rcgp and cancer research uk workshop double tree by hilton ... · rcgp and cancer research uk...
TRANSCRIPT
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RCGP and Cancer Research UK Workshop
Double Tree by Hilton HotelBellshill, ML4 3JQ
2nd November 2017
Dr Richard RoopeRCGP and Cancer Research UK Cancer Clinical Champion
Senior Clinical Advisor Cancer Research UK
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RCGP and Cancer Research UK Workshop
Housekeeping
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RCGP and Cancer Research UK Workshop
Housekeeping• Fire Exits• Toilets• Mobile phones• Questions• Certificates• Thanks to the team who have set up the day:
• RCGP and Cancer Research UK Team • Double Tree by Hilton Hotel Staff
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RCGP and Cancer Research UK Workshop
The Day:• The expanding role of Primary Care and Cancer Control
• Tea and Coffee• Primary Care and cancer prevention
• Lunch and networking• Scottish referral guidelines and urgent referrals• Symptomatic qFIT• National Cancer Diagnositic Audit for Scotland• Evaluation
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RCGP and Cancer Research UK Workshop
Primary Care and Cancer Control
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RCGP and Cancer Research UK Workshop
Primary Care and Cancer Control
• Cancer: why all the interest?
• Why is early diagnosis important?
• Past – where were we?
• Present – where are we?
• Future – where next?
• Survivorship
• End of life care
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RCGP and Cancer Research UK Workshop
Cancer: why all the interest?
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RCGP and Cancer Research UK Workshop
Cancer: why all the interest?
21. Cancer2. Other3. Circulatory Disease4. Mental Health5. Respiratory
41. Circulatory Disease2. Cancer3. Respiratory4. Other5. Mental Health
Causes of death in Scotland
1 1. Circulatory Disease2. Cancer3. Other4. Mental Health5. Respiratory
31. Cancer2. Circulatory Disease3. Other4. Respiratory5. Mental Health
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RCGP and Cancer Research UK Workshop
Cancer: why all the interest?
21. Cancer2. Other3. Circulatory Disease4. Mental Health5. Respiratory
41. Circulatory Disease2. Cancer3. Respiratory4. Other5. Mental Health
Causes of death in Scotland
1 1. Circulatory Disease2. Cancer3. Other4. Mental Health5. Respiratory
31. Cancer2. Circulatory Disease3. Other4. Respiratory5. Mental Health
Which do you think is the correct column?
(high to low)
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RCGP and Cancer Research UK Workshop
Cancer: why all the interest?
21. Cancer2. Other3. Circulatory Disease4. Mental Health5. Respiratory
41. Circulatory Disease2. Cancer3. Respiratory4. Other5. Mental Health
Causes of death in Scotland
1 1. Circulatory Disease2. Cancer3. Other4. Mental Health5. Respiratory
31. Cancer2. Circulatory Disease3. Other4. Respiratory5. Mental Health
http://www.nrscotland.gov.uk/statistics-and-data/statistics/statistics-by-theme/vital-
events/general-publications/vital-events-reference-tables/2014/section-6-deaths-causes
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RCGP and Cancer Research UK Workshop
Cancer: why all the interest?
http://www.nrscotland.gov.uk/statistics-and-data/statistics/statistics-by-theme/vital-
events/general-publications/vital-events-reference-tables/2014/section-6-deaths-causes
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RCGP and Cancer Research UK Workshop
https://beta.gov.scot/publications/chief-medical-officer-scotland-annual-report-2015-16-realising-realistic-9781786526731/pages/9/ - last accessed 26.10.17
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RCGP and Cancer Research UK Workshop
Why cancer?Premature (<65)Death rate per100,000
http://www.poverty.org.uk/60/index.shtml
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RCGP and Cancer Research UK Workshop
http://www.poverty.org.uk/60/index.shtml
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RCGP and Cancer Research UK Workshop
Cancer – why all the interest?
