Long Term Effects of Cancer Treatment Sadaf Haque Macmillan GPF

Some Long term effects Pelvic radiation disease Cancer related fatigue 2 Some Long term effects Pelvic radiation disease Cancer related fatigue Chemotherapy induced peripheral neuropathy Lymphoedema Heart Failure/IHD Psychological consequences Remember co-morbidities

Pelvic Radiation Disease 3 Ask the audience to suggest which types of tumours can lead after treatment to pelvic radiation disease Pelvic Radiation Disease Types of tumours most affected: Rectal cancer Prostate cancer Cervical cancer Endometrial cancer Bladder cancer

Chronic syndromes secondary to pelvic radiotherapy 4 Ask the audience to suggest which types of tumours can lead after treatment to pelvic radiation disease Chronic syndromes secondary to pelvic radiotherapy Faecal Incontinence Rectal bleeding Tenesmus Fissures and Fistulas Abdominal pain and bloating =/- flatulence Erectile dysfunction

At least 500,000 people in the UK experience long term health conditions caused by their cancer or its treatment 90,000 affected by gastrointestinal problems, such as faecal incontinence, diarrhoea and bleeding 350,000 experiencing sexual difficulties 150,000 with urinary problems 63,000 affected by lymphoedema 350,000 with chronic fatigue 240,000 living with mental health problems 80,000 living with hormonal symptoms 2 years ago we pulled together the best available evidence on consequences of treatment and compiled it in our report Throwing Light on the Consequences of Cancer and its Treatment [PDF]| providing, for the first time, estimates on the numbers of people in the UK suffering from long term health conditions as a result of their cancer treatment. 90,000 affected by gastrointestinal problems, including faecal incontinence, diarrhoea and bleeding 350,000 experiencing sexual difficulties 150,000 with urinary problems 63,000 affected by lymphoedema 350,000 with chronic fatigue 240,000 living with mental health problems 80,000 living with hormonal symptoms We believe that many of these are underestimations. One of the key findings of this report is also that there is a lack of data and research in this area. Macmillan Cancer Support. Throwing light on the consequences of cancer and its treatment. 2013. London

New report on improving mental health training for GPs and Practice nurses Welcoming the report, Chair of our Mental Health Commissioners Network Dr Phil Moore highlighted the valuable work that GPs and practice nurses do to support patients mental health needs and said that we need to make sure that they get the training they need 'to feel fully confident in this, in the same way we do in respect of physical health problems

Brief Interventions? The study shows a GP intervention, taking just 30 seconds, can have a significant impact on a patient's' weight loss results and overall health outcomes.

8 Thank You!