How Do We Evaluate Outcome in an Integrative Oncology Program?

Sagar, Stephen M.

doi:10.3747/co.v15i0.271

Cited by 6 publications

(1 citation statement)

References 30 publications

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“…Although the available information is limited, the main programmes of comprehensive oncology applied in different countries acknowledge the need to generate evidence that proves its increased effectiveness in comparison with traditional models of cancer approaches. It is important to carry out a continuous assessment of key indicators related to control of symptoms, adherence to treatment protocols, quality of life, individual outcomes, prevention, rehabilitation, economic impact in services, and considerations regarding the impact on the health system as a whole [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Medical oncology future plan of the Spanish Society of Medical Oncology: challenges and future needs of the Spanish oncologists

et al. 2016

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PurposeThe SEOM Future Plan is aimed at identifying the main challenges, trends and needs of the medical oncology speciality over the next years, including potential oncologist workforce shortages, and proposing recommendations to overcome them.MethodsThe estimations of the required medical oncologists workforce are based on an updated Medical Oncologist Register in Spain, Medical Oncology Departments activity data, dedication times and projected cancer incidence. Challenges, needs and future recommendations were drawn from an opinion survey and an advisory board.ResultsA shortage of 211 FTE medical oncologist specialists has been established. To maintain an optimal ratio of 158 new cases/FTE, medical oncology workforce should reach 1881 FTE by 2035.ConclusionsMain recommendations to face the growing demand and complexity of oncology services include a yearly growth of 2.5% of medical oncologist’s workforce until 2035, and development and application of more accurate quality indicators for cancer care and health outcomes measure.

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Section: Discussionmentioning

confidence: 99%

Medical oncology future plan of the Spanish Society of Medical Oncology: challenges and future needs of the Spanish oncologists

et al. 2016

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Guidance for establishing an integrative oncology service in the Australian healthcare setting—a discussion paper

Grant

Hunter

Bensoussan

et al. 2017

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There is an obvious mismatch between the high reported rates of use of traditional and complementary medicines (T&CM) by Australian cancer patients and cancer survivors and the low numbers of Australian cancer services integrating T&CM. An estimated 65% of Australian cancer patients use at least one form of T&CM. Over half use T&CM in conjunction with conventional cancer therapy. Yet, less than 20% of Australian hospital cancer care facilities provide access to T&CM. This compares to around 70% of UK cancer care facilities offering at least one T&CM therapy. Barriers to developing integrative oncology services include determining an appropriate service model and revenue structure; concerns with ethical and legal issues such as regulations and credentialing; and inadequate high-quality scientific evidence demonstrating safety and effectiveness, including concerns about the possibility of adversely affecting chemotherapy or radiotherapy treatment. This paper aims to provide general guidance and practical strategies for those seeking to develop integrative oncology services in Australian cancer care facilities.

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Establishing an integrative oncology service in the Australian healthcare setting—the Chris O’Brien Lifehouse Hospital experience

Grant

Marthick

Lacey

2018

Support Care Cancer

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Comprehensive cancer centres are on the rise as patients seek a more holistic approach to maintaining their wellbeing when living with a cancer diagnosis. Many cancer centres worldwide now incorporate a selection of evidence-based complementary therapies and qualified therapists into their offerings. The Chris O'Brien Lifehouse, a comprehensive cancer centre in Sydney, Australia, provides integrative oncology services including acupuncture, massage, reflexology, dietetics and exercise physiology for individual patients, along with group programmes, and an integrative and supportive care medical specialist. The purpose of this paper is to reflect on one model of integrative oncology service and approach to integration and team and service development.

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How Do We Evaluate Outcome in an Integrative Oncology Program?

Cited by 6 publications

References 30 publications

Medical oncology future plan of the Spanish Society of Medical Oncology: challenges and future needs of the Spanish oncologists

Medical oncology future plan of the Spanish Society of Medical Oncology: challenges and future needs of the Spanish oncologists

Guidance for establishing an integrative oncology service in the Australian healthcare setting—a discussion paper

Establishing an integrative oncology service in the Australian healthcare setting—the Chris O’Brien Lifehouse Hospital experience

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