The Future:
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RCGP and Cancer Research UK Workshop
The perfect storm:
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RCGP and Cancer Research UK Workshop
The perfect storm:
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RCGP and Cancer Research UK Workshop
The Scale of the Challenge:The perfect storm…
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RCGP and Cancer Research UK Workshop
The Scale of the Challenge:The perfect storm…
Aging population
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RCGP and Cancer Research UK Workshop
Aging Population
https://data.worldbank.org/indicator/SP.DYN.LE00.IN?contextual=default&end=2015&locations=GB&start=1960&view=chart (last accessed 12.9.17)
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RCGP and Cancer Research UK Workshop
Aging Population
https://beta.gov.scot/publications/chief-medical-officer-scotland-annual-report-2015-16-realising-realistic-9781786526731/pages/9/
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RCGP and Cancer Research UK Workshop
Aging Population
https://beta.gov.scot/publications/chief-medical-officer-scotland-annual-report-2015-16-realising-realistic-9781786526731/pages/9/
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RCGP and Cancer Research UK WorkshopAging Population - Centenarians
http://www.ons.gov.uk/ons/rel/lifetables/historic-and-projected-data-from-the-period-and-cohort-
life-tables/2012-based/info-surviving-to-age-100.html last accessed 17.6.17
http://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/ageing/bulleti
ns/estimatesoftheveryoldincludingcentenarians/2002to2015 last accessed 17.6.17
2013 2062 X
Male 2,242 50,000 22.3
Female 12,328 80,000 6.5
TOTAL 14,750 130,000 8.8
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RCGP and Cancer Research UK Workshop
The Scale of the Challenge:The perfect storm…
Aging population
Lifestyles less healthy: • Smoking• Diet• Alcohol• Exercise• Sun exposure
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RCGP and Cancer Research UK Workshop
The Scale of the Challenge:The perfect storm…
Aging population
Lifestyles less healthy: • Smoking• Diet• Alcohol• Exercise• Sun exposure Increasing survival
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RCGP and Cancer Research UK Workshop
The perfect storm:
2013 2030 % increase
UK 352,000 424,789 20.7%
Global 14.1 million 23.6 million 67.4%
Numbers of cancers
http://globocan.iarc.fr/old/burden.asp?selection_pop=206826&Text-p=United+Kingdom&selection_cancer=290&Text-c=All+cancers+excl.+non-melanoma+skin+cancer&pYear=18&type=0&window=1&submit=%C2%A0Executehttps://publications.cancerresearchuk.org/downloads/product/CS_REPORT_WORLD.pdf
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RCGP and Cancer Research UK Workshop
The Scale of the Challenge:
By the end of 2016,
there were 1,000 people
in the UK being
diagnosed with cancer
every day
Mistry, M., et al., Cancer incidence in the United Kingdom: projections to the year 2030.
Br J Cancer, 2011. 105: p. 17951803.
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RCGP and Cancer Research UK Workshop
Cancer: why all the interest?
1 in 2 people will be diagnosed with one or more cancers in their lifetime
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RCGP and Cancer Research UK Workshop
Lifetime risk of cancer:
http://www.cancerresearchuk.org/cancer-info/cancerstats/incidence/risk/
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RCGP and Cancer Research UK Workshop
Cancer: why all the interest?1 in 2 people will be diagnosed with one or more cancers in their lifetime
10 year survival has improved to reach 50%
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www.cancerresearchuk.org/health-professional/cancer-statistics/survival/all-cancers-combined#heading-One – last accessed 5.3.17
RCGP and Cancer Research UK Workshop
Cancer: why all the interest?1 in 2 people will be diagnosed with one or more cancers in their lifetime
10 year survival has improved to reach 50%
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RCGP and Cancer Research UK Workshop
Cancer: why all the interest?1 in 2 people will be diagnosed with one or more cancers in their lifetime
10 year survival has improved to reach 50%, but…
Cancer survival in the UK still lags behind comparable health economies
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RCGP and Cancer Research UK Workshop
Orkney Borders Highland Grampian Tayside Dumfries Ayrshire Fife Lothian Western Shetland Forth Lanarkshire Greater Glasgow
285.4England average
http://www.cancerresearchuk.org/cancer-info/cancerstats/local-cancer-statistics/?location-name-
1=Lothian%20(HB)&location-1=SS9. Last sourced 26.10.2017
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RCGP and Cancer Research UK Workshop
Hasn’t cancer had its turn?
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RCGP and Cancer Research UK Workshop
Hasn’t cancer had its turn?Cancer receives what proportion of NHS spend?
1. 2.4%2. 5.4%3. 8.4%4. 11.4%5. 14.4%
Discuss with your neighbour….
