Post-diagnosis skin cancer follow-up in rural general practice: A mixed-method study

Aung, Ei T; Campbell, David; Mitchell, Eleanor Kl

doi:10.31128/ajgp-04-18-4562

Cited by 6 publications

(7 citation statements)

References 13 publications

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“…The accessibility of survivorship information was also commonly identified as a need within the studies reviewed. In particular, needs for user‐friendly resources and those delivered in the survivor's native language and/or literacy level were reported as unmet in rural settings in 10 included studies 20,32,40,43,44,51,62,65,66,68 …”

Section: Resultsmentioning

confidence: 99%

“…37,45 Self-sourced survivorship information made available to rural survivors online was noted as important in one study examining the support service use of rural men living with cancer 64 and another with GPs treating skin cancer in rural areas. 65 In a 2021 study examining barriers to employment in Australian cancer survivors living in disadvantaged areas, participants recommended that employers should receive education about the needs of cancer survivors returning to work, via workplace-specific education, and public education and awareness campaigns. 35…”

Section: Source/recipient Of Informationmentioning

confidence: 99%

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What are the post‐treatment information needs of rural cancer survivors in Australia? A systematic literature review

et al. 2023

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Objective: To conduct a systematic literature review to critically assess the met and unmet post-treatment information needs of cancer survivors living in rural communities in Australia, to inform the improvement of survivors' transition from treatment in major cities to community care.Methods: Cumulative index of nursing and allied health literature, PubMed, Web of Science, Scopus, Cochrane CENTRAL and Academic Search Ultimate databases and websites of 118 cancer organisations were searched for relevant Australian studies published since 2006. Key search terms included 'rural', 'remote', 'regional', 'cancer', 'survivor*', 'living with', and 'post-treatment'. Data reflecting study source, aims, methodology, and reported information needs were extracted and summarised.Study quality was assessed using Joanna Briggs Institute tools.Results: Fifty-two articles met eligibility criteria. Only six of these specified a primary aim of understanding information needs for rural cancer survivors. Information on prognosis and recovery; managing treatment side effects; healthy lifestyle choices; referrals to support services, and face-to-face and written delivery of information at multiple time points were reported as needed and often lacking for rural cancer survivors.

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Section: Resultsmentioning

confidence: 99%

Section: Source/recipient Of Informationmentioning

confidence: 99%

What are the post‐treatment information needs of rural cancer survivors in Australia? A systematic literature review

et al. 2023

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“…Rate of incomplete excisions of non-melanoma skin lesions 92 Other surgical treatment 46,66,69,71,73,87 Proportion of squamous cell carcinomas treated by curettage 87 Completion lymph node dissection should not be performed following a positive sentinel lymph node biopsy 46 Non-surgical treatment 17,34,67,69,72,73,79,92 Proportion of non-melanoma skin lesions treated using cryotherapy 92 Proportion of melanomas treated with imiquimod 79 Post-treatment follow-up 34,67,70,72,73,78,81,88,95 Proportion of melanoma patients requiring follow up after initial excision in primary care 81 Use of patient recall systems for each skin cancer type 95 Interpersonal process…”

Section: (70)mentioning

confidence: 99%

Measuring the quality of skin cancer management in primary care: A scoping review

et al. 2023

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Skin cancer is a growing global problem and a significant health and economic burden. Despite the practical necessity for skin cancer to be managed in primary care settings, little is known about how quality of care is or should be measured in this setting. This scoping review aimed to capture the breadth and range of contemporary evidence related to the measurement of quality in skin cancer management in primary care settings. Six databases were searched for relevant texts reporting on quality measurement in primary care skin cancer management. Data from 46 texts published since 2011 were extracted, and quality measures were catalogued according to the three domains of the Donabedian model of healthcare quality (structure, process and outcome). Quality measures within each domain were inductively analysed into 13 key emergent groups. These represented what were deemed to be the most relevant components of skin cancer management as related to structure, process or outcomes measurement. Four groups related to the structural elements of care provision (e.g. diagnostic tools and equipment), five related to the process of care delivery (e.g. diagnostic processes) and four related to the outcomes of care (e.g. poor treatment outcomes). A broad range of quality measures have been documented, based predominantly on articles using retrospective cohort designs; systematic reviews and randomised controlled trials were limited.

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“…4 For regional, rural and remote practitioners, post-diagnosis skin cancer follow-ups present challenges with the following reasons being cited: (i) workload and time constraints for consultations (ii) GP support, resources and infrastructure (including access to dermatologists for the patient) and (iii) patient factors such as poor health literacy and motivation to attend follow-up. 23…”

Section: Prevention Early Detection and Screeningmentioning

confidence: 99%

Skin cancer in regional, rural and remote Australia; opportunities for service improvement through technological advances and interdisciplinary care

Adelson¹,

Eckert²

2020

Aust J Adv Nurs

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Age standardised skin cancers (melanoma and non-melanoma) continue to increase in Australia, although they are stabilising for those under age 40. People living in regional, rural and remote Australia have higher rates of skin cancer and challenges accessing care. Better targeting of skin protection measures and improved opportunistic screening have been promoted as ways to improve care for these populations as have increased use of information technology and upskilling of primary healthcare nurses. The Australian Government supports that Optimal Cancer Care Pathways for skin cancers be used as a key resource in exploring best practice models of care for skin cancer patients both for the development of digital platforms and face to face multidisciplinary teams (MDTs). Better use of technology has been a core recommendation of national health and skin cancer organisations for improving prevention and early detection of skin cancer. Skin cancers, as a primarily visual diagnosis are considered one of the prime areas for technological health interventions. The harnessing of artificial intelligence (AI) technology as a tool for early detection and disease management of skin cancers has great potential to reduce the burden of healthcare costs to the regional, rural and remote community and improve health outcomes.

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Post-diagnosis skin cancer follow-up in rural general practice: A mixed-method study

Cited by 6 publications

References 13 publications

What are the post‐treatment information needs of rural cancer survivors in Australia? A systematic literature review

What are the post‐treatment information needs of rural cancer survivors in Australia? A systematic literature review

Measuring the quality of skin cancer management in primary care: A scoping review

Skin cancer in regional, rural and remote Australia; opportunities for service improvement through technological advances and interdisciplinary care

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