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

A. E. Vallance; D. Harji; N. S. Fearnhead; IMPACT collaborative

doi:10.1016/j.ejso.2019.04.005

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

A. E. Vallance^* (Corresponding Author), D. Harji^* (Corresponding Author), N. S. Fearnhead^* (Corresponding Author), IMPACT collaborative

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

15 Citations (Scopus)

Abstract

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.

Original language	English
Pages (from-to)	1567-1574
Number of pages	8
Journal	European Journal of Surgical Oncology
Volume	45
Issue number	9
Early online date	16 Aug 2019
DOIs	https://doi.org/10.1016/j.ejso.2019.04.005
Publication status	Published - 1 Sept 2019

Bibliographical note

Funding Information:
The authors would like to thank all the patients, carers and charitable representatives who contributed to this work, and acknowledge the following organisations for their help and support in delivering the IMPACT initiative: Bowel Disease Research Foundation, Association of Coloproctology of Great Britain and Ireland, Royal College of Surgeons of England, National Bowel Cancer Audit, Beating Bowel Cancer, Bowel Cancer UK and the Pelican Cancer Foundation.

Publisher Copyright:
© 2019

Data Availability Statement

No data availability statement.

Keywords

Colorectal cancer
Metastatic cancer
Multidisciplinary team

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.ejso.2019.04.005

Cite this

Making an IMPACT: A priority setting consultation exercise to improve outcomes in patients with locally advanced, recurrent and metastatic colorectal cancer. / Vallance, A. E. (Corresponding Author); Harji, D. (Corresponding Author); Fearnhead, N. S. (Corresponding Author) et al.
In: European Journal of Surgical Oncology, Vol. 45, No. 9, 01.09.2019, p. 1567-1574.

Research output: Contribution to journal › Article › peer-review

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

abstract = "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.",

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author = "Vallance, {A. E.} and D. Harji and Fearnhead, {N. S.} and {IMPACT collaborative} and L. Samuel",

note = "Funding Information: The authors would like to thank all the patients, carers and charitable representatives who contributed to this work, and acknowledge the following organisations for their help and support in delivering the IMPACT initiative: Bowel Disease Research Foundation, Association of Coloproctology of Great Britain and Ireland, Royal College of Surgeons of England, National Bowel Cancer Audit, Beating Bowel Cancer, Bowel Cancer UK and the Pelican Cancer Foundation. Publisher Copyright: {\textcopyright} 2019",

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AU - Fearnhead, N. S.

AU - IMPACT collaborative

AU - Samuel, L.

N1 - Funding Information: The authors would like to thank all the patients, carers and charitable representatives who contributed to this work, and acknowledge the following organisations for their help and support in delivering the IMPACT initiative: Bowel Disease Research Foundation, Association of Coloproctology of Great Britain and Ireland, Royal College of Surgeons of England, National Bowel Cancer Audit, Beating Bowel Cancer, Bowel Cancer UK and the Pelican Cancer Foundation. Publisher Copyright: © 2019

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N2 - 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.

AB - 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.

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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

Abstract

Bibliographical note

Data Availability Statement

Keywords

UN SDGs

Access to Document

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Cite this