Clinical Service Line 11 - Cancer & End of Life, Clinical Oncology, Chemo
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Item National Lung cancer audit(2021) Chapman, Timothy; Cross-SiteItem National Lung Cancer(2023-10-19) Chapman, Timothy; Bedford SiteItem Audit of Perioperative FLOT Chemotherapy in Oesophago-Gastric AdenocarcinomaWai, Kaung Phyo; Bulusu, Ramesh; Bedford SiteItem Post Treatment Oncology ClinicHunt, Jenny; Cullip, Sarah; Luton and Dunstable SiteBackground A marked increase in patients presenting with late treatment effects – muscle atrophy and advanced radiation induced fibrosis of swallowing musculature. Patients often leaving it very late to seek help indicating they are unclear when or how to self refer, presenting many years after treatment via A&E or through GP. Can lead to alternative feeding/functional laryngectomy. Evidence* suggests prophylactic exercise programme targeted at swallow musculature may be beneficial for prevention of late effects. Swallowing is a ‘sub maximal’ activity, it is hypothesised that improving strength and ROM optimises physiological reserve. There is however a lack of high quality definitive trials. Exercises should be commenced prior to treatment starting, performed throughout treatment and then continued life long. Anecdotal evidence of patients discontinuing exercises once RT finished or later in post treatment period and lack of awareness of rationale for continuing. Minimal contact with patients returning from RT with no significant reported dysphagia but reduced oral intake due to taste/dryness – often just a brief discussion in clinic. Not arming the patient for future changes or really unpicking current swallow status.Item Rapid-Access Head & Neck Lump Clinic referrals presentationTornari, Chrysostomos; Dar, T; Luton and Dunstable SiteNationwide faster diagnosis for cancer standard From referral date to diagnosis or reassurance – 28day target