Re-organisation of oesophago-gastric cancer care in England: progress and remaining challenges View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2009-11-12

AUTHORS

Thomas R Palser, David A Cromwell, Richard H Hardwick, Stuart A Riley, Kimberley Greenaway, William Allum, Jan HP van der Meulen

ABSTRACT

BackgroundOesophago-gastric cancer services in England have been extensively reorganised since 2001 to deliver a centralised, specialist-led service. Our aim was to assess how well the National Health Service (NHS) in England met organisational standards for oesophago-gastric cancer care.MethodsQuestionnaires that asked about the provision of staging investigations, curative and palliative treatments and key personnel were sent in September 2007 to the lead clinician for oesophago-gastric cancer at all 30 cancer networks and 156 NHS acute trusts in England.ResultsResponses were received from all networks and 81% of NHS trusts. All networks provided essential staging investigations and a range of endoscopic palliative therapies. Only 16 of the 30 cancer networks discussed all patients at the specialist multi-disciplinary team meeting and 11 networks had not fully centralised curative surgery. There was also variation between NHS trusts in the integration of the palliative care team, the availability of nurse specialists and the use of dieticians to provide nutritional support.ConclusionThere has been considerable progress in reforming oesophago-gastric cancer services but the process of reorganisation is still incomplete and regional differences in service provision exist that may lead to variation in patient outcomes. More... »

PAGES

204

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1472-6963-9-204

DOI

http://dx.doi.org/10.1186/1472-6963-9-204

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1011223551

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/19909525


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