Priority 25 from the Living With and Beyond Cancer PSP

UNCERTAINTY:What is the optimal follow-up approach to detect whether a cancer has come back? (JLA PSP Priority 25)
Overall ranking	25
JLA question ID	0073/25
Explanatory note	Not available for this PSP
Evidence	None identified
Health Research Classification System category	Cancer

Extra information provided by this PSP
Original uncertainty examples	Why is there time inconsistencies with scans between geographical areas. I have been advised 12 months for the first scan to see if my cancer has spread yet others falling in different health authorities wait only 6 months? ~ What is the best way of following up people after treatment for cancer. How can we best ensure we detect recurrence in a timely manner, address concerns and long term toxicity without increasing anxiety, falsely reassuring or raising expectations all within increasingly stretched health care resources? ~ Benefits of regular screening ie ct scans which may pick up secondaries early, as opposed to waiting until symptoms are apparent by which time treatment may be too late or more costly or invasive. If regular mammagrams are recommended why not regular ct scans?
Submitted by	Individual survey submissions categorised by Healthcare professional, Patient, Relative/Carer, Other, and Unknown. For full details of the type of submitter for each individual question, please see the spreadsheet of data held on the JLA website.

Extra information provided by this PSP

Original uncertainty examples

Why is there time inconsistencies with scans between geographical areas. I have been advised 12 months for the first scan to see if my cancer has spread yet others falling in different health authorities wait only 6 months? ~ What is the best way of following up people after treatment for cancer. How can we best ensure we detect recurrence in a timely manner, address concerns and long term toxicity without increasing anxiety, falsely reassuring or raising expectations all within increasingly stretched health care resources? ~ Benefits of regular screening ie ct scans which may pick up secondaries early, as opposed to waiting until symptoms are apparent by which time treatment may be too late or more costly or invasive. If regular mammagrams are recommended why not regular ct scans?

Submitted by

Individual survey submissions categorised by Healthcare professional, Patient, Relative/Carer, Other, and Unknown. For full details of the type of submitter for each individual question, please see the spreadsheet of data held on the JLA website.

PSP information
PSP unique ID	0073
PSP name	Living With and Beyond Cancer
Total number of uncertainties identified by this PSP.	54 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	11 June 2018