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RCGP and Cancer Research UK Workshop
Hasn’t cancer had its turn?Total NHS spend in 2012/3: £125,700,000,000
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RCGP and Cancer Research UK Workshop
Hasn’t cancer had its turn?Total NHS spend in 2012/3: £125,700,000,000Total NHS spend in 2012/3: £2008 per head
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RCGP and Cancer Research UK Workshop
Hasn’t cancer had its turn?Total NHS spend in 2012/3: £125,700,000,000Total NHS spend in 2012/3: £2008 per headTotal NHS spend cancer care: £109 per head
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RCGP and Cancer Research UK Workshop
Hasn’t cancer had its turn?Total NHS spend in 2012/3: £125,700,000,000Total NHS spend in 2012/3: £2008 per headTotal NHS spend cancer care: £109 per head
Just 5.4% of NHS spend
http://www.nuffieldtrust.org.uk/nhs-numbers-0 last accessed 1.3.17
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RCGP and Cancer Research UK Workshop
Hasn’t cancer had its turn?Cancer receives what proportion of NHS spend?
1. 2.4%2. 5.4%3. 8.4%4. 11.4%5. 14.4%
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RCGP and Cancer Research UK Workshop
Why is early diagnosis important?
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RCGP and Cancer Research UK Workshop
Why is early diagnosis important?All Cancers
www.cancerresearchuk.org/health-professional/cancer-statistics/incidence/all-cancers-
combined#heading-Two (last accessed 5.3.17)
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RCGP and Cancer Research UK Workshop
Why is early diagnosis important?All Cancers
www.cancerresearchuk.org/health-professional/cancer-statistics/incidence/all-cancers-
combined#heading-Two (last accessed 26.10.17)
Stage Shift
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https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/
388160/fourth_annual_report.pdf (last accessed 9.7.17)
RCGP and Cancer Research UK Workshop
Colorectal 4.00%
Ovary 4.00%
Breast 3.80%
Endometrium 3.70%
Prostate 2.40%
Melanoma 2.30%
Lung 2.00%
Kidney 2.00%
Bladder 1.30%
NHL 0.20%
Minimum increased 5 year survival with 10% increase in stages 1 & 2
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RCGP and Cancer Research UK Workshop
What did we do?
• Detect Cancer Early Campaign– Get checked early campaign 2012
• Research stream
• Primary Care Engagement
• Input to Cancer Network and SCNs
• RCGP Education Events– etc
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RCGP and Cancer Research UK Workshop
How did we do?
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RCGP and Cancer Research UK Workshop
How did we do?
38.0%
40.0%
42.0%
44.0%
46.0%
48.0%
50.0%
52.0%
2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16
Detection Rate
https://fingertips.phe.org.uk/profile/cancerservices
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RCGP and Cancer Research UK Workshop
How did we do?
38.0%
40.0%
42.0%
44.0%
46.0%
48.0%
50.0%
52.0%
2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16
Detection Rate
https://fingertips.phe.org.uk/profile/cancerservices (last accessed 21.1.17)
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RCGP and Cancer Research UK Workshop
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RCGP and Cancer Research UK Workshop
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RCGP and Cancer Research UK WorkshopHowever compared to Europe?
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http://scienceblog.cancerresearchuk.org/2015/0
8/05/cancer-survival-in-england-is-improving-
but-still-lagging-behind-similar-countries/
RCGP and Cancer Research UK WorkshopHowever compared to Europe?
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http://scienceblog.cancerresearchuk.org/2015/0
8/05/cancer-survival-in-england-is-improving-
but-still-lagging-behind-similar-countries/
RCGP and Cancer Research UK WorkshopHowever compared to Europe?
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RCGP and Cancer Research UK WorkshopWhy do we lag behind other Health Systems?
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• International Cancer Benchmarking Partnership
• As gatekeepers – the gate needs to be wider
• Outcomes closely linked to “readiness to act”
• Patients fear wasting GP time
RCGP and Cancer Research UK Workshop
Why do we lag behind other Health Systems?
