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  MA17 - New Methods to Improve Lung Cancer Patients Outcomes (ID 918)

  • Event: WCLC 2018
  • Type: Mini Oral Abstract Session
  • Track: Nursing and Allied Professionals
  • Presentations: 1
  • Moderators:
  • Coordinates: 9/25/2018, 13:30 - 15:00, Room 205 AC

  • 26079

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    MA17.10 - The Use of Technology in the Delivery of Supportive Care of Lung Cancer Patients After Treatment (ID 11186)

    14:35 - 14:40  |  Author(s): Mhairi Simpson
    • Abstract
    • Presentation
    • Slides

    Background
    

    The NHS Lanarkshire Lung Cancer Project is part of the Transforming Care after Treatment (TCAT) programme.

    During phase one 58 patients participated in the project. 88% of patients opted for a telephone consultation, which was more time effective taking only on average 20 minutes compared to 48 minutes for a face to face consultation. 90% of patients rated the service as excellent and a review of additional Patient Reported Outcome Measures demonstarted an improvement in overall quality of life.

    Further funding was secured as part of Phase 3 of the TCAT programme allowing for continued testing.

    a9ded1e5ce5d75814730bb4caaf49419 Method
    

    Between November 2017 – May 2018 lung cancer patients living in Lanarkshire were offered two monthly SPARC assessments on completion of treatment . This was followed up with and a telephone consultation from a lung cancer clinical nurse specialist, the provision of a personalised care plan and access to self-management information. The choice of an electronic or paper SPARC assessment was offered.

    To support the evaluation a Functional Assessment of Cancer Therapy – Lung (FACT-L), Memorial Symptoms Assessment Scale (MSAS) and Supportive Care Needs Survey Long-Form 59 (SCNS) were completed prior to their first and after their final assessment. A patient experience questionnaire was also provided on completion of their final assessment.

    4c3880bb027f159e801041b1021e88e8 Result
    

    24 patients participated in phase 3. 53% opted to complete their assessment electronically with 47% preferring the paper option.

    15 patients (63%) completed both assessments resulting in a total of 582 concerns being identified. Data analysis of these patients shows a 27% reduction in concerns with the number of high concerns falling by 62% between the first and second assessment. The average length of time for telephone review remained similar phase one at 22 minutes ranging from 7 minutes to 55 minutes.

    Patient satisfaction in the project continued to be high with 82% rating the service as excellent and 18% as good.. Data analysis for 15 patients’ who had completed 2 FACT-L, MSAS and SCNS yielded a significant reduction in symptom burden and psychological distress with a significant improvement in quality of life.

    8eea62084ca7e541d918e823422bd82e Conclusion
    

    Findings from this project are encouraging that this model of working is not only acceptable to patients but time efficient and clinically effective. However, a limitation of this project is its small sample size. Therefore, further work is needed to explore its transferability and cost effectiveness to allow it to be considered for implementation in standard practice.

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