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426 results on '"Delaney, Geoff P."'

3. Radiation doses and fractionation schedules in non-low-risk ductal carcinoma in situ in the breast (BIG 3–07/TROG 07.01): a randomised, factorial, multicentre, open-label, phase 3 study

Author

Chua, Boon H, Link, Emma K, Kunkler, Ian H, Whelan, Timothy J, Westenberg, A Helen, Gruber, Guenther, Bryant, Guy, Ahern, Verity, Purohit, Kash, Graham, Peter H, Akra, Mohamed, McArdle, Orla, O'Brien, Peter, Harvey, Jennifer A, Kirkove, Carine, Maduro, John H, Campbell, Ian D, Delaney, Geoff P, Martin, Joseph D, Vu, T Trinh T, Muanza, Thierry M, Neal, Anthony, and Olivotto, Ivo A

Published
2022
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6. Multidisciplinary team meeting Chairs' attitudes and perceived facilitators, barriers and ideal improvements to meeting functionality: A qualitative study.

Author

Lamprell, Klay, Chittajallu, Renuka, Arnolda, Gaston, Easpaig, Bróna Nic Giolla, Delaney, Geoff P., Liauw, Winston, Olver, Ian, and Braithwaite, Jeffrey

Subjects
HEALTH care teams, INFORMATION technology, INFORMATION superhighway, QUALITATIVE research, CANCER treatment
Abstract

Aim: Oncology care provision by multidisciplinary teams (MDTs) is widely acknowledged as best practice. Formal team meetings, led by chairpersons, coordinate decisions on diagnosis, staging, treatment planning, and review. This study addresses a gap in meeting Chairs' perspectives on factors affecting functionality across the meeting cycle, from pre‐meeting patient list triage to post‐meeting dissemination of recommendations. Methods: Semi‐structured interviews were conducted in person with Chairs within two urban geographical regions in New South Wales, Australia as part of a larger project. Though the population of oncology MDT Chairs in Australia is small, the richness and depth of data from nine Chairs were considered to be valuable knowledge in support of extant literature on meeting functionality. An integrated deductive‐inductive approach was applied to data analysis. Results: Perceived facilitators, barriers, and ideals relating to pre‐meeting, in‐meeting, and post‐meeting functionality were identified across five pre‐determined analytic categories: the team; meeting infrastructure; meeting organization and logistics; patient‐centered clinical decision‐making, and; team governance. Key barriers included inadequate information technology, limited support staff, and lack of dedicated time for Chair duties. Corresponding facilitators included robust Information Technology infrastructure and support, provision of clinically knowledgeable MDT meeting coordinators, and formal employment recognition of Chairs' responsibilities and skill sets. Conclusion: Chairs across various tumor streams develop workarounds to overcome barriers and ensure quality meeting outcomes. With more robust support they could enhance value by sharing evidence, conducting audits, and engaging in research. The findings highlight the need for healthcare systems to support tumor stream clinical networks by allocating greater resources to prioritize multidisciplinary meetings and cancer care decision‐making. [ABSTRACT FROM AUTHOR]

Published
2024
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8. International comparison of cosmetic outcomes of breast conserving surgery and radiation therapy for women with ductal carcinoma in situ of the breast

Author

Olivotto, Ivo A., Link, Emma, Phillips, Claire, Whelan, Timothy J., Bryant, Guy, Kunkler, Ian H., Westenberg, A. Helen, Purohit, Kash, Ahern, Verity, Graham, Peter H., Akra, Mohamed, McArdle, Orla, Ludbrook, Joanna J., Harvey, Jennifer A., Maduro, John H., Kirkove, Carine, Gruber, Guenther, Martin, Joseph D., Campbell, Ian D., Delaney, Geoff P., and Chua, Boon H.

