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  1. Article ; Online: Readmission after pancreaticoduodenectomy: an issue of survival and survivorship.

    Porter, Geoffrey

    Annals of surgical oncology

    2009  Volume 16, Issue 3, Page(s) 547–548

    MeSH term(s) Humans ; Pancreatic Neoplasms/mortality ; Pancreatic Neoplasms/surgery ; Pancreaticoduodenectomy/statistics & numerical data ; Patient Readmission/statistics & numerical data ; Survival Rate
    Language English
    Publishing date 2009-03
    Publishing country United States
    Document type Comment ; Editorial
    ZDB-ID 1200469-8
    ISSN 1534-4681 ; 1068-9265
    ISSN (online) 1534-4681
    ISSN 1068-9265
    DOI 10.1245/s10434-008-0213-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Stakeholder-Identified Interventions to Address Cancer Survivors' Psychosocial Needs after Completing Treatment.

    Murnaghan, Sarah / Kendell, Cynthia / Sussman, Jonathan / Porter, Geoffrey A / Howell, Doris / Grunfeld, Eva / Urquhart, Robin

    Current oncology (Toronto, Ont.)

    2021  Volume 28, Issue 6, Page(s) 4961–4971

    Abstract: The interventions used in cancer-survivorship care do not always address outcomes important to survivors. This study sought to understand stakeholders' views on the key concerns of cancer survivors after treatment and the interventions needed to meet ... ...

    Abstract The interventions used in cancer-survivorship care do not always address outcomes important to survivors. This study sought to understand stakeholders' views on the key concerns of cancer survivors after treatment and the interventions needed to meet survivors' and families' psychosocial needs after completing cancer treatment. We conducted a descriptive qualitative study using semi-structured interviews with stakeholders (survivors, family/friend caregivers, oncology providers, primary care providers, and cancer system decision-/policy-makers) from across Canada. For the data analysis, we used techniques commonly employed in descriptive qualitative research, such as coding, grouping, detailing, and comparing the data. There were 44 study participants: 11 survivors, seven family/friend caregivers, 18 health care providers, and eight decision-/policy-makers. Stakeholder-relevant interventions to address survivors' psychosocial needs were categorized into five groups, as follows: information provision, peer support, navigation, knowledge translation interventions, and caregiver-specific supports. These findings, particularly interventions that deliver timely and relevant information about the post-treatment period and knowledge translation interventions that strive to integrate effective tools and programs into survivorship care, have implications for future research and practice.
    MeSH term(s) Cancer Survivors/psychology ; Caregivers/psychology ; Humans ; Neoplasms/therapy ; Survivors ; Survivorship
    Language English
    Publishing date 2021-11-25
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1236972-x
    ISSN 1718-7729 ; 1198-0052
    ISSN (online) 1718-7729
    ISSN 1198-0052
    DOI 10.3390/curroncol28060416
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: What Matters in Cancer Survivorship Research? A Suite of Stakeholder-Relevant Outcomes.

    Urquhart, Robin / Murnaghan, Sarah / Kendell, Cynthia / Sussman, Jonathan / Porter, Geoffrey A / Howell, Doris / Grunfeld, Eva

    Current oncology (Toronto, Ont.)

    2021  Volume 28, Issue 4, Page(s) 3188–3200

    Abstract: The outcomes assessed in cancer survivorship research do not always match the outcomes that survivors and health system stakeholders identify as most important in the post-treatment follow-up period. This study sought to identify stakeholder-relevant ... ...

    Abstract The outcomes assessed in cancer survivorship research do not always match the outcomes that survivors and health system stakeholders identify as most important in the post-treatment follow-up period. This study sought to identify stakeholder-relevant outcomes pertinent to post-treatment follow-up care interventions. We conducted a descriptive qualitative study using semi-structured telephone interviews with stakeholders (survivors, family/friend caregivers, oncology providers, primary care providers, and cancer system decision-/policy-makers) across Canada. Data analysis involved coding, grouping, detailing, and comparing the data by using the techniques commonly employed in descriptive qualitative research. Forty-four participants took part in this study: 11 survivors, seven family/friend caregivers, 18 health care providers, and eight decision-makers. Thirteen stakeholder-relevant outcomes were identified across participants and categorized into five outcome domains: psychosocial, physical, economic, informational, and patterns and quality of care. In the psychosocial domain, one's reintegration after cancer treatment was described by all stakeholder groups as one of the most important challenges faced by survivors and identified as a priority outcome to address in future research. The outcomes identified in this study provide a succinct suite of stakeholder-relevant outcomes, common across cancer types and populations, that should be used in future research on cancer survivorship care.
    MeSH term(s) Aftercare ; Caregivers ; Humans ; Neoplasms/therapy ; Qualitative Research ; Survivorship
    Language English
    Publishing date 2021-08-20
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1236972-x
    ISSN 1718-7729 ; 1198-0052
    ISSN (online) 1718-7729
    ISSN 1198-0052
    DOI 10.3390/curroncol28040277
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Uptake of elective laparoscopic colectomy for colon cancer in Canada from 2004/05 to 2014/15: a descriptive analysis.

