1. PC4: developing cancer research in primary care Jon Emery Professor of General Practice, University of Western Australia. Director of PC4

2. Overview Cancer and primary care What is PC4? What types of research do we do? Consumer involvement What can PC4 do for you?

4. Cancer incidence in Australia (2003) SiteTotal% of totalRisk to age 75 Male Prostate13,52626.31 in 9 Colorectal6,85713.31 in 18 Melanoma5,53510.81 in 24 Lung5,28110.31 in 25 Female Breast11,78828.21 in 11 Colorectal5,67913.61 in 27 Melanoma3,9899.51 in 34 Lung2,9687.11 in 49

5. Important role in prevention and screening 80% of cancers present in general practice In practice population of 10,000 in 1 year: ▫195 skin cancers ▫45 other cancers (6 breast, 4 lung) Challenges of symptomatic diagnosis ▫Most symptoms of cancer have a more common benign cause Cancer in primary care

6. Brian R. McAvoy. MJA.2007;187:115-117

7. 80% of cancers present in general practice In practice population of 10,000 in 1 year: ▫195 skin cancers ▫45 other cancers (6 breast, 4 lung) Challenges of symptomatic diagnosis ▫Most symptoms of cancer have a more common benign cause Role in follow-up? ▫Average 10 visits to GP in 1 st year after diagnosis of breast cancer ▫Role of primary care team in promoting wellbeing Cancer in primary care

8. The primary care cancer research agenda

9. Primary Care Collaborative Cancer Clinical Trials Group What is PC4?

11. Aims to increase the quantity and quality of Australian primary care cancer research Build capacity to conduct primary care cancer research Focus on development and trials of interventions to improve cancer care in Australia Potential for large scale studies to answer the big questions What is PC4?

13. The ProCare Trial: shared care for follow-up in prostate cancer Jon Emery Penny Schofield Michael Jefford Dickon Hayne Marie Pirotta Lyndal Trevena Andrew Martin Roger Constable

14. BMJ 2007;334: 445-459 Campbell, Murray, Darbyshire, Emery et al

15. Consumer representation on ▫PC4 Executive ▫PC4 Scientific Working Groups ▫Some specific trials Joint Consumer Advisory Group (with PoCoG) Input into design, outcome measures, ethics and implications of results. Consumer involvement in PC4

16. What can PC4 do for you? Concept development workshops ▫Support to develop new project ▫Identify potential collaborators PC4 research support ▫Advice on study design issues and funding sources ▫Access to Clinical Trials Development Unit  Biostatistics  Health economics Network of researchers with shared interests PC4 fellowship scheme

17. www.pc4tg.com.au