Poster Presentation 2025 Joint Meeting of the COSA ASM and IPOS Congress

Delivering a Pilot Model for Integrated Women’s Cancer Survivorship Care in Southeast Queensland (125789)

Leilani Way 1 , Simone Andrews 1 , Phillip Good 1 , Kathryn Middleton 1
  1. Mater Statewide Cancer Survivorship Clinic, South Brisbane, QUEENSLAND, Australia

Background/Rationale

Survivors of breast and gynaecological cancers often face persistent psychological, physical, practical, and informational unmet needs following active treatment. Despite national and international survivorship care guidelines, access to structured and individualised survivorship services remains limited. This pilot project aimed to establish and evaluate a multidisciplinary survivorship clinic tailored to address these unmet needs in Southeast Queensland.

Methods

The clinic was implemented from October 2024, guided by the Joanna Briggs Institute (JBI) Seven-Step Evidence Implementation Framework. A hybrid service delivery model (in-person and video telehealth) was adopted to maximise accessibility. Patient-Reported Outcome Measures (PROMs) and satisfaction surveys were utilised to assess patient needs and evaluate outcomes. Referrals were accepted from multiple Mater Health services in Southeast Queensland. A retrospective audit was conducted on 1 April 2025 to evaluate activity from 29 October 2024 to 31 March 2025.

Impact on Practice

Of 44 referrals, 22 patients were seen during the pilot period (68% with breast cancer; 32% with gynaecological cancer).

  • Consultation format: 59% in-person, 41% via video telehealth.
  • Identified needs: Fear of recurrence (91%), sexual health concerns (68%), menopausal symptoms (68%).
  • Interventions: Included referrals to internal and external allied health providers.
  • Satisfaction: High mean satisfaction score of 4.57/5, with patients reporting appreciation for information, emotional support, and side effect management.
  • Scalability: Multisite referrals indicate strong potential for statewide expansion.

Discussion

This pilot demonstrates the feasibility and impact of an integrated, patient-centred women’s cancer survivorship model. PROMs effectively guided care planning and service delivery. Key lessons include the value of flexible care formats and multidisciplinary collaboration. Future directions include enhanced general practitioner engagement, expansion of psychosocial services, and continuation of video telehealth consultation to support scalability across Queensland.