Published
2020
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15. The impact of imaging modality (CT vs MRI) and patient position (supine vs prone) on tangential whole breast radiation therapy planning

Author

Dundas, Kylie, Pogson, Elise M., Batumalai, Vikneswary, Delaney, Geoff P., Boxer, Miriam M., Yap, Mei Ling, Ahern, Verity, Chan, Christine, David, Steven, Dimigen, Marion, Harvey, Jennifer A., Koh, Eng-Siew, Lim, Karen, Papadatos, George, Lazarus, Elizabeth, Descellar, Joseph, Metcalfe, Peter, and Holloway, Lois

Published
2018
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16. Web-Based Patient-Reported Outcome Measures for Personalized Treatment and Care (PROMPT-Care): Multicenter Pragmatic Nonrandomized Trial

Author

Girgis, Afaf, Durcinoska, Ivana, Arnold, Anthony, Descallar, Joseph, Kaadan, Nasreen, Koh, Eng-Siew, Miller, Andrew, Ng, Weng, Carolan, Martin, Della-Fiorentina, Stephen A, Avery, Sandra, and Delaney, Geoff P

Subjects
Computer applications to medicine. Medical informatics, R858-859.7, Public aspects of medicine, RA1-1270
Abstract

BackgroundDespite the acceptability and efficacy of e–patient-reported outcome (ePRO) systems, implementation in routine clinical care remains challenging. ObjectiveThis pragmatic trial implemented the PROMPT-Care (Patient Reported Outcome Measures for Personalized Treatment and Care) web-based system into existing clinical workflows and evaluated its effectiveness among a diverse population of patients with cancer. MethodsAdult patients with solid tumors receiving active treatment or follow-up care in four cancer centers were enrolled. The PROMPT-Care intervention supported patient management through (1) monthly off-site electronic PRO physical symptom and psychosocial well-being assessments, (2) automated electronic clinical alerts notifying the care team of unresolved clinical issues following two consecutive assessments, and (3) tailored online patient self-management resources. Propensity score matching was used to match controls with intervention patients in a 4:1 ratio for patient age, sex, and treatment status. The primary outcome was a reduction in emergency department presentations. Secondary outcomes were time spent on chemotherapy and the number of allied health service referrals. ResultsFrom April 2016 to October 2018, 328 patients from four public hospitals received the intervention. Matched controls (n=1312) comprised the general population of patients with cancer, seen at the participating hospitals during the study period. Emergency department visits were significantly reduced by 33% (P=.02) among patients receiving the intervention compared with patients in the matched controls. No significant associations were found in allied health referrals or time to end of chemotherapy. At baseline, the most common patient reported outcomes (above-threshold) were fatigue (39%), tiredness (38.4%), worry (32.9%), general wellbeing (32.9%), and sleep (24.1%), aligning with the most frequently accessed self-management domain pages of physical well-being (36%) and emotional well-being (23%). The majority of clinical feedback reports were reviewed by nursing staff (729/893, 82%), largely in response to the automated clinical alerts (n=877). ConclusionsAlgorithm-supported web-based systems utilizing patient reported outcomes in clinical practice reduced emergency department presentations among a diverse population of patients with cancer. This study also highlighted the importance of (1) automated triggers for reviewing above-threshold results in patient reports, rather than passive manual review of patient records; (2) the instrumental role nurses play in managing alerts; and (3) providing patients with resources to support guided self-management, where appropriate. Together, these factors will inform the integration of web-based PRO systems into future models of routine cancer care. Trial RegistrationAustralian New Zealand Clinical Trials Registry ACTRN12616000615482; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=370633 International Registered Report Identifier (IRRID)RR2-10.1186/s12885-018-4729-3

Published
2020
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21. Comparison of Magnetic Resonance Imaging and Computed Tomography for Breast Target Volume Delineation in Prone and Supine Positions

Author

Pogson, Elise M., Delaney, Geoff P., Ahern, Verity, Boxer, Miriam M., Chan, Christine, David, Steven, Dimigen, Marion, Harvey, Jennifer A., Koh, Eng-Siew, Lim, Karen, Papadatos, George, Yap, Mei Ling, Batumalai, Vikneswary, Lazarus, Elizabeth, Dundas, Kylie, Shafiq, Jesmin, Liney, Gary, Moran, Catherine, Metcalfe, Peter, and Holloway, Lois

Published
2016
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22. Supporting cancer patients to self-manage: Extent of use and perceptions of 'trusted' online self-management resources

Author

Bamgboje-Ayodele, Adeola, Durcinoska, Ivana, Rincones, Orlando, Verena Shuwen, Wu, Arnold, Anthony, Delaney, Geoff P, and Girgis, Afaf

