NICE guideline: Brain tumours (primary) and brain metastases in adults

NICE | July 2018|Brain tumours (primary) and brain metastases in adults

NICE have published a guideline, it covers diagnosing, monitoring and managing any type of primary brain tumour or brain metastases in people aged 16 or over. It aims to improve diagnosis and care, including standardising the care people have, how information and support are provided, and palliative care.

This guideline includes recommendations on:

For full details see NICE 

Enhanced recovery programmes after stomach cancer surgery reduce hospital stay without increasing complications

NIHR Signal | July 2018 | Enhanced recovery programmes after stomach cancer surgery reduce hospital stay without increasing complications

On the NIHR Dissemination Centre is a meta-analysis that combined the results of 13 randomised controlled trials (RCTs) comparing outcomes for people after stomach cancer surgery with enhanced recovery (ERAS) or usual care.

The full details of the study  are available from NIHR 

 

 

 

Cancer patients at increased risk of suicide

Public Health England | June 2018 | Cancer patients at increased risk of suicide

A national survey shows cancer patients have an increased risk of suicide, with the risk highest within the first 6 months of diagnosis.

The findings of the study, presented at PHE’s Cancer Services, Data and Outcomes Conference, show cancers with poorer prognoses are associated with the highest risk, including:

  • mesothelioma
  • pancreatic cancer
  • oesophageal cancer
  • lung cancer
  • stomach cancer

The reasons are complex and not fully understood, but may include fear of pain or treatment side-effects.

The full news story is at Public Health England

Pancreatic cancer: Quality standard consultation

NICE | July 2018 | Pancreatic cancer: Quality standard consultation

The draft quality standard for Pancreatic cancer is now open for comment

Consultation documents

Briefing paper NICE have written a briefing paper which includes a brief description of the topic, a summary of each of the suggested quality improvement areas and supporting information.

The consultation is open until 5pm on Thursday 16 August 2018

Full details of the standard and how to comment are available from NICE

 

NICE Guideline Early and locally advanced breast cancer: diagnosis and management

How to write and review an access policy in line with best practice for referral to treatment and cancer pathways

NHS Improvement | July 2018 | How to write and review an access policy in line with best practice for referral to treatment and cancer pathways

NHS Improvement have added resources to their elective care model access policy resources:

How to write and review an access policy in line with best practice for referral to treatment and cancer pathways here

This covers:

  • Why is an access policy important?
  • What is the purpose of an access policy?
  • Who should be involved in developing the policy?
  • What should you include or exclude?
  • What questions should the access policy address?
  • When should you review it?
  • What happens next?

Mindfulness-based interventions for Heamatology and Oncology patients with pain

The journal  Hematology/ Oncology Clinics of America has published a new article on the impact of mindfulness-based interventions on patients with cancer and their experience of pain.

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Abstract

Pain is a reality for approximately half of all of patients with cancer and can negatively affect patient cognitive and emotional states, resulting in “total pain.” Total pain may not respond to pharmacologic interventions and may pave the way for the onset of suffering, where suffering is defined as physical pain accompanied by negative cognitive interpretations. Mindfulness-based interventionsprovide an alternate interpretive framework for both pain and suffering and may lessen a patient’s experience of painMindfulness-based interventions have the potential to alter a patient’s relationship to pain, reducing pain catastrophizing, and enhancing patient reported overall well-being.

Full reference: Hess, D. | (2018) | Mindfulness-Based Interventions for Hematology and Oncology Patients with Pain|Hematology/oncology clinics of North America| 32| (3) | P. 493-504.

Rotherham NHS staff can request the full article here