Research Round-up

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This is the first episode in the series that was recorded during the 2019 Cancer and Primary Care Research International Network (Ca-PRI) Conference held in Toronto in May. Dr Kristi Milley chats with Dr. Saskia Duijts, the Program Leader of Oncology in Primary Care at The University Medical Centre Groningen in The Netherlands. During the conference, Saskia gave a presentation entitled ‘The relationship between employment and financial toxicity in long-term cancer survivors: Implications for primary care’. Show notes are available here
Dr Kristi Milley and Sophie Chima talk to Kate Broun, Manager - Screening, Early Detection and Immunisation at Cancer Council Victoria about the recent media campaign that was launched in March 2019 and the recent publication Impact of a mass media campaign on participation rates in a National Bowel Cancer Screening Program. This study aimed to compare bowel cancer screening rates prior to, during and after a mass media campaign, and assess how high intensity campaigning in one state compared to a state that received less campaign exposure. An eight-week television-led mass media campaign was launched in selected regions of Australia in mid-2014 to promote the National Bowel Cancer Screening Program (NBCSP), which mails out FOBT kits. The campaign used TV advertising in the entire state of Queensland (QLD) but only some of Western Australia (WA). There were other supportive campaign elements such as print, digital and online advertising. The number of FOBT kits returned increased in QLD during the months of the campaign and up to two months after the broadcast, but not significantly in WA. This study indicates that low levels of participation in the NBCSP could be increased by mass media campaigns, but the overall effect will be dependent on the intensity of the campaign. Show notes are available here .
Dr Kristi Milley spoke to Ruth Swann, Senior Cancer Information Analyst at Cancer Research UK and Public Health England about the recently published paper, ‘The frequency, nature and impact of GP-assessed avoidable delays in a population-based cohort of cancer patients’. Ruth talks about the English National Cancer Diagnosis Audit (NCDA) which looks at primary and secondary care data relating to patients diagnosed with cancer.
It's our 10th anniversary! So we've decided to release a Bonus Research Round-up to celebrate our 10th anniversary. Dr. Kristi Milley and Sophie Chima talk to Professor Jon Emery, Herman Professor of Primary Care Cancer Research at the University of Melbourne and Director of PC4 and Emily Habgood about the recent publication ‘The Chest Australia Trial: a randomised controlled trial of an intervention to increase consultation rates in smokers at risk of lung cancer’. Lung cancer has one of the lowest survival outcomes of any cancer because of the high occurrence of late-stage diagnosis; with stigma often holding patients back from seeking consultations. Professor Emery was the lead researcher for the CHEST Australia trial, which aimed to reduce lung cancer death through increased early detection. Show notes are available here
Dr Kristi Milley spoke to Associate Professor Julia Brotherton who is Medical Director of the Victorian Cancer Service’s Population Health and a member of the WHO Director General's Expert Advisory Group on Cervical Cancer Elimination. Julia is the senior author on a new publication in Plos One titled - 'Implementation of Australia’s renewed cervical screening program: Preparedness of general practitioners and nurses'.
