Ca-PRI Conference 2019 Program

Date: May 21-23, 2019

Location: Hart House, University of Toronto

(7 Hart House Circle, Toronto, ON M5S 3H3)

Conference Theme: Cancer Inequities at Home and Abroad in the Age of

Migration: Roles for Primary Care

Conference Hashtag: #CaPRI2019

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Table of Contents Welcome to Ca-PRI ....................................................................................................................................... 3

Ca-PRI Keynote Speakers ............................................................................................................................. 6

Tuesday, May 21, 2019................................................................................................................................. 9

Wednesday, May 22, 2019 ......................................................................................................................... 10

Thursday, May 23, 2019 ............................................................................................................................. 11

Ca-PRI Conference 2019 Map .................................................................................................................... 12

Hart House Floor Plan ................................................................................................................................ 13

Breakout Sessions Wednesday, May 22, 2019 .......................................................................................... 14

Session 1 (10:30 – 11:30 AM).............................................................................................................. 14

Session 2 (11:30 AM – 12:30 PM) ....................................................................................................... 16

Session 3 (1:30 – 2:30 PM) .................................................................................................................. 18

Plenary Selected Oral Presentations Wednesday, May 22, 2019 ............................................................ 20

Interactive Poster Session Wednesday, May 22, 2019 ............................................................................. 21

Breakout Sessions Thursday, May 23, 2019 .............................................................................................. 27

Session 1 (10:15 – 11:15 AM).............................................................................................................. 27

Session 2 (11:15 – 12:00 PM) .............................................................................................................. 29

Plenary Selected Oral Presentations Thursday, May 23, 2019 ................................................................. 31

Ca-PRI Abstract Review Panel .................................................................................................................... 32

Ca-PRI Planning Committee ....................................................................................................................... 33

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Welcome to Ca-PRI

Welcome From the Department of Family and Community Medicine

Dear colleagues and friends, Welcome to the 12th Annual Cancer and Primary Care Research International Network (Ca-PRI) Conference. This is the second Ca-PRI conference to be held in Toronto. The University of Toronto Department of Family and Community Medicine is pleased to collaborate with Ca-PRI in the organization and hosting of this annual conference and to support international collaboration in primary care and cancer research. From prevention and screening, to follow-up and survivorship, primary care plays a major role in all aspects of cancer care. Sharing and learning from each other will provide us all with a

greater depth of knowledge that will strengthen our ability to provide excellent care for all our patients. From the “shark tank”, to the informative breakout sessions, and everything in between, I hope that all participants will leave this conference more knowledgeable and, hopefully, with more future exciting research collaborations under development. I wish you all a successful conference and a wonderful time in beautiful Toronto. Michael Kidd Professor and Chair Department of Family and Community Medicine

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Welcome From the Toronto Team

On behalf of the Ca-PRI Toronto Planning Committee, it is our pleasure to welcome you to Ca-PRI 2019! The Cancer and Primary Care Research International Network (Ca-PRI) was founded in 2008 as a multidisciplinary network of researchers whose work is at the intersection of primary care and cancer care. The annual Ca-PRI conference offers excellent opportunities to learn about new research in the field and to network with an international group of researchers and knowledge users, and this year is no exception. Under the theme, “Cancer Inequities at Home and Abroad in the Age of Migration: Roles for Primary Care”, we have brought together an outstanding collection of keynote speakers and presenters. We are very excited about this year’s program and scheduled events, including an Oxford-style debate between Team UK and Team Canada! This year’s conference also occurs at a special time for the University of Toronto Department of Family & Community Medicine, as it is the 50th anniversary of our Department. Since its inception in the spring of 1969, our Department has grown to be one of the largest academic family medicine departments in the world. Our practice-based research network, UTOPIAN, is a network of over 1400 family physicians and 1 million patients, and our researchers produce world-class research across the full spectrum of primary care.

