TY - JOUR
T1 - Healthcare experiences of people with advanced colorectal cancer
T2 - A qualitative study
AU - Lim, Chloe Yi Shing
AU - Laidsaar-Powell, Rebekah C.
AU - Young, Jane M.
AU - Steffens, Daniel
AU - Ansari, Nabila
AU - Joshy, Grace
AU - Butow, Phyllis
AU - The advanced-CRC survivorship authorship group
AU - Solomon, Michael
AU - Koh, Cherry
AU - Yeo, David
AU - Blinman, Prunella
AU - Beale, Philip
AU - Koczwara, Bogda
PY - 2023/4
Y1 - 2023/4
N2 - Purpose: Qualitative research examining healthcare experiences and needs of people with advanced (metastatic or recurrent) colorectal cancer CRC-A is limited. This study aimed to fill this gap in CRC-A survivors treated with surgical or palliative chemotherapy, through a qualitative study. Method: Australian adults treated for CRC-A were recruited 0.5–2 years post-surgery or post-diagnosis of CRC-A (for palliative chemotherapy groups). Semi-structured telephone interviews, analysed via framework analysis, explored healthcare experiences. Demographic, clinical, and quality of life data characterised the sample and informed framework analyses. Data was compared against the Institute of Medicine's framework for quality healthcare. Results: Interviews from 38 participants (22 female) of median age 59 years (range 27–84) revealed six overarching themes relating to the safety, effectiveness, timeliness, patient-centredness, efficiency, and equity of CRC-A care: 1) Early experiences influence later perceptions; 2) Trusting the system, trusting the professionals; 3) The benefits of multidisciplinary care co-ordination; 4) Feeling lost in follow-up; 5) Whose role is it anyway? Gaps in responsibility for survivorship care; and 6) Useful or useless? Perceptions of psychosocial support. Conclusions: Healthcare systems for CRC-A can be improved through delivery of repeated information, upskilling general practitioners and/or implementing written survivorship care plans or survivorship clinics, to ensure quality healthcare.
AB - Purpose: Qualitative research examining healthcare experiences and needs of people with advanced (metastatic or recurrent) colorectal cancer CRC-A is limited. This study aimed to fill this gap in CRC-A survivors treated with surgical or palliative chemotherapy, through a qualitative study. Method: Australian adults treated for CRC-A were recruited 0.5–2 years post-surgery or post-diagnosis of CRC-A (for palliative chemotherapy groups). Semi-structured telephone interviews, analysed via framework analysis, explored healthcare experiences. Demographic, clinical, and quality of life data characterised the sample and informed framework analyses. Data was compared against the Institute of Medicine's framework for quality healthcare. Results: Interviews from 38 participants (22 female) of median age 59 years (range 27–84) revealed six overarching themes relating to the safety, effectiveness, timeliness, patient-centredness, efficiency, and equity of CRC-A care: 1) Early experiences influence later perceptions; 2) Trusting the system, trusting the professionals; 3) The benefits of multidisciplinary care co-ordination; 4) Feeling lost in follow-up; 5) Whose role is it anyway? Gaps in responsibility for survivorship care; and 6) Useful or useless? Perceptions of psychosocial support. Conclusions: Healthcare systems for CRC-A can be improved through delivery of repeated information, upskilling general practitioners and/or implementing written survivorship care plans or survivorship clinics, to ensure quality healthcare.
KW - Advanced cancer
KW - Bowel cancer
KW - Healthcare system
KW - Psychosocial services
KW - Quality of life
KW - Supportive care
UR - http://www.scopus.com/inward/record.url?scp=85148757439&partnerID=8YFLogxK
UR - http://purl.org/au-research/grants/NHMRC/1139539
U2 - 10.1016/j.ejon.2022.102265
DO - 10.1016/j.ejon.2022.102265
M3 - Article
AN - SCOPUS:85148757439
SN - 1462-3889
VL - 63
JO - European Journal of Oncology Nursing
JF - European Journal of Oncology Nursing
M1 - 102265
ER -
