Diagnosing Cancer Earlier: reviewing the evidence for improving cancer survival 3 rd NAEDI Research Conference
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1 Diagnosing Cancer Earlier: reviewing the evidence for improving cancer survival 3 rd NAEDI Research Conference Sara Hiom, Cancer Research UK th March
2 3 rd NAEDI Research Conference Welcome 2
3 Overview Where are we now? Early diagnosis research in the UK How is research driving action? What are our future priorities? 3
4 4 Source: NCIN (2012)
5 Inequalities in early diagnosis GENDER AGE SOCIOECONOMIC FACTORS ETHNICITY 5
6 Preventing cancer deaths is key in reducing overall premature mortality in the UK 6 The 10 most common causes of death in 2011 FUNDRAISING ACTIVITIES Cancer is the leading cause of death from illness in every age group (except men aged 15-24) Qtr 1 Qtr 2 Qtr 3 Qtr 4 6 Sponsorship Collecting Door-to-door Original Data Sources: Office for National Statistics
7 Overview Where are we now? Early diagnosis research in the UK How is research driving action? What are our future priorities? 7
8 British Journal of Cancer supplement Evidence for a National Awareness and Early Diagnosis Initiative (NAEDI) 2015 Diagnosing cancer earlier: reviewing the evidence for improving cancer survival 8 Hiom et al. (2015) Diagnosing Cancer Earlier: reviewing the evidence for improving cancer survival. BJC
9 Early Diagnosis is a complex, multifaceted challenge The NAEDI hypothesis Hiom et al. (2015) Diagnosing cancer earlier: reviewing the evidence for improving cancer survival. BJC
10 Perceived barriers to seeing the doctor 2014 (% Agree) I find it difficult to get an appointment with a particular doctor I find it difficult to get an appointment with a doctor at a convenient time I don't like having to talk to the GP receptionist about my symptoms I don't want to be seen as somebody who makes a fuss I would be worried about wasting the doctor's time I would be worried about what they might find wrong with me I would be worried about what tests they might want to do I would be worried the doctor wouldn't take my symptoms seriously I've had a bad experience at the doctor's in the past I have too many other things to worry about I would be too busy to make time to go to the doctor I find it embarrassing talking to the doctor about my symptoms I wouldn't feel confident talking about my symptom(s) with the doctor My doctor is difficult to talk to Q. Which of the following might put you off visiting the doctor?
11 Awareness of bowel cancer screening programme 2014 Awareness of the programme yr olds: Total sample: 60% 93% Awareness of the age people are first invited yr olds: Total sample: 47% 62% Q. As far as you are aware, is there an NHS bowel cancer screening programme? Q. At what age are people first invited for bowel cancer screening?
12 NAEDI Research Calls 1-3 FUNDERS Cancer Research UK Department of Health, England Economic and Social Research Council Health & Social Care R&D Division, Public Health Agency, Northern Ireland National Institute for Social Care and Health Research Wales Scottish Government 7M OVER 5 YEARS PROPORTION OF PROJECTS BY RESEARCH AREA Methodology and evaluation Health services Screening uptake Public awareness and early presentation Higher risk populations 12
13 Be Clear on Cancer a NAEDI success story Ironmonger, L. et al. (2014) An evaluation of the impact of large scale interventions to raise public awareness of a lung cancer symptom. Br J Cancer
14 International Cancer Benchmarking Partnership (ICBP) Unique perspective investigating how and why international survival varies Producing evidence to inform policy and practice Collaboration of policy, research and clinical professionals
15 Overview Where are we now? Early diagnosis research in the UK How is research driving action? What are our future priorities? 15
16 Early diagnosis evidence informs.. UK and international cancer policies and practice Cancer awareness activities Cancer taskforce Accelerate coordinate evaluate (ACE) 16
17 Overview Where are we now? Early diagnosis research in the UK How is research driving action? What are our future priorities? 17
18 Early diagnosis research priorities Assessment of new NICE guidelines Empowering patients to describe symptoms Health economics Evidence to inform new public awareness activity Repeat audit of cancer diagnosis 18
19 National audit of cancer diagnosis in primary care 19
20 20 Thank you
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