Subjects
Patient Satisfaction, Neoplasms, Self-Management, Surveys and Questionnaires, Humans, Patient Reported Outcome Measures, General Medicine
Abstract

Online resources can support patient self-management practices, but are not systematically used in routine clinical practice. We evaluated cancer patients' satisfaction with, and use of, tailored online resources.Patients completed monthly validated electronic patient reported outcome measures (ePROMs) of distress, unmet needs and symptoms. Patients with ePROM scores above pre-determined thresholds received an email directing them to relevant online self-management resources. Perceptions and experiences with these resources were evaluated via an online survey 3, 6 and 9 months after their initial monthly ePRO; and a subset of patients was also interviewed. Webpage use was monitored through Google Analytics and ClickMeter.Overall, 221 patients completed evaluation surveys and 31 completed interviews. Patients spent 0-10 min on average accessing resources, with 93% indicating they would reuse them. The most viewed page was physical wellbeing (n = 680); exercise and nutrition resources were most popular; and 69% of patients were satisfied with information content, reporting resources were easy to understand and navigate.Online resources are perceived as acceptable and useful. Design and delivery recommendations can improve their support of self-management.Incorporating automated online self-management resources into routine clinical workflows is a viable model to support routine follow up care.

Published
2022

34. Response from Batumalai V et al.

Author

Batumalai, Vikneswary, primary, Descallar, Joseph, additional, Gabriel, Gabriel, additional, Delaney, Geoff P., additional, Oar, Andrew, additional, Barton, Michael B., additional, and Vinod, Shalini K., additional

Published
2022
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47. Patterns of curative treatment for non‐small cell lung cancer in New South Wales, Australia.

Author

Batumalai, Vikneswary, Descallar, Joseph, Gabriel, Gabriel, Delaney, Geoff P., Oar, Andrew, Barton, Michael B., and Vinod, Shalini K.

Subjects
NON-small-cell lung carcinoma
Abstract

Introduction: There is a lack of large population‐based studies examining patterns of curative treatment for non‐small cell lung cancer (NSCLC) in Australia. This study aimed to evaluate the utilization of curative treatment for NCSLC at a population level and identify factors associated with its use in New South Wales (NSW), Australia. Methods: Patients diagnosed with localized or locoregional NSCLC between 2009 and 2014 were identified from the NSW Central Cancer Registry. Curative treatment was defined as surgery or radiotherapy with a 45 Gy minimum dose. Univariate and multivariable analyses were performed to investigate factors associated with the receipt of curative treatment. A Cox proportional‐hazards regression model was used to analyze the factors associated with 2‐year overall survival (OS). Results: Of the 5722 patients diagnosed with NSCLC in the study period, 3355 (59%) patients received curative treatment and 2367 (41%) patients did not receive curative treatment. The receipt of curative treatment was significantly associated with younger patients, female gender, localized disease, and Charlson Comorbidity Index (CCI) = 0. The use of curative treatment increased significantly over time from 2009 (55%) to 2014 (63%) and varied significantly from 24% to 70% between local health districts (LHDs) of residence. Younger age, female gender, localized disease, CCI = 0, and overseas country of birth were significantly associated with 2‐year OS. The 2‐year OS significantly improved from 70% in 2009 to 77% in 2014 for patients who received curative treatment. Conclusion: The use of curative treatment for patients with potentially curable NSCLC was low at 59%. However, the use of curative treatment and survival have increased over time. Significant variation was noted in the use of curative treatment between LHDs. [ABSTRACT FROM AUTHOR]

Published
2023
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50. Additional file 1 of Stepping into the real world: a mixed-methods evaluation of the implementation of electronic patient reported outcomes in routine lung cancer care

Author

Girgis, Afaf, Bamgboje-Ayodele, Adeola, Rincones, Orlando, Vinod, Shalini K., Avery, Sandra, Descallar, Joseph, Smith, Allan ‘Ben’, Arnold, Belinda, Arnold, Anthony, Bray, Victoria, Durcinoska, Ivana, Rankin, Nicole M., and Delaney, Geoff P.

Subjects
InformationSystems_GENERAL, GeneralLiterature_INTRODUCTORYANDSURVEY, Data_FILES
Abstract

Additional file 1: Healthcare provider survey.

Published
2022
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