Chan, Anthony, Ignatowicz, Agnieszka, Mason, James and Siriwardena, Ajith (2021) TP6.1.5 : The importance of the patient voice in metastatic colorectal cancer : a qualitative study. British Journal of Surgery, 108 (Supplement_7). doi:10.1093/bjs/znab362.026

Research output not available from this repository.

Request-a-Copy directly from author or use local Library Get it For Me service.

Request Changes to record.

Abstract

Aims Colorectal cancer is the fourth commonest cancer in the UK with a third presenting with synchronous liver metastases. Although there is a large body of clinical cohort data, there is no research exploring patient perspectives of disease. This qualitative phenomenological study explores the lived experiences of patients following treatment for synchronous disease. Methods Qualitative interviews used pre-prepared prompts encouraging open dialogue and were transcribed for thematic analysis. Results Four major themes emerged. (1) Experience of Cancer The initial diagnosis was recalled in vivid detail, with delays perceived negatively particularly if clinicians were dismissive about their concerns. Caregiver participation was valued in consultations. Patients with recurrence perceived chemotherapy as a method of control. (2) Patient Autonomy Patients describe a paternalistic relationship with their clinician and were satisfied with their management despite any complications or recurrence. There was little perception of pathway equipoise with some questioning any real choice particularly those with a symptomatic bowel primary. (3) Treatment Strategy Patients preferred a bowel-first strategy as a method of control, perceiving the primary to continually seed the body with metastases. Chemotherapy offered little reassurance for disease control. Synchronous resection was preferred but the greater potential for complications was appreciated. (4) Research No patients expressed ethical concerns about potential studies randomising to different surgical strategies. However, patients would not want a liver-first strategy. Conclusions This is the first qualitative study exploring patient perceptions of metastatic colorectal cancer. The importance of the first consultation outlining management is emphasised as a simple but important message.

Item Type:	Journal Item
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
SWORD Depositor:	Library Publications Router
Journal or Publication Title:	British Journal of Surgery
Publisher:	John Wiley & Sons Ltd.
ISSN:	0007-1323
Official Date:	28 October 2021
Dates:	Date Event 28 October 2021 Published
Volume:	108
Number:	Supplement_7
DOI:	10.1093/bjs/znab362.026
Publication Status:	Published
Access rights to Published version:	Open Access (Creative Commons)

Request changes or add full text files to a record

Repository staff actions (login required)

View Item