There are over 140 registrants for Ca-PRI 2019 representing 15 countries. So whether you have travelled from across the globe or are a local Torontonian, we hope you will be meeting potential future collaborators, participating in some of our planned social events, such as the Shark Tank and campus walking tour, and that you will also take some time to explore our beautiful city. Thank you for joining us and enjoy your time at #CaPRI2019! Aisha Lofters and Eva Grunfeld | co-Chairs, Ca-PRI 2019 Planning Committee

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Welcome from the Ca-PRI Executive Group

On behalf of the Ca-PRI Executive, welcome to Ca-PRI 2019, in the wonderful city of Toronto. This is our 12th annual meeting (the second to be held in Toronto) and it’s great to see the continuing support and enthusiasm for our network. Putting on a Ca-PRI meeting is a LOT of hard work, and I must say that Eva Grunfeld, Aisha Lofters and their team at the Department of Family and Community Medicine, University of Toronto have done an amazing job – the thought and planning they’ve invested in the programme, the attention to detail and the quirky extras (who’d have thought of a shark tank?!) will make this a great experience for us all. As always this meeting will explore cancer-related roles

for primary care across the continuum. There are some important, contemporary themes in the conference, including indigenous health, the ‘systems’ which underpin our approach to cancer control, and cancer in low-and-middle-income countries, where the majority of the world’s cancer burden lies. The need for primary care solutions to these and other cancer challenges continues to grow; cancer strategies around the world call on primary care to provide (or, at least, support) better prevention, more effective screening, faster diagnostic pathways, and approaches to survivorship which take account of rapidly ageing populations with increasing multi-morbidity. So I’m hopeful that, in the years ahead, the need for Ca-PRI meetings will continue to grow – helped along by the successes of Ca-PRI 2019. Thanks again to the Toronto team, and have a great conference! David Weller | Chair, Ca-PRI Executive Group

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Ca-PRI Keynote Speakers

Danielle Martin

Danielle Martin is the Executive Vice-President and Chief Medical Executive of Women’s College Hospital (WCH), where she is also a practicing family physician. Danielle is leading the hospital's strategy to establish Women's Virtual, Canada's first virtual hospital, aimed at improving care and reducing health system costs in ways that can be scaled up across our health care system. Danielle’s policy, clinical and academic expertise, combined with her commitment to health equity, have made her a highly regarded health system leader. She regularly provides expertise and formal advice to lawmakers both nationally and abroad. Danielle holds a Masters of Public Policy from the School of Public

Policy and Governance at the University of Toronto. She is an active scholar and an internationally recognized researcher on health system issues. As a well-recognized media spokesperson, Danielle frequently provides commentary on health issues through her work as a health contributor at the CBC and a columnist in Chatelaine magazine. Her national bestselling book ‘Better Now: 6 Big Ideas to Improve the Health of all Canadians’, was released in 2017. In conjunction with her work at WCH, Danielle is an Associate Professor at the University of Toronto.

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Alethea Kewayosh

Alethea Kewayosh is the Director, Indigenous Cancer Control Unit, Cancer Care Ontario (CCO). This position is responsible for Indigenous cancer control planning and coordination at CCO, and serves as the secretariat to the Joint Cancer Care Ontario First Nations, Inuit, Métis and Urban Indigenous Cancer Committee, a committee with representation from the four First Nations Provincial Territorial Organizations, the Independent First Nations, Métis Nation of Ontario, Inuit, Ontario Native Women’s Association, the Ontario Federation of Indigenous Friendship Centres and Aboriginal Health Access Centres.

Alethea has been involved in addressing health related issues on behalf of First Nations and other Indigenous groups for over 30

years. Her early work in diabetes led to the development of the National Aboriginal Diabetes Association and to the development of Indigenous specific diabetes programming initiatives at the national, provincial and community levels.

Alethea has long been an advocate for the improved health and well-being of Indigenous peoples

in Ontario. She believes the best approach to working with Indigenous people is to be respectful

of the diversity of the First Nation, Inuit, Métis and urban Indigenous peoples and their

communities, knowledgeable of their governance and political protocols and considerate of the

need to develop regular engagement and dialogue with each of the groups that lead to

relationships based on trust and mutual respect. Alethea launched the Aboriginal Cancer

Strategies in June 2012 and September 2015 which epitomize her approach to working with First

Nations, Inuit, Métis and urban Indigenous people through direct engagement with each nation,

now being formally established through the development of Relationship Protocols.