Differences in cancer awareness and beliefs between Australia, Canada, Denmark, Norway, Sweden and
the UK (the International Cancer Benchmarking Partnership): do they contribute to differences in cancer
survival? British Journal of Cancer (2013) 108, 292–300. doi:10.1038/bjc.2012.542 (last accessed 17.6.17)
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RCGP and Cancer Research UK Workshop
Gate openers…
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RCGP and Cancer Research UK Workshop
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RCGP and Cancer Research UK Workshop
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RCGP and Cancer Research UK Workshop
Prevention
Tobacco
Food
Immunisations
Exercise
Environment
Early detection
Awareness
Health care seeking
Screening
Access
Diagnosis
Investigations
Access
Technology
Decision support
Treatment
Surgery
Chemotherapy
Radiotherapy
Comorbidity
Psychology
Survivorship
Follow-up
Late effects
Rehabilitation
Health promotion
End of life
Basic palliation
Specialised
Social
Bereavement
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RCGP and Cancer Research UK Workshop
Prevention
Tobacco
Food
Immunisations
Exercise
Environment
Early detection
Awareness
Health care seeking
Screening
Access
Diagnosis
Investigations
Access
Technology
Decision support
Treatment
Surgery
Chemotherapy
Radiotherapy
Comorbidity
Psychology
Survivorship
Follow-up
Late effects
Rehabilitation
Health promotion
End of life
Basic palliation
Specialised
Social
Bereavement
Primary Care could (should?) have a part
to play throughout the cancer pathway,
and is well placed to do so…
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RCGP and Cancer Research UK Workshop
Prevention
Tobacco
Food
Immunisations
Exercise
Environment
Early detection
Awareness
Health care seeking
Screening
Access
Diagnosis
Investigations
Access
Technology
Decision support
Treatment
Surgery
Chemotherapy
Radiotherapy
Comorbidity
Psychology
Survivorship
Follow-up
Late effects
Rehabilitation
Health promotion
End of life
Basic palliation
Specialised
Social
Bereavement
Primary Care could (should?) have a part
to play throughout the cancer pathway,
and is well placed to do so…if adequately
resourced…
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RCGP and Cancer Research UK Workshop
The Lancet Oncology:
“The expanding role of Primary Care in Cancer Control”
“For a long time, the role of primary care in cancer was
largely seen a peripheral, but as prevention, diagnosis,
survivorship, and end-of-life care assume greater
importance in cancer policy, the defining characteristics of
primary care become more important”
The Lancet Oncology, Vol. 16, No. 12
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RCGP and Cancer Research UK Workshop
The Lancet Oncology:
“The expanding role of Primary Care in Cancer Control”
“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. ”
The Lancet Oncology, Vol. 16, No. 12
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RCGP and Cancer Research UK Workshop
The Lancet Oncology:
“The expanding role of Primary Care in Cancer Control”
“recommendations should be implemented by all stakeholders
involved in cancer care…work should start now to ensure that
patients get the optimum care to prevent, receive a diagnosis of,
and survive cancer, and the best possible care should they die from
the disease”
The Lancet Oncology, Vol. 16, No. 12
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RCGP and Cancer Research UK Workshop
Value in investing in early diagnosis:
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RCGP and Cancer Research UK Workshop
Value in investing in early diagnosis:
• Why? To address our lowly cancer outcomes rank
• How? To lower threshold/readiness to refer with
consistency
• When? Now
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RCGP and Cancer Research UK Workshop
Value in investing in early diagnosis:
• Results?
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RCGP and Cancer Research UK Workshop
Value in investing in early diagnosis:
• Results?
• Better medicine – earlier diagnosis (not just of
cancer)
• Fewer consultations
• Better outcomes
• Less complaints/litigation
• Less £££
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RCGP and Cancer Research UK Workshop
• Living with and beyond cancer:
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RCGP and Cancer Research UK Workshop
• Living with and beyond cancer:
• Rising cancer incidence
• Falling cancer mortality
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RCGP and Cancer Research UK Workshop
• Living with and beyond cancer:
Projections of cancer prevalence in the United Kingdom, 2010–2040 J Maddams, M Utley and H Møller
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RCGP and Cancer Research UK Workshop
• Survivorship:
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RCGP and Cancer Research UK Workshop
• Survivorship:Problems faced by cancer survivors:• Physical• Psychological• Social• Financial
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RCGP and Cancer Research UK Workshop
• Survivorship:Problems faced by cancer survivors:• Physical
• Consequences of treatment• Immediate (eg radiation proctitis)• Late (eg ↑ x5 incidence of congestive heart failure
after radiotherapy or chemotherapy for NHL) 10+ years after treatment
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RCGP and Cancer Research UK Workshop
• Survivorship:Problems faced by cancer survivors:• Physical
• Consequences of treatment
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RCGP and Cancer Research UK Workshop
• Survivorship:Problems faced by cancer survivors:• Physical
• Consequences of treatment
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RCGP and Cancer Research UK Workshop
• Survivorship:Problems faced by cancer survivors:• Physical
• Consequences of treatment
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RCGP and Cancer Research UK Workshop
• Survivorship:Problems faced by cancer survivors:• Physical
• Co-morbidities
Living with other long-term conditions as
well as cancer reduces people’s chance of
survival and increases their level of
support needs. It also increases the cost
of treatment1.
