Transcript PC4: developing cancer research in primary care

PC4: developing cancer research
in primary care
Jon Emery
Professor of General Practice,
University of Western Australia.
Director of PC4
Overview
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Cancer and primary care
What is PC4?
What types of research do we do?
Consumer involvement
What can PC4 do for you?
Cancer incidence in Australia (2003)
Site
Total
% of total
Risk to age 75
Prostate
13,526
26.3
1 in 9
Colorectal
6,857
13.3
1 in 18
Melanoma
5,535
10.8
1 in 24
Lung
5,281
10.3
1 in 25
Breast
11,788
28.2
1 in 11
Colorectal
5,679
13.6
1 in 27
Melanoma
3,989
9.5
1 in 34
Lung
2,968
7.1
1 in 49
Male
Female
Cancer in primary care
• Important role in prevention and screening
• 80% of cancers present in general practice
• In practice population of 10,000 in 1 year:
▫ 195 skin cancers
▫ 45 other cancers (6 breast, 4 lung)
• Challenges of symptomatic diagnosis
▫ Most symptoms of cancer have a more common
benign cause
Cancer in primary care
Brian R. McAvoy. MJA.2007;187:115-117
Cancer in primary care
• 80% of cancers present in general practice
• In practice population of 10,000 in 1 year:
▫ 195 skin cancers
▫ 45 other cancers (6 breast, 4 lung)
• Challenges of symptomatic diagnosis
▫ Most symptoms of cancer have a more common
benign cause
• Role in follow-up?
▫ Average 10 visits to GP in 1st year after diagnosis of
breast cancer
▫ Role of primary care team in promoting wellbeing
The primary care cancer research
agenda
What is PC4?
• Primary Care Collaborative Cancer Clinical
Trials Group
What is PC4?
What is PC4?
• Aims to increase the quantity and quality of
Australian primary care cancer research
• Build capacity to conduct primary care cancer
research
• Focus on development and trials of
interventions to improve cancer care in Australia
• Potential for large scale studies to answer the big
questions
What is PC4?
The ProCare Trial: shared care for
follow-up in prostate cancer
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Jon Emery
Penny Schofield
Michael Jefford
Dickon Hayne
Marie Pirotta
Lyndal Trevena
Andrew Martin
Roger Constable
BMJ 2007;334: 445-459 Campbell, Murray, Darbyshire, Emery et al
Consumer involvement in PC4
• Consumer representation on
▫ PC4 Executive
▫ PC4 Scientific Working Groups
▫ Some specific trials
• Joint Consumer Advisory Group
(with PoCoG)
• Input into design, outcome measures,
ethics and implications of results.
What can PC4 do for you?
• Concept development workshops
▫ Support to develop new project
▫ Identify potential collaborators
• PC4 research support
▫ Advice on study design issues and funding sources
▫ Access to Clinical Trials Development Unit
 Biostatistics
 Health economics
• Network of researchers with shared interests
• PC4 fellowship scheme
www.pc4tg.com.au