A5048075602- Palliative Care and End-of-Life Issues
- Grief, Bereavement, and Mental Health
- Geriatric Care and Nursing Homes
- Colorectal Cancer Screening and Detection
- Patient-Provider Communication in Healthcare
- Patient Dignity and Privacy
- Health Systems, Economic Evaluations, Quality of Life
- Global Cancer Incidence and Screening
- Childhood Cancer Survivors' Quality of Life
- AI in cancer detection
- Pancreatic and Hepatic Oncology Research
- Lung Cancer Diagnosis and Treatment
- Cutaneous Melanoma Detection and Management
- Gastric Cancer Management and Outcomes
- Cancer survivorship and care
- Machine Learning in Healthcare
- Healthcare cost, quality, practices
- Frailty in Older Adults
- Telemedicine and Telehealth Implementation
- Occupational and environmental lung diseases
- Artificial Intelligence in Healthcare
- COVID-19 diagnosis using AI
- Diaspora, migration, transnational identity
- Phonocardiography and Auscultation Techniques
- Global Public Health Policies and Epidemiology
University of Aberdeen
2023-2024
Queen Mary University of London
2022-2024
University of Cambridge
2013-2023
The University of Melbourne
2022
University of Nottingham
2022
Churchill Hospital
2022
University of Edinburgh
2014-2020
Institute of Occupational Medicine
2018
Glasgow Centre for Population Health
2016-2017
Cicely Saunders International
2012-2016
Background: Increased attention is being paid to the place where people die with a view providing choice and adequately planning care for terminally ill patients. Secular trends towards an institutionalised dying have been reported in Britain other developed world regions. Aim: This study aimed examine British national of death from 2004 2010. Design setting: Descriptive analysis registration data Office National Statistics, representing all 3,525,564 decedents England Wales Results: There...
Background: Achieving home care and death is increasingly used as an outcome measure of palliative services. Aim: To appraise the state science on dying at home. Methods: Appraisal narrative review developed from a plenary presentation European Association for Palliative Care (EAPC) 2012 meeting examining research variations trends in place death, factors associated with preferred place, presenting evidence outcomes those suggesting future questions. Results: Meeting patients’ preferences...
Studies show that most patients with advanced cancer prefer to die at home. However, not all have equal chances and the evidence is unclear on whether dying home better. This study aims determine association between place of death, health services used, pain, feeling peace, grief intensity.Mortality follow-back 352 who died in hospital (n = 177) or 175) London, UK. Bereaved relatives identified from death registrations completed a questionnaire including validated measures patient's pain...
Background: Health-care costs are growing, with little population-based data about people’s priorities for end-of-life care, to guide service development and aid discussions. Aim: We examined variations in treatment, care information across seven European countries. Design: Telephone survey of a random sample households; we asked respondents their if ‘faced serious illness, like cancer, limited time live’ used multivariable logistic regressions identify associated factors....
Abstract Objective With increasing European cancer deaths, clinicians must manage information regarding poor prognosis. This study aimed to determine citizens' preferences, within a scenario of serious illness such as with less than year live, for disclosure prognosis, the likely symptoms and problems, care options available, measure variations between countries identify factors associated preferences. Methods A population‐based cross‐national telephone survey using random digit dialling in...
Diagnosing cancer earlier can enable timely treatment and optimize outcomes. Worldwide, national control plans increasingly encompass early diagnosis programs for symptomatic patients, commonly comprising awareness campaigns to encourage prompt help-seeking possible symptoms health system policies support diagnostic assessment access treatment. By their nature, involve complex public interventions aiming address unmet needs by acting on patient, clinical, factors. However, there is...
The levels of support needs among people bereaved due to cancer are high; however, bereavement services underutilised. Reasons unknown. We aimed examine the relationship caregiving burden and involvement palliative care with utilisation formal by family carers who died cancer. Secondary analysis population-based mortality follow-back study (QUALYCARE) relatives adults registered death an adult involved in caregiving. ran a multivariate logistic regression determine whether explain support....
Background: The Council of Europe has recommended that member states European Union encourage their citizens to make decisions about healthcare before they lose capacity do so. However, it is unclear whether the public wants such beforehand. Aim: To examine preferences for self-involvement in end-of-life care decision-making and identify associated factors. Design: A population-based survey with 9344 adults England, Belgium, Germany, Italy, Netherlands, Portugal Spain. Results: Across...
Europe faces an enormous public health challenge with aging populations and rising cancer incidence. Little is known about what concerns the across European countries regarding care towards end of life. We aimed to compare level concern different symptoms problems in advanced examine factors influencing this. Telephone survey 9,344 individuals aged ≥16 England, Flanders, Germany, Italy, Netherlands, Portugal Spain. Participants were asked nine problems, imagining a situation less than one...
Background: Stronger generalist end-of-life care at home for people with cancer is called but the quality of delivered by general practitioners has been questioned. Aim: To determine degree and factors associated bereaved relatives’ satisfaction to patients. Design: Population-based mortality followback survey. Setting/participants: Bereaved relatives who died in London, United Kingdom (identified from death registrations 2009–2010), were invited complete a postal questionnaire surveying...
Early diagnosis is key to improve cancer outcomes, and most cancers are diagnosed in primary care after initial symptomatic presentation. Emerging evidence suggests an increase avoidable deaths owing the COVID-19 pandemic.To understand GPs' views on impact of pandemic clinical assessment possible cancer.A qualitative semi-structured interview study with GPs from East England.GPs were purposively sampled based age, sex, years experience. Interviews conducted via Zoom or Microsoft Teams August...
Care homes are increasingly becoming places where people spend the final stages of their lives and eventually die. This trend is expected to continue due population ageing, yet little known about public preferences regarding this setting. As part a larger study examining priorities for end life care, we investigated extent which care chosen as least preferred place death, factors associated with negative preference. We conducted cross-sectional telephone survey among 9,344 adults from random...