1. Macmillan Cancer Support. Routes from Diagnosis research programme.
Unpublished data.
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RCGP and Cancer Research UK Workshop
• Survivorship:Problems faced by cancer survivors:• Physical
• Co-morbidities
Proportion of people with cancer living with one or more
other long-term health conditions, by age group
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RCGP and Cancer Research UK Workshop
Risk factors common to other long term conditions:
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RCGP and Cancer Research UK Workshop
Risk factors common to other long term conditions:
Aging population
Lifestyles less healthy: • Smoking• Diet• Alcohol• Exercise• Sun exposure
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RCGP and Cancer Research UK Workshop
Risk factors common to other long term conditions:
Aging population
Lifestyles less healthy: • Smoking• Diet• Alcohol• Exercise• Sun exposure
HypertensionHeart diseaseStrokeDiabetesDementiaMental Health Problems…
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RCGP and Cancer Research UK Workshop
Problems faced by cancer survivors:• Physical
• Recurrence
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RCGP and Cancer Research UK Workshop
Problems faced by cancer survivors:• Physical
• Recurrence – can be reduced
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RCGP and Cancer Research UK Workshop
Problems faced by cancer survivors:• Physical
• Recurrence – can be reduced
• Smoking• Diet• Alcohol• Exercise• Sun exposure
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RCGP and Cancer Research UK Workshop
Problems faced by cancer survivors:• Second (and third…) cancers.
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RCGP and Cancer Research UK Workshop
Problems faced by cancer survivors:• Second (and third…) cancers.
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RCGP and Cancer Research UK Workshop
Problems faced by cancer survivors:• Second (and third…) cancers.
Of the 1.6 million people expected to be diagnosed with cancer this year in the U.S., about one in six will have already survived a different cancer before being developing this new one, according to statistics from the National Cancer Institute (NCI).
Paraphrased from: http://www.cancertodaymag.org/Spring2013/Pages/Second-Cancers2.aspx
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RCGP and Cancer Research UK Workshop
Second (and third…) cancers.
Many preventable (over 40%):
• Smoking• Diet• Alcohol• Exercise• Sun exposure
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RCGP and Cancer Research UK Workshop
Problems faced by cancer survivors:• Physical• Psychological
• 21% of patients living beyond cancer had MH problems• Consequences of treatment – 10% develop major
depression1.• Pre-existing
1. Walker, J., et al., Prevalence, associations, and adequacy of treatment of major depression in patients with cancer:
a cross-sectional analysis of routinely collected clinical data. The Lancet Psychiatry, 2014. 1(5): p. 343-350.
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RCGP and Cancer Research UK Workshop
Problems faced by cancer survivors:• Physical• Psychological• Social
• Consequences of treatment – impact on family and communities.
• Pre-existing – deprivation gradient
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RCGP and Cancer Research UK Workshop
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RCGP and Cancer Research UK Workshop
Problems faced by cancer survivors:• Physical• Psychological• Social• Financial
• Consequences of treatment• Loss of job/overtime for patient and carer
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RCGP and Cancer Research UK Workshop
Survivorship - Exercise
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RCGP and Cancer Research UK Workshop
Survivorship - Exercise
Role of cancer rehab:Helps short term:
Fatigue, stress, depression, quality of lifeHelps long term:
Breast cancer patients150 mins of exercise per week 40% cancer mortality
Bowel cancer6 hours of exercise per week 50% cancer mortality
Prostate cancer3 hours of exercise per week 30% cancer mortality
Holmes, MD et al. Physical activity andsurvival after breast cancer diagnosis. JAMA.25 May 2005. 293(20):2479–86.Meyerhardt JA, Giovannucci EL, Holmes MD, Chan AT, Chan JA, Colditz GA, Fuchs CS. Physical activity and survival after colorectal cancer diagnosis. J Clin Oncol. 2006. 24:3527–3534.