Alethea is Odawa and also has close family ties to the Pottawatomi and Chippewa Nations. She maintains a close affiliation with her home community of Walpole Island First Nation to visit family, relatives and to participate in community events.

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Ophira Ginsburg

Dr Ginsburg is a medical oncologist and global women’s health researcher with technical and policy expertise in noncommunicable diseases prevention and management. She is the Director of the High-Risk Cancer Genetics Program and Associate Professor in the Section for Global Health, Department of Population Health at New York University School of Medicine. Formerly based at the University of Toronto, from 2015 to 2016 she was a Medical Officer at WHO and continues to serve as a consultant to several UN agencies, providing technical assistance to member states on national cancer control planning and policies.

Over the last 15 years, Dr. Ginsburg developed an inter-disciplinary collaborative program of research, education, and policy guidance in cancer control, with colleagues on five continents. The overarching aim of her work is to improve equitable access to early detection for breast and cervical cancer in low-income and middle-income countries. She also conducts public health research to reduce cancer disparities for women in underserved communities in North America, and is leading a new study funded by the U.S. National Institutes of Health (“Cancer Moonshot” program), to improve access to cancer genetics services through primary care clinics in the New York area.

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Tuesday, May 21, 2019

Time Event | Location

5:00 – 8:00 PM Welcome Reception and “Shark Tank” | Ripley’s Aquarium of Canada *this event is by registration only

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Wednesday, May 22, 2019

Time Event | Location

8:00 – 8:45 AM Registration and Light Breakfast | Great Hall

8:45 – 9:15 AM Opening Remarks | Great Hall

9:15 – 10:00 AM Keynote Speaker: Danielle Martin presenting From Discovery to Doing: System Solutions for Cancer and Beyond | Great Hall

10:00 – 10:30 AM Coffee Break | Great Hall

10:30 – 11:30 AM Breakout Session 1 (Options):

Workshop: Lung cancer diagnostic and pre-treatment pathways in multicultural Australia: findings from the LEAD study | East Common Room

Reducing avoidable delays in cancer diagnosis | Debates Room

Improving early detection of cancer in primary care | Great Hall

Looking out for potential problems during survivorship | Music Room

11:30 AM – 12:30 PM Breakout Session 2 (Options):

Engaging with patients: Diagnosis to treatment and beyond | East Common Room

Cancer risk prediction in primary care | Debates Room

Clinical tools to aid in early diagnosis | Music Room

Addressing cancer-related health inequities | Great Hall

12:30 – 1:30 PM Lunch: with musical guests Melanie Conly and Jason Fowler

1:30 – 2:30 PM Breakout Session 3 (Options):

Patient and provider perceptions of potential cancer symptoms | East Common Room

Addressing survivorship concerns | Debates Room

Smoothing the care path during treatment | Music Room

Promoting cancer prevention and early detection | Great Hall

2:30 – 3:30 PM Plenary Selected Oral Presentations | Great Hall

3:30 – 4:00 PM Closing Remarks | Great Hall

4:00 – 5:00 PM Campus Walking Tour | Registration Desk

5:00 – 6:30 PM Interactive Poster Session | Great Hall

6:30 – 9:00 PM Conference Dinner: featuring music by the Faculty of Music students | Great Hall

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Thursday, May 23, 2019

Time Event

8:00 – 8:30 AM Registration and Light Breakfast | Great Hall

8:30 – 9:00 AM Land Acknowledgement Ceremony and Welcome | Great Hall

9:00 – 9:45 AM Keynote Speaker: Alethea Kewayosh presenting Indigenous Cancer Care in Ontario and Canada | Great Hall

9:45 – 10:15 AM Coffee Break | Great Hall

10:15 – 11:15 AM Breakout Session 1 (Options):

Workshop: Canadian Team to Improve Community-Based Cancer Care along the Continuum (CanIMPACT) | Great Hall

