antoniou, R. Arnott, Simon P. Bach, Nick Battersby, Matthew Bedford, Andrew D. Beggs, Elizabeth Belcher, Lisa Boulstridge, K. Boyle, Jo Bradbury, Michael Braun, Ewan Brown, Gina Brown, D Burling, I. Cameron, Karen Campbell, Kim Carney, Tom Cecil, Mathew Chapman, Stephen J. Chapman, Peter Chong, Patrick J. Coyne, S. K. Clark, Stacey Crane, I. R. Daniels, Jeff Davies, L. Davies, Matthew Davies, Cindy Dawson, Peter Dawson, M. J. Duff, Anne Demick, Ken Elavia, R. A. Gardner, M. D. Evans, Stephen Fenwick, Sarah Galbraith, J. Good, David Gilbert, B Griffiths, Rachel Hargest, J. Hill, Roel Hompes, Emmanuel Huguet, J T Jenkins, Shitij Kapur, Sharad Karandikar, C. Katte, Naveena A. N. Kumar, Gerald Langman, Madeleine S. Y. Lim, R. Lopes de Azevedo-Gilbert, Anna J. MacDonald, Michael Machesney, Pawan Mathur, C Maxwell-Armstrong, D. Ray McArthur, Francis T. McDermott, Ultan McDermott, A. Mirnezami, Patricia L. Mitchell, Faheez Mohamed, Brendan Moran, Melissa Morris, Jamie Murphy, Apostolos Nakas, Colleen M. Norris, S T O’Dwyer, IG Panagiotopoulou, Gianluca Pellino, Francesco M. Polignano, Catherine Powell, Andrew G. Renehan, P. Rowbottom, P. M. Sagar, Leslie Samuel, Jenny F. Seligmann, I. Shaikh, A Simpson, Paul Skaife, P. Skarrot, William J. Speake, Adam T. Stearns, N Stylianides, Paul Sutton, Keshav Swarnkar, Claire Taylor, Giovanni Domenico Tebala, Gabrielle Thorpe, Jim Tiernan, Giles J. Toogood, Dale Vimalchandran, Kate Walker, C. J. Walsh, Oliver Warren, Harpreet Wasan, FK Welsh, J. M. D. Wheeler, S. Whitley, Mitchell P. Wilson, D. C. Winter, H. Youssef,

Patient-Provider Communication in Healthcare

Aim 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. Methods 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. Results 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. Conclusion 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.