Transcript Slide 1

Why raise awareness – to save lives?
Why raise awareness – to reduce disability?
www.headsmart.org.uk
www.headsmart.org.uk
www.headsmart.org.uk
Acknowledgement
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Ms Jo Fen Liu
Miss Maya Sussman
Dr Sophie Wilne
Professor Richard Grundy
Professor Colin Kennedy
Professor Jacqueline Collier
Dr William Whitehouse
Dr Gabby Chow
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Professor Michel Coleman
Dr Thomas Chu
London School of Hygiene and
Tropical Medicine
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All Party Parliamentary Party Group
HEADSMART Clinical Champions
HEADSMART Project Team
Jan Dudley - Chair
Julia Trussler
Paul Carbury
Sarah Lindsell
Lucie Clough
Dr Peter Lachman
Ian Phillips
Dr Monica Lakhanpaul
Neil and Angela Dickson
HEADSMART Community Champions and
Volunteers
Sustainability
www.headsmart.org.uk
3 into 1
Public Awareness
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Enhance the experience of consultation
Professional Awareness
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Reassure
Review
Refer
Sustainability
Professional Awareness - Confidence
How confident are you in your ability to recognise
when a child might have a brain tumour?
Low?
Intermediate?
High?
How confident are you in your ability to recognise when a child
might have a brain tumour?
Which of the following symptoms and signs do you think may
occur in a child with a brain tumour?
Symptom : abnormal head position
Baseline survey (spring 2011)
Follow up survey (Nov 2011)
99%
84%
53%
88%
76%
48%
GP
Paediatricians
All respondents
HeadSmart Clinical Champions
Symptom Interval by Month of Diagnosis (weeks)
(Jan2011-Jan 2012, data extracted 30/01/2012)
P25 – Median – P75
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Sample size <10
Median Symptom Interval
All patients
Pre-launch
Post-launch
8.0 weeks (min 0, MAX 398.1)
9.2 weeks (min 0, MAX 398.1)
7.4 weeks (min 0, MAX 363.6)
1.8 months (min 0, MAX 91.6)
2.1 months (min0, MAX 91.6)
1.7 months (min0, MAX 83.6)
30/01/2012
Median Symptom Interval (months)
Multi-centre Studies in the UK
P25 – Median- P75
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Significant difference across 3 cohorts (Kruskal-Wallis test, p<0.01)
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No significant difference between pre- vs post-launch (Mann-Whitney U test,
p=0.136)
Professional Awareness – Symptom Interval
What do you think is the average time from symptom interval
currently experienced by children diagnosed with a brain
tumour in England?
<1 month
1-2 month
2-3 month
3-4 month
5-6 month
>6 month
Professional Awareness – Symptom Interval
What do you think is the average time from symptom interval
currently experienced by children diagnosed with a brain
tumour in England?
44.5%
28.1%
9.7%
7.7%
9.4%
0.7%
<1 month
1-2 months 2-3 months 3-4 months 5-6 months >6 months
Delayed Diagnosis of Cancer: Thematic Review
NPSA March 2010 / NRLS Groups 1 and 2
National Reporting and Learning
System (NRLS)