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Cancer Care

The Division of Cancer Care consists of a variety individuals and departments involved in research into the care available to patients and their families from point of diagnosis through treatment to post treatment.

RSCH Supportive and Palliative Care Team

The Multinational Society of Supportive Care in Cancer (MASCC) has defined Supportive Care as "the prevention and management of the adverse effects of cancer and its treatment. This includes management of physical and psychological symptoms and side effects across the continuum of the cancer experience from diagnosis through anticancer treatment to post-treatment care. Enhancing rehabilitation, secondary cancer prevention, survivorship and end of life care are integral to Supportive Care".

The Department of Supportive & Palliative Care provides a comprehensive service for patients receiving treatment for cancer and other serious illnesses at the Royal Surrey County Hospital (incorporating St. Luke's Cancer Centre).

The Supportive and Palliative Care Team (SPCT) consists of two consultants in Palliative Medicine, one StR in Palliative Medicine, 5 Clinical Nurse Specialists in Palliative Care, two Research Nurses, one Research Assistant and associated administrative staff. The Clinical Director of the SPCT is Dr Andrew Davies (Consultant in Palliative Medicine; Visiting Senior Fellow of the University of Surrey).

Current research projects include:

  • A cluster randomised trial of alternative forms of hydration in cancer patients in the last days of life
    Sponsor: University of Surrey || Funder: Research for Patient Benefit Programme (NIHR): £227,583
  • An observational study of cancer patients and their carers' views on end of life care
    Sponsor: Royal Surrey County Hospital || Funder: SPCT Research Fund
  • An observational study of preferred place of care/death amongst residential care home residents (in set up)
    Sponsor: (Royal Surrey County Hospital) || Funder: (TBC)
  • Investigation into the impact of salivary gland dysfunction on the pharmacokinetics of oral transmucosal opioids breakthrough cancer pain
    Sponsor: Imperial College London|| Funder: Commercial (pharmaceutical companies)
  • A prospective longitudinal survey exploring the unmet needs of cancer patients in pain
    Sponsor: University of Surrey || Funder: SPCT Research Fund
  • An observational study of the prevalence of vivid dreams, nightmares and sleep/night terrors in patients with advanced cancer
    Sponsor: Royal Surrey County Hospital || Funder: SPCT Research Fund
  • An observational study of the frequency of oral symptoms in patients with advanced cancer
    Sponsor: Royal Surrey County Hospital || Funder: SPCT Research Fund

PhD Students

  • Alison Buchanan
    A longitudinal study of pain and unmet needs. Prof S Faithfull, Dr A Arber, Dr A Davies
  • Dr Shuchita Patel
    A feasibility study of the use of actigraphy to determine prognosis in patients with advanced cancer. Dr A Davies, Prof Derk-Jan Dijk

Find out more at:

http://www.royalsurrey.nhs.uk/Palliative-care

Recent Publications

Webber K, Davies A.

An observational study to determine the prevalence of alcohol use disorders in advanced cancer patients. Palliative Medicine 2012; 26: 360-7.

Zeppetella G, Davies A.

Opioids for the management of breakthrough pain in cancer patients. Cochrane Database of Systematic Reviews 2013, Issue 10. Art. No.: CD004311.

Davies A, Buchanan A, Zeppetella G, Porta-Sales J, Likar R, Weismayr W et al.

Breakthrough cancer pain: an observational study of 1000 European oncology patients. Journal of Pain and Symptom Management 2013; 46: 619-28.

Zeppetella G, Davies A, Rios C, Eijgelshoven I, Jansen JP

A network meta-analysis of the efficacy of opioid analgesics for the management of breakthrough cancer pain episodes. Journal of Pain and Symptom Management 2014: 47: 772-85.

Webber K, Davies AN, Zeppetella G, Cowie MR

Development and validation of the Breakthrough pain Assessment Tool (the "BAT") in cancer patients. Journal of Pain and Symptom Management (in press).

Kleeberg UR, Davies A, Jarosz J, Mercadante S, Poulain P, O'Brien T, Schneid H, Kress HG.

Pan-European, open-label dose titration study of fentanyl buccal tablet in patients with breakthrough cancer pain. European Journal of Pain (in press).