This is the second episode in the series that was recorded during the 2019 Cancer and Primary Care Research International Network (Ca-PRI) Conference held in Toronto in May. Dr Kristi Milley sits down with Dr. Robin Urquhart, an Assistant Professor and Ramia Scientist within the Department of Surgery at Dalhousie University, Canada. At the conference, Robin gave a presentation entitled ‘Primary care involvement following cancer treatment: a population-based survey’. Robin discusses her research on shared care and survivorship plans which involved a nation-wide survey of cancer survivors’ experiences with survivorship care. Show notes are available here
Professor Jon Emery talks with Professor Willie Hamilton, co-chair of CanTest and a GP and lead of the DISCOVERY group in Exeter, Willie is also clinical lead for the 2015 NICE guidance, as well as a member of the Department of Health’s Policy Research Unit for cancer awareness, screening and early diagnosis. Both are part of CanTest – a five year programme of funding from Cancer Research UK, where international primary care cancer researchers investigate ways of developing and implementing new and improved cancer diagnostic tests into GP surgeries. Professor Hamilton discusses recently published Early detection of multiple myeloma in primary care using blood tests: a case–control study in primary care. This UK based, matched case-control study examined the combined predictive value of presenting symptoms and blood tests commonly used in primary care in order to find which are useful in suggesting/excluding a diagnosis of multiple myeloma. Using data from over 2,700 cases and more than 12,000 controls, the study found that plasma viscosity (PV) and ESR were better than C-reactive protein for ruling in/out myeloma. Show notes available here
Professor Jon Emery is our guest host this month and he talks to Ellena Badrick, a Research Associate at the Division of Cancer Sciences at the University of Manchester. She is the first author of the recently published “Top ten research priorities for detecting cancer early” in The Lancet. In this episode, Ellena talks about the process of gathering key research questions around the early detection of cancers via an online survey.
Dr Milley talks to Professor Michael Jefford - a Consultant Medical Oncologist and Director of the Australian Cancer Survivorship Centre, at Peter MacCallum Cancer Centre. Professor Jefford recently co-authored “Tools to facilitate communication during physician‐patient consultations in cancer care: An overview of systematic reviews”. The Systematic Review considered effective methods of communication between physicians and their patients regarding improving care for people living with cancer.
Dr Milley talks to Dr Karolina Lisy, Senior Research Fellow in the Survivorship and Living Well After Cancer group at the Peter MacCallum Cancer Centre. She recently published a systematic review in Asia‐Pacific Journal of Clinical Oncology titled “Identifying the most prevalent unmet needs of cancer survivors in Australia: A systematic review”. The review identified the most common unmet needs of cancer survivors in Australia, looking at personal, disease, and treatment‐related variables connected with unmet needs.
Professor Jon Emery sits down with Professor Yoryos Lyratzopoulos, Professor of Cancer Healthcare Epidemiology and lead of the Epidemiology of Cancer Healthcare and Outcomes (ECHO) group. Professor Lyratzopoulos discusses his recently published article looking at the relationship between the diagnosis of cancer through emergency presentations and sociodemographic inequalities. Jon and Yoryos discuss why emergency presentations are important in cancer control, whether improvements have been made and what patient and health system factors contribute to this issue. Show notes are available here Please note that their may be some audio quality issues as the interview was recorded live at University College.
• Dr. Kristi Milley and Sophie Chima talk to Professor Mark Nelson about the results of his recently published ASPREE trials, (ASPirin in Reducing Events in the Elderly). The guidelines around daily aspirin for prevention of colorectal cancer have recently been updated in Australia, however aspirin still does not feature in UK guidelines. Recent studies have implied aspirin may aid prevention or delaying of the onset of cardiovascular disease, dementia, depression and some types of cancer. Professor Nelson describes in detail the results of the ASPREE trials, which found no benefit in healthy adults, aged 70 and above. The podcast explores the complexity of international trials, the use composite outcomes and how these results will shape future work. Show notes are located here
In our third and final Research Roundup recorded on location at the 2019 Cancer and Primary Care Research International Network (Ca-PRI) Conference held in Toronto in May, Dr Kristi Milley chats to Dr. Garth Funston. Garth is a General Practitioner, and Clinical Research Fellow with the CanTest Collaborative. In this episode, Garth discusses his current PhD research on the topic of evaluating tests and tools to diagnose ovarian cancer, with a specific focus on biomarker CA125. During the Ca-PRI Conference, Garth delivered a presentation titled ‘The association between CA125 level, diagnostic interval and stage at diagnosis in ovarian cancer: an analysis of CPRD and NCRAS data’. Garth discusses his use of big data to evaluate and improve the performance of cancer antigen 125 (CA125) biomarker as a test for the diagnosis of ovarian cancer in primary care. Show notes are available here
