Cancer impacts on patients and their families across a range of different domains. For that reason,\noptimal cancer care has moved away from a disease-centric focus to a more holistic approach in order to\nproactively support people with their individual needs and concerns. While international policy clearly advocates\nthis agenda, implementation into routine care is limited. Therefore, relevant interventions that measurably improve\npatient outcomes are essential to understand if this ideal is to become routine multidisciplinary practice. The aim of\nthis study was to analyse the impact of a proactive, holistic, community-based intervention on health-related quality\nof life in a cohort of people diagnosed with cancer. Secondary aim was to explore the relationship between\nchanges in health status and: cancer type, cancer stage, number of concerns expressed and change in severity of\nconcerns pre and post intervention.\nMethod: Prospective observational cohort study. A convenience sample of 437 individuals were referred to the\nservice â??Improving the Cancer Journey (ICJ) in the UK. Each completed the Euroqol EQ-5D-3 L and visual analogue\nscale (VAS) and a Holistic Needs Assessment (HNA) during initial visit to the service and again at follow-up review,\nmedian 84 days later. Change between scores was tested with paired t-tests and relationships between variables\nwith multiple regression models with heteroscedasticity-consistent standard errors............
Loading....