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EMINENT - Breast Cancer

"The EMINENT trial seeks to evaluate the feasibility of shared follow-up care of people with breast cancer after primary treatment between breast cancer specialists and GPs. Initial results demonstrate shared-care arrangements to be highly feasible with a 100% acceptance rate between breast cancer specialists and GP, effectively reducing hospital visits while maintaining optimal cancer care for patients with a broader oversight of comorbidities and other clinical concerns.”

- Chan

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The evolution of medicine has led to an increase in the number of patients surviving cancer. Survivors of breast cancer require support to prevent recurrence, surveillance of further secondary or new cancer, and comorbidity support. Current models focus on specialist centres and hospitals, putting unsustainable increased strain on healthcare systems. These current models are unsuitable for patients living outside of metropolitan regions.

Goal 

To conduct a phase II randomised controlled clinical trial implementing the EMINENT intervention – a nurse coordinated, integrated, shared-care model involving cancer centre specialists and community-based general practitioners - for survivors of early breast cancer post-treatment follow-up compared to standard follow-up including provision of a Cancer Council Australia booklet, “Living Well After Cancer”.

Aims

To demonstrate the feasibility, acceptability and usefulness of a new model of care which could influence future post-treatment care for survivors of early breast cancer.

Researchers

From Flinders

Professor Raymond Chan
Ria Joseph

Research Collaborators

Professor Jon Emery
Katharine Cuff
Laisa Teleni
Camilla Simonsen
Dr Jane Turner
Professor Monika Janda
Daniel Mckavanagh
Lee Jones
Emma McKinnell
Melissa Gosper
Juanita Ryan
Bethany Crowe
Jennifer Harvey
Marissa Ryan
Dr Christine Carrington
Dr Rebecca Nund
Megan Crichton
Professor Steven McPhail

Grant Details

Metro South Health SERTA grant - $99,903

Chief Investigator: Professor Raymond Chan

Commenced: 2019 
Completion due: 2023

Tools and Resources

Further reading

Chan, R.J., Emery, J., Cuff, K. et al. Implementing a nurse-enabled, integrated, shared-care model involving specialists and general practitioners in breast cancer post-treatment follow-up: a study protocol for a phase II randomised controlled trial (the EMINENT trial). Trials 21, 855 (2020). https://doi.org/10.1186/s13063-020-04740-1

Australia and New Zealand Clinical Trials Registry: ACTRN12619001594112

Collaborators

Division of Cancer Services, Princess Alexandra Hospital, Metro South Health, Brisbane, Queensland, Australia.

School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia.

Department of General Practice and Centre for Cancer Research, University of Melbourne, Melbourne, Victoria, Australia.

Faculty of Medicine, University of Queensland & Royal Brisbane and Women’s Hospital, Brisbane, Queensland, Australia.

Centre for Health Services Research, Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.

Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia.

McGrath Foundation & Princess Alexandra Hospital, Metro South Health, Brisbane, Queensland, Australia.

Division of Surgery, Princess Alexandra Hospital, Metro South Health, Brisbane, Queensland, Australia.

Radiation Oncology Centre, Princess Alexandra Hospital, Metro South Health and University of Queensland, Brisbane, Queensland, Australia.

Pharmacy Department, Princess Alexandra Hospital, Metro South Health, Brisbane, Queensland, Australia.

School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Queensland, Australia.

Australian Centre for Health Services Innovation (AusHSI), Queensland University of Technology, Brisbane, Queensland, Australia.

Clinical Informatics Division, Metro South Health, Brisbane, Queensland, Australia

Project Partners

Primary Care Collaborative Cancer Clinical Trials Group and the McGrath Foundation

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Last Updated: 16 Jun 2022

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