Kenfield SA, Stampfer MJ, Giovannucci, E, Chan JM. Physical activity and survival after prostate cancer diagnosis in the health professionals follow-upstudy. J Clin Oncol.2011. 29:726–732.
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RCGP and Cancer Research UK Workshop
As survivorship increases:Co-morbiditySecond cancers:
previous history cancer risk other cancer Eg: Melanoma: risk of prostate cancer by 32%
Complications of treatmentEg pelvic radiation
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RCGP and Cancer Research UK Workshop
End of Life Care
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RCGP and Cancer Research UK Workshop
End of Life Care
Palliative Care
• increasingly seen as “non-curative treatment and support”
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RCGP and Cancer Research UK Workshop
End of Life Care
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RCGP and Cancer Research UK Workshop
End of Life Care
https://www.eiuperspectives.economist.com/sites/default/files/images/2015%20EIU%20Quality
%20of%20Death%20Index%20Oct%2029%20FINAL.pdf (last accessed 21.1.17)
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RCGP and Cancer Research UK Workshop
End of Life Care
• A third of those diagnosed with cancer will die form their disease
• Most express preference to die at home
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RCGP and Cancer Research UK Workshop
Dying at home 2010-12
http://apps.mariecurie.org.uk/marie-curie-atlas/html5/atlas.html (last accessed 21.1.17)
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RCGP and Cancer Research UK Workshop
Dying at home 2010-12
http://apps.mariecurie.org.uk/marie-curie-atlas/html5/atlas.html (last accessed 26.10.17)
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RCGP and Cancer Research UK Workshop
“Addressing non-communicable diseases (NCDs) is
critical for global public health, but it will also be good
for the economy; for the environment; for the global
public good in the broadest sense. If we come together
to tackle NCDs, we can do more than heal
individuals— we can safeguard our very future.”
UN Secretary General Ban Ki-moon
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RCGP and Cancer Research UK Workshop
“Addressing non-communicable diseases (NCDs) is
critical for global public health, but it will also be good
for the economy; for the environment; for the global
public good in the broadest sense. If we come together
to tackle NCDs, we can do more than heal
individuals— we can safeguard our very future.”
UN Secretary General Ban Ki-moon
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RCGP and Cancer Research UK Workshop
Key to cancer
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RCGP and Cancer Research UK Workshop
Education Education Education
Key to cancer
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RCGP and Cancer Research UK Workshop
Education – publicEducation – patientsEducation – profession
Key to cancer
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RCGP and Cancer Research UK Workshop
Education – publicEducation – patientsEducation – professionEducation – policy makers
Key to cancer
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RCGP and Cancer Research UK Workshop
Education – publicEducation – patientsEducation – professionEducation – policy makersEducation – politicians
Key to cancer
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RCGP and Cancer Research UK Workshop
Insanity:
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RCGP and Cancer Research UK Workshop
Insanity:
• doing the same thing over and over again and
expecting different results
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RCGP and Cancer Research UK Workshop
Insanity:
• doing the same thing over and over again and
expecting different results
Albert Einstein 1879-1955
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RCGP and Cancer Research UK Workshop
The ones who are crazy enough to think they can
change the world, are the ones who do.
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RCGP and Cancer Research UK Workshop
The ones who are crazy enough to think they can
change the world, are the ones who do.
Steve Jobs 1955-2001
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RCGP and Cancer Research UK WorkshopOur common goal?
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RCGP and Cancer Research UK WorkshopOur common goal?
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RCGP and Cancer Research UK WorkshopOur common goal?
We can do even better, individually
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RCGP and Cancer Research UK WorkshopOur common goal?
We can do even better, individually
•As a wider health community we could do so much more
…if resourced properly:
We need to spend money now…
to save money (and misery) later
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RCGP and Cancer Research UK Workshop
One person can make a difference,
and everyone should try.
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RCGP and Cancer Research UK Workshop
One person can make a difference,
and everyone should try.
John F Kennedy 1917-1963
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RCGP and Cancer Research UK Workshop
Thank you
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RCGP and Cancer Research UK Workshop
Any questions?