Improving cancer diagnostic decision-making in primary care | East Common Room

Screening and follow-up of abnormal results | Debates Room

11:15 AM – 12:00 PM Breakout Session 2 (Options):

Having important conversations when seriously ill | Debates Room

Innovations in cancer risk prediction | East Common Room

Cancer screening and prevention in marginalized communities | Great Hall

Understanding pathways to cancer diagnosis | Music Room

12:00 – 1:00 PM Lunch | Great Hall

1:00 – 2:00 PM Plenary Selected Oral Presentations | Great Hall

2:00 – 2:45 PM Keynote Speaker: Ophira Ginsburg presenting The Global Oncology Landscape: a critical time for primary care engagement in low- and middle-income countries | Great Hall

2:45 – 3:30 PM Oxford-style Debate: Team UK (David Weller, Rosalind Adam) vs. Team Canada (Jeff Sisler, Tunji Fatoye) | Great Hall Motion to be debated: Be it resolved that from the perspective of family physicians/general practitioners, management of patients during cancer treatment and survivorship is just as important as management of patients with high prevalence conditions such as mental health issues and heart disease.

3:30 – 4:00 PM Closing Remarks | Great Hall

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Ca-PRI Conference 2019 Map

Please click on the image above to be redirected to Google Maps.

1. Hart House – 7 Hart House Circle, Toronto, ON, M5S 3H3

2. Ripley’s Aquarium of Canada – 288 Bremner Boulevard, Toronto, ON, M5V 3L9

3. Toronto Marriott Bloor Yorkville Hotel – 90 Bloor Street East, Toronto, ON, M4W 1A7

4. DoubleTree Hotel Toronto Downtown – 108 Chestnut Street, Toronto, ON, M5G 1R3

5. Chestnut Residence – 89 Chestnut Street, Toronto, ON, M5G 1R1

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Hart House Floor Plan

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Breakout Sessions Wednesday, May 22, 2019

Session 1 (10:30 – 11:30 AM)

Session Details Abstract Title, Authors, Country

Workshop: Lung cancer diagnostic and pre-treatment pathways in multicultural Australia: findings from the LEAD study. Location: East Common Room

Lung cancer diagnostic and pre-treatment pathways in multicultural Australia: findings from the LEAD study. Authors: Danielle Mazza, Jon D. Emery, Fiona M. Walter, Jane M. Young, David J. Barnes, Paul Mitchell, Bianca Brijnath, Andrew Martin, Ken O'Byrne, Xiaoping Lin Country: Australia

Reducing avoidable delays in cancer diagnosis. Location: Debates Room

Session Chair: David Weller

National Cancer Diagnosis Audit: avoidable delays to diagnosis. Authors: Ruth Swann, Georgios Lyratzopoulos, Greg Rubin, Elizabeth Pickworth, Sean McPhail Country: England General practice characteristics associated with cancer detection via urgent referral pathways in England. Authors: Thomas Round, Mark Ashworth, Henrik Møller Country: England Using family physician electronic medical record data to measure the pathways of cancer care. Authors: Liisa Jaakkimainen, Bogdan Pinzaru, Hannah Chung, Lisa DelGiudice, Noah Crampton, Karen Tu Country: Canada Time intervals and routes to diagnosis for lung cancer in ten jurisdictions: cross-sectional study findings from the International Cancer Benchmarking Partnership (ICBP). Authors: David Weller, Usha Menon, Peter Vedsted, Henry Jensen, Eva Grunfeld, Richard Neal, Samantha Harrison, the ICBP Module 4 Working Group Country: Scotland

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Improving early detection of cancer in primary care. Location: Great Hall Session Chair: Henk van Weert