Cancer Care Research Group

The Cancer Care Research Group based in the School of Health Sciences at the University of Surrey conducts research across the cancer spectrum including early diagnosis, patient experience, cancer management, and survivorship. Cross cutting themes include integrated care and E-health. We have an international reputation for cancer research and receive funding from a range of sources including the European Union, the National Institute for Health Research, Prostate Cancer UK, Cancer Research UK and Horizon 2020.

Current research projects include:

Early diagnosis

Cancer Research UK Post-doctoral Research Fellowship. April 2012-April 2015. Cancer symptom appraisal in everyday life: demographic and psychological influences. PI (Katriina Whitaker). With post-doctoral mentor J Wardle and collaborators U Macleod, SE Scott. C33872/A13216.

Cancer Research UK Early Diagnosis Advisory Group Project grant. December 2014-December 2015. Understanding socioeconomic differences in help-seeking for breast cancer symptoms in the UK. PI (Katriina Whitaker). With P Vedsted, Y Lyratzopoulos, RS Andersen, G Black. C33872/A18555.

Cancer Research UK National Awareness and Early Diagnosis Initiative. August 2014-August 2017. Symptoms associated with cancer in the UK general population: Understanding prevalence, patterning and response to provide an evidence base for the development of interventions to reduce time to presentation. Katriina Whitaker (CI) With Alison Elliott (PI), Sally Wyke, Peter Murchie, Phillip Hannaford, Jane Wardle. C45810/A17927.

Cancer Research UK Early Diagnosis Advisory Group Project grant. November 2014-April 2016. Age linked factors and help seeking behaviour: a qualitative study exploring the effect of older people’s fatalistic attitudes towards ill health and dying. Katriina Whitaker (CI) With J Walabyeki, U Macleod, J Adamson, K Atkin. C51535/A18582.

Cancer care and patient experience

EU 7th Framework Programme Programme Grant. February 2014-December 2018. Randomised controlled trial to evaluate electronic Symptom Management using the Advanced Symptom Management System (ASyMS) Remote Technology for patients with cancers. PI (Nora Kearney). With E Ream, R Maguire, L McCann, G Kotronoulas, P Donnan, E Furlong, P Fox, J Armes, P McCrone, C Miaskowski, B Aouizerat, E Patiraki, S Katsaragakis, U Jaeger, A Geiger, T Rustøen, G V. Berg, F DeLorenzo, K Apostolidis, Docobo Ltd.

National Institute of Health Research. Clinical doctoral research fellowship, 2014-2017. Evaluating the feasibility and acceptability of early decongestive treatment for newly presenting breast cancer-related lymphedema (BCRL) of the upper limb. PI (Eunice Jeffs). With E Ream and D Bick.

Australian National Health & Medical Research Council Project Grant (2012-2015). A telehealth mediated nursing intervention (PRISMS) to enable patient monitoring and self-care in haematological cancer patients: a randomised controlled trial. PI (Sanchia Aranda). With N Kearney, N Santamaria, D Ritchie, S Breen, P Schofield.

Clatterbridge Centre for Oncology (2012-2015). Improving the quality and outcomes of care for patients with breast or colorectal cancer receiving chemotherapy: the Advanced Symptom Management System. Roma Maguire (PI) With Nora Kearney

Phillips Healthcare, The Burdett Trust for Nursing and NHS 24 (July 2011-September 2015). Evaluation of the impact of Advanced Symptom Management System (ASyMS(c)) on the care delivered to people with breast and colorectal cancer receiving adjuvant chemotherapy: The ASyMS(c) III Study. Nora Kearney (PI). With R Maguire.

Stuart Andrew Lawtie Memorial Fund Project Grant (2014-2015). Collaborative Advisory Groups to inform the development of digital solutions to support young adults with cancer. Lisa McCann (PI).

NHS Lanarkshire Project Grant (2015-2016). Feasibility and acceptability of a holistic needs assessment intervention employing patient-reported outcome measures (PROMs) to support newly diagnosed patients with malignant melanoma. PI (R Maguire). With G Kotronoulas, M Simpson.