    Hoogerboord, C Marius / Levy, Adrian R / Hu, Min / Flowerdew, Gordon / Porter, Geoffrey

    CMAJ open

    2018  Volume 6, Issue 3, Page(s) E384–E390

    Abstract: Background: Evidence from randomized controlled trials published since 2004 shows that elective laparoscopic colectomy for colon cancer improves short-term postoperative outcomes with equivalent oncologic outcomes compared to open colectomy. The ... ...

    Abstract Background: Evidence from randomized controlled trials published since 2004 shows that elective laparoscopic colectomy for colon cancer improves short-term postoperative outcomes with equivalent oncologic outcomes compared to open colectomy. The objective of this study was to examine the uptake of elective laparoscopic colectomy in Canada and compare its use among Canadian provinces.
    Methods: In this descriptive analysis, we identified from hospital discharge abstracts all patients in the Canadian provinces (except Quebec) who underwent elective colectomy for colon cancer between 2004/05 and 2014/15. We compared temporal changes in the proportion of patients who underwent laparoscopic colectomy or open colectomy among provinces using logistic regression.
    Results: Of 63 504 patients who underwent elective colectomy between 2004/05 and 2014/15, 19 691 (31.0%) underwent laparoscopic colectomy. The annual proportion of patients who underwent laparoscopic colectomy increased from 9.2% in 2004/05 to 51.5% in 2014/15 (mean annual percent increase 4.2%). There were significant differences between provinces in the overall proportion of patients who underwent laparoscopic colectomy (
    Interpretation: Although the use of laparoscopic colectomy increased rapidly between 2004/05 and 2014/15 in Canada, substantial interprovincial variation exists. Further knowledge-translation strategies are needed to ensure equal access to laparoscopic colectomy for all Canadians.
    Language English
    Publishing date 2018-09-18
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2701622-5
    ISSN 2291-0026
    ISSN 2291-0026
    DOI 10.9778/cmajo.20180002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Emerging patterns of practice in the implementation and application of sentinel lymph node biopsy in breast cancer patients in Canada.

    Porter, Geoffrey A

    Journal of surgical oncology

    2003  Volume 83, Issue 2, Page(s) 62–64

    MeSH term(s) Adult ; Aged ; Breast Neoplasms/pathology ; Breast Neoplasms/surgery ; Canada ; Fellowships and Scholarships ; Female ; General Surgery/education ; General Surgery/standards ; Health Plan Implementation ; Humans ; Lymph Nodes/pathology ; Male ; Middle Aged ; Multivariate Analysis ; Practice Patterns, Physicians' ; Sentinel Lymph Node Biopsy/education
    Language English
    Publishing date 2003-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 82063-5
    ISSN 1096-9098 ; 0022-4790
    ISSN (online) 1096-9098
    ISSN 0022-4790
    DOI 10.1002/jso.10251
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Exploring the interpersonal-, organization-, and system-level factors that influence the implementation and use of an innovation-synoptic reporting-in cancer care

    Urquhart Robin / Porter Geoffrey A / Grunfeld Eva / Sargeant Joan

    Implementation Science, Vol 7, Iss 1, p

    2012  Volume 12

    Abstract: Abstract Background The dominant method of reporting findings from diagnostic and surgical procedures is the narrative report. In cancer care, this report inconsistently provides the information required to understand the cancer and make informed patient ...