What influences primary care nurses to have early diagnosis discussions? Authors: Hanna Skrobanski, Emma Ream, Lindsay MacDonald, Katriina Whitaker Country: England Using Primary Care Electronic Medical Records to identify study subjects in clinical trials of cancer biomarkers. Authors: Frank Sullivan, Stuart Schembri, Canberra, Frances Mair Glasgow Country: Scotland The predictive value of unexpected weight loss in adults for cancer in primary care: a matched cohort study using UK electronic health records data from 2000-2014. Authors: Brian D Nicholson, Paul Aveyard, FD Richard Hobbs, Willie Hamilton Country: England High value care in cancer surveillance and screening: evaluating an e-curriculum for primary care providers. Authors: Youngjee Choi, Kimberly Peairs, Heather Sateia, Rebecca Riddell, Christiana Zhang, Maura Mcguire Country: United States of America

Looking out for potential problems during survivorship. Location: Music Room Session Chair: Rosalind Adam

The time from a first primary cancer until recurrence or second primary cancer: risk factors and impact in general practice. Authors: Linda Aagaard Rasmussen, Henry Jensen, Line F Virgilsen, Alina Z Falborg, Henrik Møller, Peter Vedsted Country: Denmark Understanding pathways to diagnosis of a second primary cancer: qualitative interviews with patients and GPs. Authors: Christine Campbell, Debbie Cavers, Rhona Duff, Annemieke Bikker, Lovney Kanguru, Karen Barnett, David Weller Country: Scotland Primary care involvement following cancer treatment: a population-based survey. Authors: Robin Urquhart, Cynthia Kendell Country: Canada Mobile health apps for cancer survivors: a review. Authors: Rosalind Adam, Daniel Powell, Peter Murchie Country: Scotland

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Session 2 (11:30 AM – 12:30 PM)

Session Details Abstract Title, Authors, Country

Engaging with patients: Diagnosis to treatment and beyond. Location: East Common Room Session Chair: Fiona Walter

Long-term engagement of consumers in cancer in primary care research. Authors: Kristi Milley, Sophie Chima, Jennifer Walker, Jon Emery Country: Australia Navigating the Complexity of Cancer Diagnosis from the Patient’s Perspective: Revealing Cancer Inequities through Synthesis Maps for Early Diagnosis in Canadian contexts. Authors: Anubha Prashad, Peter Jones, Erika Nicholson, Ashleigh Domingo, Mary Argent-Katwala Country: Canada Patient views on use and acceptability of a new diagnostic device for Barrett’s Oesophagus in primary care. Authors: Fiona Scheibl, Fiona Walter, Greg Rubin, Beth Muldrew, Irene Debiram-Beecham, Peter Sasieni, Rebecca Fitzgerald Country: England Treatment decisions in cancer patients treated with curative intent; process of choice and the role of the GP. Authors: EA Noteboom, SCJM Vervoort, AM May, E van der Wall, NJ de Wit, CW Helsper Country: The Netherlands

Cancer risk prediction in primary care. Location: Debates Room Session Chair: Christine Campbell

Association between colorectal cancer risk and family history in first-degree relatives in index subjects with different ages: a systematic review and meta-analysis. Authors: Junjie Huang, Jingxuan Wang, Colette Leung, Tiffany Pang, Hanyue Ding, Chan CH, Lin J, Huang JLW, Fang Y, Cheung WWL, Yu CP, Wong JCT, Tse G, Wu JCY, Chan FKL, Wong MCS Country: China Cancer mortality among a Chinese population with hypertension: a follow-up study of 217,910 individuals. Authors: Martin Wong, Junjie Huang, Jingxuan Wang, Colette Leung, Tiffany Pang, Hanyue Ding, Wilson WS Tam, XQ Lao , Harry HX Wang, Mandy WM Kwan, Clement SK Cheung, Ellen LH Tong, NT Cheung, Sian M Griffiths, Andrew JS Coats Country: China Are patients with high-normal platelet counts at increased risk of cancer? The NORMA study. Authors: Luke Mounce, Sarah Bailey, Willie Hamilton Country: England

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Clinical tools to aid in early diagnosis. Location: Music Room Session Chair: Li Li

