Jon Emery Professor of General Practice University of Western Australia Director of PC4.
PC4: developing cancer research in primary care Jon Emery Professor of General Practice, University...
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Transcript of PC4: developing cancer research in primary care Jon Emery Professor of General Practice, University...
PC4: developing cancer research in primary careJon EmeryProfessor of General Practice, University of Western Australia.Director of PC4
Overview
•Cancer and primary care•What is PC4?•What types of research do we do?•Consumer involvement•What can PC4 do for you?
Cancer incidence in Australia (2003)
Site Total % of total Risk to age 75
Male
Prostate 13,526 26.3 1 in 9
Colorectal 6,857 13.3 1 in 18
Melanoma 5,535 10.8 1 in 24
Lung 5,281 10.3 1 in 25
Female
Breast 11,788 28.2 1 in 11
Colorectal 5,679 13.6 1 in 27
Melanoma 3,989 9.5 1 in 34
Lung 2,968 7.1 1 in 49
•Important role in prevention and screening
•80% of cancers present in general practice
•In practice population of 10,000 in 1 year:▫195 skin cancers▫45 other cancers (6 breast, 4 lung)
•Challenges of symptomatic diagnosis▫Most symptoms of cancer have a more
common benign cause
Cancer in primary care
Cancer in primary care
Brian R. McAvoy. MJA.2007;187:115-117
•80% of cancers present in general practice• In practice population of 10,000 in 1 year:
▫195 skin cancers▫45 other cancers (6 breast, 4 lung)
•Challenges of symptomatic diagnosis▫Most symptoms of cancer have a more common
benign cause•Role in follow-up?
▫Average 10 visits to GP in 1st year after diagnosis of breast cancer
▫Role of primary care team in promoting wellbeing
Cancer in primary care
The primary care cancer research agenda
•Primary Care Collaborative Cancer Clinical Trials Group
What is PC4?
What is PC4?
•Aims to increase the quantity and quality of Australian primary care cancer research
•Build capacity to conduct primary care cancer research
•Focus on development and trials of interventions to improve cancer care in Australia
•Potential for large scale studies to answer the big questions
What is PC4?
What is PC4?
The ProCare Trial: shared care for follow-up in prostate cancer
•Jon Emery•Penny Schofield•Michael Jefford•Dickon Hayne•Marie Pirotta•Lyndal Trevena•Andrew Martin•Roger Constable
BMJ 2007;334: 445-459 Campbell, Murray, Darbyshire, Emery et al
•Consumer representation on▫PC4 Executive▫PC4 Scientific Working Groups▫Some specific trials
•Joint Consumer Advisory Group (with PoCoG)
•Input into design, outcome measures, ethics and implications of results.
Consumer involvement in PC4
What can PC4 do for you?
•Concept development workshops▫Support to develop new project▫Identify potential collaborators
•PC4 research support▫Advice on study design issues and funding
sources▫Access to Clinical Trials Development Unit
Biostatistics Health economics
•Network of researchers with shared interests•PC4 fellowship scheme
www.pc4tg.com.au