    Abstract Abstract Background The dominant method of reporting findings from diagnostic and surgical procedures is the narrative report. In cancer care, this report inconsistently provides the information required to understand the cancer and make informed patient care decisions. Another method of reporting, the synoptic report, captures specific data items in a structured manner and contains only items critical for patient care. Research demonstrates that synoptic reports vastly improve the quality of reporting. However, synoptic reporting represents a complex innovation in cancer care, with implementation and use requiring fundamental shifts in physician behaviour and practice, and support from the organization and larger system. The objective of this study is to examine the key interpersonal, organizational, and system-level factors that influence the implementation and use of synoptic reporting in cancer care. Methods This study involves three initiatives in Nova Scotia, Canada, that have implemented synoptic reporting within their departments/programs. Case study methodology will be used to study these initiatives (the cases) in-depth, explore which factors were barriers or facilitators of implementation and use, examine relationships amongst factors, and uncover which factors appear to be similar and distinct across cases. The cases were selected as they converge and differ with respect to factors that are likely to influence the implementation and use of an innovation in practice. Data will be collected through in-depth interviews, document analysis, observation of training sessions, and examination/use of the synoptic reporting tools. An audit will be performed to determine/quantify use. Analysis will involve production of a case record/history for each case, in-depth analysis of each case, and cross-case analysis, where findings will be compared and contrasted across cases to develop theoretically informed, generalisable knowledge that can be applied to other settings/contexts. Ethical approval was granted for ...
    Keywords Cancer ; Synoptic report ; Innovation ; Implementation ; Medicine (General) ; R5-920
    Subject code 420
    Language English
    Publishing date 2012-03-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Health System-Level Factors Influence the Implementation of Complex Innovations in Cancer Care.

    Urquhart, Robin / Jackson, Lois / Sargeant, Joan / Porter, Geoffrey A / Grunfeld, Eva

    Healthcare policy = Politiques de sante

    2016  Volume 11, Issue 2, Page(s) 102–118

    Abstract: Background: The movement of new knowledge and tools into healthcare settings continues to be a slow, complex and poorly understood process. In this paper, we present the system-level factors important to the implementation of synoptic reporting tools in ...

    Abstract Background: The movement of new knowledge and tools into healthcare settings continues to be a slow, complex and poorly understood process. In this paper, we present the system-level factors important to the implementation of synoptic reporting tools in two initiatives (or cases) in Nova Scotia, Canada.
    Methods: This study used case study methodology. Data were collected through interviews with key informants, document analysis, non-participant observation and tool use/examination. Analysis involved production of case histories, analysis of each case and a cross-case analysis.
    Results: The healthcare system's delivery and support structure, information technology infrastructure, policy environment and history of collaboration and inter-organizational relationships influenced tool implementation in the two cases.
    Conclusions: The findings provide an in-depth, nuanced understanding of how healthcare system components can influence the implementation of a new tool in clinical practice.
    MeSH term(s) Cancer Care Facilities/organization & administration ; Cooperative Behavior ; Delivery of Health Care/organization & administration ; Humans ; Models, Organizational ; Neoplasms/therapy ; Nova Scotia ; Organizational Case Studies ; Organizational Innovation ; Technology Transfer
    Language English
    Publishing date 2016-01-07
    Publishing country Canada
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1715-6580
    ISSN (online) 1715-6580
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Reflections on knowledge brokering within a multidisciplinary research team.

    Urquhart, Robin / Porter, Geoffrey A / Grunfeld, Eva

    The Journal of continuing education in the health professions

    2011  Volume 31, Issue 4, Page(s) 283–290

    Abstract: Knowledge brokering (KB) may be one approach of helping researchers and decision makers effectively communicate their needs and abilities, and move toward increased use of evidence in health care. A multidisciplinary research team in Nova Scotia, Canada, ...

    Abstract Knowledge brokering (KB) may be one approach of helping researchers and decision makers effectively communicate their needs and abilities, and move toward increased use of evidence in health care. A multidisciplinary research team in Nova Scotia, Canada, has created a dedicated KB position with the goal of improving access to quality colorectal cancer care. The purpose of this paper is to provide an in-progress perspective on KB within this large research team. A KB position ("knowledge broker") was created to perform two primary tasks: (1) facilitate ongoing communication among team members; and (2) develop and maintain collaborations between researchers and decision makers to establish partnerships for the transfer and use of research findings. In this article, we discuss our KB model and its implementation, describe the broker's functions and activities, and present preliminary outcomes. The primary functions of the KB position have included: sustaining team members' engagement; harnessing members' expertise and sharing it with others; developing and maintaining communication tools/strategies; and establishing collaborations between team members and other stakeholders working in cancer care. The broker has facilitated an integrated knowledge translation approach to research conduct and led to the development of new collaborations with external stakeholders and other cancer/health services researchers. KB roles will undoubtedly differ across contexts. However, descriptive assessments can help others determine whether such an approach could be valuable for their research programs and, if so, what to expect during the process.
    MeSH term(s) Clinical Competence/standards ; Cooperative Behavior ; Evidence-Based Practice/manpower ; Evidence-Based Practice/methods ; Evidence-Based Practice/standards ; Guidelines as Topic ; Humans ; Inservice Training ; Institutional Management Teams/organization & administration ; Interdisciplinary Communication ; Knowledge Management ; Mentors ; Nova Scotia ; Outcome Assessment (Health Care)/methods ; Professional Role ; Quality Improvement ; Research Personnel
    Language English
    Publishing date 2011
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 639445-0
    ISSN 1554-558X ; 0894-1912
    ISSN (online) 1554-558X
    ISSN 0894-1912
    DOI 10.1002/chp.20128
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Psychosocial Distress in Adult Patients Awaiting Cancer Surgery during the COVID-19 Pandemic.