Establishing the use and diagnostic performance of faecal immunochemical tests (FITs) for the symptomatic primary care population. Authors: Sarah Bailey, Willie Hamilton, Marije Van Melle, Fiona Walter Country: England The association between CA125 level, diagnostic interval and stage at diagnosis in ovarian cancer: an analysis of CPRD and NCRAS data. Authors: Garth Funston, Yin Zhou, Sarah Price, Luke Mounce, Emma Crosbie, Willie Hamilton, Fiona Walter Country: England 'One too many (missed)', when do preferences for the Faecal Immunochemical Test (FIT) in colorectal cancer (CRC) diagnosis switch to colonoscopy (CC): results from an online multiple staircase choice task. Authors: Christian von Wagner, Sandro Stoffel, Wouter Verstraete, Helga Elvira Laszlo Country: England Protocol for a pragmatic cluster randomised controlled trial assessing the clinical effectiveness and cost effectiveness of electronic risk-assessment for cancer for patients in general practice (ERICA). Authors: Raff Calitri, Luke Mounce, Gary Abel, John Campbell, Anne Spencer, Antonieta Medina-Lara, Martin Pitt, Elizabeth Shephard, Fiona Warren, Sarah Dean, Willie Hamilton Country: England

Addressing cancer-related health inequities. Location: Great Hall Session Chair: Jennifer Walker

Bringing Point of Care Cervical Cancer Diagnosis and Treatment to Rural East Africa. Authors: William Cherniak, Stephen Okeyo, Eben Stern, Emma Forte Sczudlo, James Alaro, Geoffrey Anguyo, Dorothy Nyong’o Country: Canada Developing a pathway, integrated with primary care, that uses self-sampling to reduce inequities in cervical cancer screening in Ontario. Authors: Camille Williams, Kyle Liang, Neelam Dehal, Yogendra Shakya, Doris Warner, Richard San Cartier, Paolo Korre, Erik Landriault, Cliff Ledwos, R. Sacha Bhatia, Aisha Lofters, Sheila Dunn, Jay Shaw Country: Canada Patient navigation program for community health center patients with cancer. Authors: Sanja Percac-Lima, Sarah Ivan, Naysha Shahid, Carmen Benjamin, Kelly Irwin, Beverly Moy Country: United States of America Impact of High-deductible Insurance on Breast Cancer Care among Rural Women. Authors: James Franklin Wharam, Jamie Wallace, Fang Zhang, Anita Wagner, Christine Lu, Larissa Nekhlyudov, Craig Earle, Stephen Soumerai, Dennis Ross-Degnan Country: United States of America

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Session 3 (1:30 – 2:30 PM)

Session Details Abstract Title, Authors, Country

Patient and provider perceptions of potential cancer symptoms. Location: East Common Room Session Chair: Aisha Lofters

What motivates a GP to do safety netting? Authors: Georgia Black, Sandra van Os, Yasemin Hirst, Brian Nicholson, Anita Lim Country: England The role of comorbidities in symptom attribution and anticipated help-seeking for potential lung cancer symptoms: a vignette-based survey. Authors: Aradhna Kaushal, Cristina Renzi, Christian von Wagner, Katriina Whitaker, Sonja Kummer, Aishwarya Puri, Georgios Lyratzopoulos, Jo Waller Country: England Understanding GP-help seeking with potential cancer symptoms – the Understanding Symptom Experiences Fully (USEFUL) study. Authors: Peter Murchie, Rute Vieira, Rosalind Adam, Katriina Whitaker, Phil Hannaford Country: Scotland Development of a primary care behaviour change intervention to expedite the diagnosis of symptomatic cancer in Wales, United Kingdom: a multi-dimensional approach. Authors: Richard Neal, Kate Brain, Rhiannon T Edwards, Nia Goulden, Maggie Hendry, Julia Hiscock, Zoe Hoare, Rebecca-Jane Law, Ruth Lewis, Sadia Nafees, Stephanie Smits, Marian Andrei Stanciu, Alun Surgey, Clare Wilkinson, Lynne Williams, Nefyn H Williams, Seow Tien Yeo Country: England

Addressing survivorship concerns. Location: Debates Room Session Chair: Larissa Nekhlyduv

