Yorkshire Cancer Research Bowel Cancer Improvement Programme
plain language summary
This is a five-year study to improve outcomes for patients with bowel cancer across the Yorkshire and Humber. There is evidence of variation in the management of bowel cancer and outcomes for patients across Yorkshire and the Humber.
The study aims to understand the variation and then improve outcomes by addressing these issues. The study will use routine datasets collected during the diagnosis and management of patients with bowel cancer in the NHS. This data is already held by the National Cancer Registration and Analysis Service (NCRAS). NCRAS have linked these datasets together to provide an integrated dataset and we have analysed extracts of this data to provide basic information about bowel cancer care. We now wish to enhance these data further through linkage to new datasets and from data we collect. This will generate high quality intelligence about the management of patients with bowel cancer across Yorkshire and Humber. Additional data will be collected from patients from participating Trusts across the region. We are involving patients in the study to obtain a comprehensive ‘picture’ to understand their quality of life at diagnosis and how this changes over a one year period. This will add to add depth to already available information in order to direct the education programme for the clinical teams.
Patients with bowel cancer being treated in participating hospitals will be asked to consent to participate in the collection of patient reported outcome measures (PROMS) via patient questionnaires. Patients will also be consented for the use of some of their tissue, which is excess to that required for diagnosis and treatment, to be sent to the research team for additional novel biomarker testing. The data from the PROMS and the tissue will be linked to the rest of the integrated dataset in the secure environment within NCRAS.
The study team will use the intelligence to identify clinical areas that could be improved and develop educational programmes to address them specific to the professional group of concern (e.g. pathologists, surgeons), and subsequently assess the impact of these educational interventions on the outcomes of bowel cancer patients in Yorkshire and Humber. The updated data will provide information about the services at the start of the programme and then enable the study team to analyse changes in outcomes across the years.
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