A5021293228- Palliative Care and End-of-Life Issues
- Cancer survivorship and care
- Geriatric Care and Nursing Homes
- Economic and Financial Impacts of Cancer
- Childhood Cancer Survivors' Quality of Life
- Health Systems, Economic Evaluations, Quality of Life
- Grief, Bereavement, and Mental Health
- Global Health Care Issues
- Patient Dignity and Privacy
- Advances in Oncology and Radiotherapy
- Molecular Biology Techniques and Applications
- Chronic Disease Management Strategies
- Frailty in Older Adults
- Gene expression and cancer classification
- BRCA gene mutations in cancer
- Healthcare cost, quality, practices
- Oral Health Pathology and Treatment
- Multiple and Secondary Primary Cancers
- Genomic variations and chromosomal abnormalities
- Interprofessional Education and Collaboration
- Air Quality and Health Impacts
- Clinical practice guidelines implementation
- Ethics in medical practice
- Radiomics and Machine Learning in Medical Imaging
- Nutrition and Health in Aging
NHS Fife
2014-2024
University of St Andrews
2019-2024
Community Health Partnership
2023
Edinburgh Cancer Research
2020-2022
Queen Margaret Hospital
2021
Queen Elizabeth Hospital Birmingham
2020-2021
NHS Lothian
2019
University of Edinburgh
2014-2017
Western General Hospital
2017
Southampton General Hospital
2004
LBA12007 Background: Cancer cachexia arises from the interaction between host and tumour, triggering an inflammatory response that leads to weight appetite loss, diminished physical activity, reduced treatment efficacy survival. Combining interventions address inflammation, activity is proposed as effective strategy. Building on a promising pilot study, we conducted MENAC (Multimodal Exercise Nutrition Anti-inflammatory Cachexia) trial comprehensively evaluate this approach in patients with...
Objectives To analyse healthcare utilisation and costs in the last year of life England, to study variation by cause death, region patient residence socioeconomic status. Methods This is a retrospective cohort study. Individuals aged 60 years over (N=108 510) who died England between 2010 2017 were included Results Healthcare increased with proximity particularly month life. The mean total higher among males (£8089) compared females (£6898) declined age at death (£9164 60–69 £5228 90+)...
Delivering high-quality palliative and end-of-life care for cancer patients poses major challenges health services. We examine the intensity of in England last year life.
Background People who are nearing the end of life high users healthcare. The cost to providers is and value care uncertain. Objectives To describe pattern, trajectory drivers secondary use by people in Scotland their last year life. Methods Retrospective whole-population administrative data linkage study Scottish decedents 60 years over between 2012 2017 (N=274 048). Results Secondary was with a sharp rise inpatient admissions 3 months. mean £10 000. Cause death associated differing patterns...
Background Advance (anticipatory) care planning (ACP) requires discussions between patients and healthcare professionals about for future deterioration in health. ACP improves coordination but uptake is limited often deferred. Aim To assess the feasibility acceptability to patients, carers, GPs of a primary intervention people with incurable oesophageal, gastric, or pancreatic cancer. Design setting A 12-month randomised controlled trial (RCT) Scottish Cancer Network. Method Patients aged...
Undergraduate education in palliative care is essential if doctors are to be competent for dying patients and their families a range of specialties healthcare settings. However, creating space this within existing undergraduate foundation year curricula poses significant challenges. We aimed develop consensus learning outcomes teaching the university medical schools Scotland.The General Medical Council (GMC) outlines number with clear relevance care. Leaders from five Scottish identified...
BackgroundApproximately thirty thousand people in Scotland are diagnosed with cancer annually, of whom a third live less than one year. The timing, nature and value hospital-based healthcare for patients advanced not well understood. study's aim was to describe the timing use associated costs last year life diagnosis. MethodsWe undertook Scottish population-wide administrative data linkage study individuals diagnosis, who died aged 60 over between 2012 2017. Hospital admissions length stay...
<h3>Background</h3> During the COVID-19 pandemic, there have been significant efforts to support more people remain at home end of life. In Fife, Scotland, beginning a proportion NHS Fife Specialist Palliative Care Service (FSPCS) resource was diverted towards community care. This study examined trends in place death prior to, and during, pandemic described patterns unscheduled care use over last months <h3>Methods</h3> A retrospective cohort undertaken, involving data linkage routine...
Abstract Background Approximately thirty thousand people in Scotland are diagnosed with cancer annually, of whom a third live less than one year. The timing, nature and value hospital-based healthcare for patients advanced not well understood. aim this study was to describe patterns use associated costs the last year life diagnosis. Methods We undertook Scottish population-wide administrative data linkage individuals diagnosis aged 60 years over on their date death, who died between 2012...
The decision to undergo chemotherapy for incurable cancer demands informed discussions about the risks and benefits of proposed treatments. Research has shown that many patients have a poor grasp these factors.An evaluation patient experience palliative decision-making was undertaken. Patients with lung or gynaecological cancers were surveyed their decision, what they understood its benefits, how supported felt.A total 29 people (n = 21) 8) completed questionnaires. majority felt sure though...
Abstract Background People who are nearing the end of life high users healthcare. The cost to providers is and value care uncertain. Objectives To describe pattern, trajectory drivers secondary use by people in Scotland their last year life. Methods Retrospective whole-population administrative data linkage study Scottish decedents 60 years over between 2012 2017 (N=274,048). Results Secondary was with a sharp rise inpatient admissions three months. mean £10,000. Cause death associated...
e18732 Background: Approximately thirty thousand people in Scotland are diagnosed with cancer each year, of whom 10,000 live less than one year. Hospital is the most common place death for cancer, despite expressing a preference community-based care. There inadequate understanding nature and value hospital-based care advanced cancer. This study aimed to describe patterns healthcare use associated costs decedents their last year life. Methods: A population-wide administrative data linkage...
e18769 Background: Delivery of high quality cancer care is associated with rising costs, both in earlier stages the illness trajectory and at end life. A significant portion costs health utilisation occurs last year Most publications to date have focused on hospital. Little known about for patients across entire service. The aim was examine primary, secondary acute cost 12 months life how these differ by diagnosis other patient characteristics among decedent aged 60 over. Methods: We...