Paige Druce is the guest host for this episode. She talks to Kate Gunn and Bogda Koczwara about their article Differences in the health, mental health and health-promoting behaviours of rural versus urban cancer survivors in Australia. The article looks at people affected by cancer who live in rural Australia and their experiences of survival compared to their urban equivalents. Show notes are available here
Bowel Cancer affects over 20,000 Australians each year and is one of the top three most common cancers in Australia. In this episode, Dr Kristi Milley and Dr Jennifer Walker discuss recently published articles regarding colorectal cancer. Australia has a national bowel cancer screening program and they discuss the possibility of a primary care approach in the USA of a supplemental intervention to improve colorectal cancer screening. The second article highlights the importance highlight a common barrier in cancer care research – communication. Show notes are located here
Season Two sees Dr Kristi Milley talk to Professor Geoff Mitchell, Professor of General Practice, Primary Care Clinical Unit Faculty of Medicine at The University of Queensland. Professor Mitchell is a GP and has recently published an article on Journal of Palliative Medicine – Predicting those who are at risk of dying within 6-12 months in primary care: a retrospective case-control general practice Chart Analysis. Show notes are available here
Dr Milley talks to Dr Sam Merriel, a GP with research interests including cancer prevention, early diagnosis and preventive medicine in primary care. Dr Merriel recently co-authored a Systematic Review titled “Comparison of Multiparametric Magnetic Resonance Imaging and Targeted Biopsy With Systematic Biopsy Alone for the Diagnosis of Prostate Cancer A Systematic Review and Meta-analysis”. Show notes available here
Dr Kristi Milley speaks to Professor Vicki White, Professor of Psycho-Oncology at the Faculty of Health at Deakin University. She was lead author on ‘The pathway to diagnosis and treatment for surgically managed lung cancer patients’ published recently in the journal Family Practice. The study scrutinised looked at pathways for patients with operable lung cancer to identify factors contributing to early diagnosis. Show notes available here
The Research Round-up team interview Associate Professor of General Practice, Joel Rhee from the University of Wollongong. Joel Rhee is Chair of Specific Interest Network of Cancer and Palliative Care of the Royal Australian College of General Practitioners (RACGP) and PC4’s Clinical Oncology Society of Australia representative. In this episode we discuss Associate Professor Rhee’s recent BMJ publication General practitioners (GPs) and end-of-life care: a qualitative study of Australian GPs and specialist palliative care clinicians. GPs are well placed to be included in end-of-life care for patients with life-limiting illnesses, and yet GPs have different understandings of their role. Joel discusses the important barriers and facilitators to GP involvement in end-of-life care; and why the Australian health care system needs to better support GPs. Show notes are located here
Dr. Kristi Milley and Sophie Chima talk to Professor Jon Emery about two recent publications. The first publication, The Aarhus statement on cancer diagnostic research: turning recommendations into new survey instruments, is a protocol defining the improvement of an intervention to advance diagnosis through primary care. The second publication directed researchers occupied in early cancer diagnosis field to contemplate the improvement and usage of self-reported early diagnosis questionnaires. Development of an intervention to expedite cancer diagnosis through primary care: a protocol Show notes are located here
The Research Round-up team interview Dr Pauline Williams, Academic Fellow at the Centre of Academic Primary Care at the University of Aberdeen and General Practitioner. In this episode we discuss Dr Williams recently published Patient and primary care delays in the diagnostic pathway of gynaecological cancers: a systematic review of influencing factors in the British Journal of General Practice. Dr Williams’ group analysed evidence from 37 studies and established that patients, often did not understand the significance of symptoms, and did not request guidance quickly. Show notes are located here
Dr Kristi Milley spoke to Alison Beauchamp, Senior Lecturer in the School of Rural health at Monash University in Victoria about the recently published paper, ‘The impact of translated reminder letters and phone calls on mammography screening booking rates: Two randomised controlled trials’.
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Podcast Details

Sep 19th, 2018
Latest Episode
Mar 15th, 2020
Release Period
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Avg. Episode Length
12 minutes

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