    Forner, David / Murnaghan, Sarah / Porter, Geoffrey / Mason, Ross J / Hong, Paul / Taylor, S Mark / Bentley, James / Hirsch, Gregory / Noel, Christopher W / Rigby, Matthew H / Corsten, Martin / Trites, Jonathan R / Taylor, Victoria / Kendell, Cynthia / Jorgensen, Margaret / Urquhart, Robin

    Current oncology (Toronto, Ont.)

    2021  Volume 28, Issue 3, Page(s) 1867–1878

    Abstract: Cancer causes substantial emotional and psychosocial distress, which may be exacerbated by delays in treatment. The COVID-19 pandemic has resulted in increased wait times for many patients with cancer. In this study, the psychosocial distress associated ... ...

    Abstract Cancer causes substantial emotional and psychosocial distress, which may be exacerbated by delays in treatment. The COVID-19 pandemic has resulted in increased wait times for many patients with cancer. In this study, the psychosocial distress associated with waiting for cancer surgery during the pandemic was investigated. This cross-sectional, convergent mixed-methods study included patients with lower priority disease during the first wave of COVID-19 at an academic, tertiary care hospital in eastern Canada. Participants underwent semi-structured interviews and completed two questionnaires: Hospital Anxiety and Depression Scale (HADS) and Perceived Stress Scale (PSS). Qualitative analysis was completed through a thematic analysis approach, with integration achieved through triangulation. Fourteen participants were recruited, with cancer sites including thyroid, kidney, breast, prostate, and a gynecological disorder. Increased anxiety symptoms were found in 36% of patients and depressive symptoms in 14%. Similarly, 64% of patients experienced moderate or high stress. Six key themes were identified, including uncertainty, life changes, coping strategies, communication, experience, and health services. Participants discussed substantial distress associated with lifestyle changes and uncertain treatment timelines. Participants identified quality communication with their healthcare team and individualized coping strategies as being partially protective against such symptoms. Delays in surgery for patients with cancer during the COVID-19 pandemic resulted in extensive psychosocial distress. Patients may be able to mitigate these symptoms partially through various coping mechanisms and improved communication with their healthcare teams.
    MeSH term(s) Adaptation, Psychological ; Adult ; Aged ; Anxiety/diagnosis ; Anxiety/epidemiology ; Anxiety/etiology ; Anxiety/psychology ; COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19/transmission ; Communicable Disease Control/standards ; Cross-Sectional Studies ; Depression/diagnosis ; Depression/epidemiology ; Depression/etiology ; Depression/psychology ; Female ; Humans ; Male ; Middle Aged ; Neoplasms/psychology ; Neoplasms/surgery ; Nova Scotia/epidemiology ; Pandemics/prevention & control ; Psychological Distress ; Psychometrics/statistics & numerical data ; Qualitative Research ; Self Report/statistics & numerical data ; Time-to-Treatment ; Triage/standards ; Uncertainty
    Language English
    Publishing date 2021-05-13
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1236972-x
    ISSN 1718-7729 ; 1198-0052
    ISSN (online) 1718-7729
    ISSN 1198-0052
    DOI 10.3390/curroncol28030173
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: An unusual presentation of a secondary extramedullary plasmacytoma in a patient with multiple myeloma.

    Dzierzanowski, Martin / Porter, Geoffrey A

    Canadian journal of surgery. Journal canadien de chirurgie

    2005  Volume 48, Issue 1, Page(s) 75–76

    MeSH term(s) Abdominal Neoplasms/diagnosis ; Abdominal Neoplasms/diagnostic imaging ; Abdominal Neoplasms/secondary ; Humans ; Male ; Middle Aged ; Multiple Myeloma/pathology ; Plasmacytoma/diagnosis ; Plasmacytoma/diagnostic imaging ; Plasmacytoma/secondary ; Tomography, X-Ray Computed
    Language English
    Publishing date 2005-02
    Publishing country Canada
    Document type Case Reports ; Journal Article
    ZDB-ID 410651-9
    ISSN 0008-428X
    ISSN 0008-428X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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