Department of Innovation, Industry and Regional Development, Victorian Government, Australia (2010-2015). A Patient Management platform for cancer care: eCanCare . PI (S Aranda). With F Vetere, R Maguire N Kearney

Dimbleby Cancer Care Project Grant.2014-2016. Walking for health in people with advanced cancer: a study to assess acceptability and feasibility. PI (Jo Armes). With E Ream A Purushotham, M Van Helmrick.

University of Surrey Pump Priming Project. Jan 2015-July 2015. The effect of statins on reducing complications from radiotherapy and improving health-related outcomes of prostate cancer patients. PI (A Lemanska). With S Faithfull, S De Lusiganan.

NIHR Research for Patient Benefit project. Getting Down to Coping: remote self-management after treatment for prostate cancer. PI (Sara Faithfull), With J Cockle-Hearne, D Barnett, H Panda, J Hicks, I White, H Gage.

NIHR Project Grant. Dimbleby Cancer Care: Self-management of urinary symptoms after radiotherapy treatment for prostate cancer (SMaRT trial). PI (Sara Faithfull), With J Cockle-Hearne, R Laing.

Horizon 2020 Project Grant (MSCA-RISE-2014). INEXCA Excellent research and expertise of quality of cancer care by internationally trained staff. PI (Katri Vehvillainen-Julkunen) With S Faithfull, W Sermus, P Sherwood, P Pletti, A Vannanen, M Merja.

The Lived Experience of Oesophageal Cancer, PI Roma Maguire. NHS Lanarkshire

The use of patient reported outcome measures by clinical nurse specialists in the delivery of supportive care to people with colorectal and cervical cancer. PI Roma Maguire. NHS Lanarkshire

The experience of lung cancer stigma and its impact on patient outcomes. PI R.Maguire, NHS Lanarkshire and West of Scotland Lung Cancer Research Group

Survivorship

Prostate Cancer UK and Movember Project Grant. January 2014-December 2017. Risk - assessed Exercise and Diet Intervention (REDI trial). PI (Sara Faithfull). With A Lemanska, B Griffin, J Saxton, M Kirby, J Heyworth, J Marshall , K Poole, S Langley

Big Lottery Fund Project Grant, 2010-2015. Improving breast cancer patients’ wellbeing during transition to survivorship. PI (Karen Scanlon). With E Ream, S Harding.

Prostate Cancer UK Project Grant, 2012-2014. PROSPECTIV. A nurse-led surveillance intervention delivered in primary care to prostate cancer survivors- a feasibility study. PI (Eila Watson). With S Faithfull, P Rose, F Walter, D Weller, D Neal, F Hamdy.

Prostate Cancer UK and Movember, 2014-2019. Supported self-management for men with prostate cancer after treatment. PI (Alison Richardson) With D Cooke, J Cockle-Hearne, S Ahmedzai, J MacFarlane, C Moore .

PhD Students

  • Eunice Jeffs
    Evaluating the feasibility and acceptability of early decongestive treatment for newly presenting breast cancer-related lymphoedema (BCRL) of the upper limb. Prof E Ream
  • Petra Stolz Baskett
    Exploration of needs of caregivers of elderly cancer patients receiving cancer treatment in the ambulatory setting. Prof E Ream
  • Nicola Ayers
    Death and dying in Ethiopia: Cancer Palliative Care, an Ethnographic Study. Dr V Vydelingum, Dr A Arber
  • Alison Buchanan
    A longitudinal study of pain and unmet needs. Prof S Faithfull, Dr A Arber, Dr A Davies
  • Michelle King-Okoye
    Men and their partners' experiences of prostate cancer in Trinidad and Tobago. Prof S Faithfull, Dr A Arber
  • Presanna Premachandra
    Hearing screening in patients being treated for head and neck cancer. Prof N Kearney, Prof R Maguire
  • Kathryn Crandall
    Exercise intervention for patients surgically treated for lung cancer. Prof N Kearney, Prof R Maguire
  • Amanda Mather
    An exploration of the meaning of the ASyMS mobile phone eHealth intervention to patients with haematological cancers. Prof N Kearney, Prof R Maguire
  • Anna Cox
    Ehealth interventions for supportive care in cancer survivors. Prof E Ream, Prof R Maguire