Defining research priorities and needs in cancer symptoms for adults diagnosed with cancer: an Australian/New Zealand modified Delphi study.

Yenson, VM; Amgarth-Duff, I; Brown, L; Caperchione, CM; Clark, K; Cross, A; Good, P; Landers, A; Luckett, T; Philip, J; Steer, C; Vardy, JL; Wong, AK; Agar, MR

Defining research priorities and needs in cancer symptoms for adults diagnosed with cancer: an Australian/New Zealand modified Delphi study.

Yenson, VM Amgarth-Duff, I Brown, L

Caperchione, CM Clark, K Cross, A Good, P

Landers, A Luckett, T

Philip, J Steer, C Vardy, JL Wong, AK Agar, MR

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Publisher:: Springer Nature
Publication Type:: Journal Article
Citation:: Support Care Cancer, 2023, 31, (7), pp. 436
Issue Date:: 2023-07-03

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Field	Value	Language
dc.contributor.author	Yenson, VM
dc.contributor.author	Amgarth-Duff, I
dc.contributor.author	Brown, L https://orcid.org/0000-0003-4892-5822
dc.contributor.author	Caperchione, CM
dc.contributor.author	Clark, K
dc.contributor.author	Cross, A
dc.contributor.author	Good, P https://orcid.org/0000-0002-8198-0375
dc.contributor.author	Landers, A
dc.contributor.author	Luckett, T https://orcid.org/0000-0001-6121-5409
dc.contributor.author	Philip, J
dc.contributor.author	Steer, C
dc.contributor.author	Vardy, JL
dc.contributor.author	Wong, AK
dc.contributor.author	Agar, MR
dc.date.accessioned	2023-08-08T11:03:46Z
dc.date.available	2023-06-15
dc.date.available	2023-08-08T11:03:46Z
dc.date.issued	2023-07-03
dc.identifier.citation	Support Care Cancer, 2023, 31, (7), pp. 436
dc.identifier.issn	0941-4355
dc.identifier.issn	1433-7339
dc.identifier.uri	http://hdl.handle.net/10453/171753
dc.description.abstract	PURPOSE: This study asked consumers (patients, carers) and healthcare professionals (HCPs) to identify the most important symptoms for adults with cancer and potential treatment interventions. METHODS: A modified Delphi study was conducted involving two rounds of electronic surveys based on prevalent cancer symptoms identified from the literature. Round 1 gathered information on participant demographics, opinions and/or experience on cancer symptom frequency and impact, and suggestions for interventions and/or service delivery models for further research to improve management of cancer symptoms. In Round 2, respondents ranked the importance of the top ten interventions identified in Round 1. In Round 3, separate expert panels of consumers and healthcare professionals (HCPs) attempted to reach consensus on the symptoms and interventions previously identified. RESULTS: Consensus was reached for six symptoms across both groups: fatigue, constipation, diarrhoea, incontinence, and difficulty with urination. Notably, fatigue was the only symptom to reach consensus across both groups in Round 1. Similarly, consensus was reached for six interventions across both groups. These were the following: medicinal cannabis, physical activity, psychological therapies, non-opioid interventions for pain, opioids for breathlessness and cough, and other pharmacological interventions. CONCLUSIONS: Consumers and HCPs prioritise differently; however, the symptoms and interventions that reached consensus provide a basis for future research. Fatigue should be considered a high priority given its prevalence and its influence on other symptoms. The lack of consumer consensus indicates the uniqueness of their experience and the need for a patient-centred approach. Understanding individual consumer experience is important when planning research into better symptom management.
dc.format	Electronic
dc.language	eng
dc.publisher	Springer Nature
dc.relation.ispartof	Support Care Cancer
dc.relation.isbasedon	10.1007/s00520-023-07889-y
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	11 Medical and Health Sciences, 17 Psychology and Cognitive Sciences
dc.subject.classification	Oncology & Carcinogenesis
dc.subject.classification	32 Biomedical and clinical sciences
dc.subject.classification	42 Health sciences
dc.subject.classification	52 Psychology
dc.subject.mesh	Humans
dc.subject.mesh	Adult
dc.subject.mesh	Delphi Technique
dc.subject.mesh	New Zealand
dc.subject.mesh	Australia
dc.subject.mesh	Neoplasms
dc.subject.mesh	Research Design
dc.subject.mesh	Fatigue
dc.subject.mesh	Humans
dc.subject.mesh	Neoplasms
dc.subject.mesh	Fatigue
dc.subject.mesh	Research Design
dc.subject.mesh	Delphi Technique
dc.subject.mesh	Adult
dc.subject.mesh	Australia
dc.subject.mesh	New Zealand
dc.title	Defining research priorities and needs in cancer symptoms for adults diagnosed with cancer: an Australian/New Zealand modified Delphi study.
dc.type	Journal Article
utslib.citation.volume	31
utslib.location.activity	Germany
utslib.for	11 Medical and Health Sciences
utslib.for	17 Psychology and Cognitive Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
utslib.copyright.status	in_progress	*
dc.date.updated	2023-08-08T11:03:42Z
pubs.issue	7
pubs.publication-status	Published online
pubs.volume	31
utslib.citation.issue	7

Abstract:

PURPOSE: This study asked consumers (patients, carers) and healthcare professionals (HCPs) to identify the most important symptoms for adults with cancer and potential treatment interventions. METHODS: A modified Delphi study was conducted involving two rounds of electronic surveys based on prevalent cancer symptoms identified from the literature. Round 1 gathered information on participant demographics, opinions and/or experience on cancer symptom frequency and impact, and suggestions for interventions and/or service delivery models for further research to improve management of cancer symptoms. In Round 2, respondents ranked the importance of the top ten interventions identified in Round 1. In Round 3, separate expert panels of consumers and healthcare professionals (HCPs) attempted to reach consensus on the symptoms and interventions previously identified. RESULTS: Consensus was reached for six symptoms across both groups: fatigue, constipation, diarrhoea, incontinence, and difficulty with urination. Notably, fatigue was the only symptom to reach consensus across both groups in Round 1. Similarly, consensus was reached for six interventions across both groups. These were the following: medicinal cannabis, physical activity, psychological therapies, non-opioid interventions for pain, opioids for breathlessness and cough, and other pharmacological interventions. CONCLUSIONS: Consumers and HCPs prioritise differently; however, the symptoms and interventions that reached consensus provide a basis for future research. Fatigue should be considered a high priority given its prevalence and its influence on other symptoms. The lack of consumer consensus indicates the uniqueness of their experience and the need for a patient-centred approach. Understanding individual consumer experience is important when planning research into better symptom management.

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http://hdl.handle.net/10453/171753