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K.J. Clayton
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ORAL 43 - Enhancing Physical Wellbeing in Lung Cancer (ID 168)
- Event: WCLC 2015
- Type: Oral Session
- Track: Nursing and Allied Professionals
- Presentations: 2
- Moderators:G. Bates, M. Hesdorffer
- Coordinates: 9/09/2015, 18:30 - 20:00, 102+104+106
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ORAL43.06 - Improving Surviorship through Prehabiltiation for Thoracic Cancer Patients (ID 43)
19:24 - 19:35 | Author(s): K.J. Clayton
- Abstract
- Presentation
Background:
Prognosis for lung cancer is poor, with 5 year survival of 8.8% in men and 11.1% in women. (MCS 2013) It is essential to enhance performance status and timely access to treatment. NICE recommends that patients have access to specialist services from the start of the pathway. This includes the expertise of the Lung CNS (DOH 2011). It is essential that people with a thoracic malignancy have their health and wellbeing maximised before diagnosis and treatment decision to improve outcomes and quality of lie. The Lung CNS’s management of the pathway leads to improved treatment outcomes (NLCA 2013)
Methods:
Lung CNS’s have a consensus that pre-diagnosis services are currently ad hoc and inequitable. The NLCFN undertook literature reviews using key words “PREHABILITATION & LUNG CANCER”; this did not identify any significant results. The search was therefore widened to include “PULMONARY DISEASE”. This showed that the most common co morbidity associated with lung cancer was COPD. To understand Lung CNS practice, a short electronic survey was devised and distributed to all NLCFN members.
Results:
118 Lung CNS’s responded to the questionnaire (34%). Questions covered current practice with regard to: Symptom control, health promotion, co-morbidity management Availability of assessment tools. Availability of support/pre- rehabilitation services
Conclusion:
Following the literature search and questionnaire, the NLCFN devised a prompt checklist. This aide memoire captures key areas of assessments at pre-diagnosis to enable effective referrals to appropriate services which will ultimately improve the patients’ health and wellbeing in preparation for treatment.
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ORAL43.07 - Performance Status (PS): Is There a Correlation Between Doctor and Patient? (ID 203)
19:35 - 19:46 | Author(s): K.J. Clayton
- Abstract
- Presentation
Background:
PS is a very useful marker which is used to determine suitability for treatment on patients with lung cancer. Previous studies have shown good correlation between PS and survival. To assess the correlation between the Respiratory specialist (consultants and SpRs) and the patient’s own assessment.
Methods:
A random selection of patients attending our Rapid Access Lung Clinic were given, prior to the consultation with the doctor, the ECOG guidelines and were asked to score themselves.
Results:
50 patients were given the questionnaire but one preferred not to answer it. The results are reflected in the table below:
from Rapid Access Lung clinic on the same day without a diagnosis of malignancy Out of the patients that scored themselves higher than the doctors, only 2/ 14 gave themselves All the patients that did not have a PS documented by the doctor were discharged a score two points higher.Identical score 21 / 50 (42%) Patient score higher than doctor 14 / 50 (28%) Patient score lower than doctor 4 / 50 (8%) Not documented by doctor 11 / 50 (22%)
Conclusion:
Although nearly half of the scores between patients and doctors were the same there is a significant number of patients that scores themselves higher than the medical professionals. This is likely to be a combination of the fact that the doctors could be overlooking some co-morbidities and that they are keen to give the patient the best opportunity for treatment.
Only Members that have purchased this event or have registered via an access code will be able to view this content. To view this presentation, please login, select "Add to Cart" and proceed to checkout. If you would like to become a member of IASLC, please click here.