A systematic review on the prevalence of symptoms of depression, anxiety and distress in long-term cancer survivors: implications for primary care. Authors: D Brandenbarg, SWMC Maass, OP Geerse, ME Stegmann, C Handberg, MJ Schroevers, SFA Duijts Country: The Netherlands The relationship between employment and financial toxicity in long-term cancer survivors: implications for primary care. Authors: Saskia Duijts, Alison Mary Pearce, Bianca Tomalin, Billingsley Kaambwa, Nicole Horevoorts, Floortje Mols, Lonneke van de Poll-Franse, Bogda Koczwara Country: The Netherlands Health system Resource use and costs associated with transitioning breast cancer survivors to primary care in Ontario: A propensity-score-matched cohort study. Authors: Jonathan Sussman, Nicole Mittman, Hasmik Beglarian, Soo Jin Seung, Ning Liu, Farah Rahman, Julie Gilbert Country: Canada

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Adherence to Follow-up Care Guidelines for Breast Cancer Survivors in four Canadian provinces: a CanIMPACT study. Authors: Mary McBride, Patti Groome, Li Jiang, Marlo Whitehead, Dongdong Li, Kathleen Decker, Cynthia Kendell, Marcy Winget, Donna Turner, Robin Urquhart, and Eva Grunfeld for the CanIMPACT Team Country: Canada

Smoothing the care path during treatment. Location: Music Room Session Chair: Charles Helsper

Effects of a structured care path from general practice after cancer diagnosis; first results on patient reported outcomes and healthcare utilization. Authors: IAA Perfors, EA Noteboom, NJ de Wit, E van der Wall, GRIP study group, AM May, CW Helsper Country: The Netherlands Patient, general practitioner and oncologist together in a video-based consultation. User perspectives, communication and role clarification investigated by mixed methods. Authors: Dorte Gilså Hansen, Theis Bitz Trabjerg, Lars Henrik Jensen, Jette Ammentorp, Jeffrey Sisler, Jens Søndergaard Country: Denmark The impact of continuity of care and cancer centre affiliation with outcomes among patients with cancer who require emergency department (ED) care in Ontario. Authors: Keerat Grewal, Rinku Sutradhar, Monika K. Krzyzanowska, Donald A. Redelmeier, Clare L. Atzema Country: Canada Manitoba’s FPO Perceptions of the Value and Effectiveness of a 2 to 4 Week FPO Training Program. Authors: Patricia Bocangel, Tunji Fatoye Country: Canada

Promoting cancer prevention and early detection. Location: Great Hall Session Chair: Mary Ann O’Brien

Promoting early cancer detection within a health system – lessons and recommendations from Scotland. Authors: Natalia Calanzani, David Weller, Christine Campbell Country: Scotland

Understanding variation and time trends in diagnosis of cancer as an emergency: Evidence arising from the last 11 years in England. Authors: Georgios Lyratzopoulos, Annie Herbert, Sean McPhail, Lucy Elliss-Brookes, Sam Winters, Gary Abel Country: England

Risk communication: the new world of chemoprevention for common cancers and how we can communicate the harms and benefits? Authors: Jennifer Walker, Peter Nguyen, Jessica Minshall, Stephanie McMahon, Sibel Saya, Louisa Flander, Adrian Bickerstaffe, Nadira Hewabandu, Jon Emery Country: Australia

Adaptation of the BETTER intervention for chronic disease prevention and screening in low income neighbourhoods. Authors: Mary Ann O’Brien, Aisha Lofters, Andrew Pinto, Mary-Anne Pietrusiak, Cathie Snider, Eva Grunfeld, Tutsirai Makuwaza, Sylvie Cornacchi, Kawsika Sivayoganathan, Donna Manca, Nicolette Sopcak, Peter Selby, Robert Kyle, Lawrence Paszat Country: Canada

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Plenary Selected Oral Presentations

Wednesday, May 22, 2019

Location: Great Hall

Session Chair: Eva Grunfeld

Long-Term Impact of a Culturally Tailored Patient Navigation Program on Disparities in Breast

Cancer Screening in Refugee Women.

Authors: Sanja Percac-Lima, Sebastian A. Rodriguez-Torres, Wei He, Jeffrey M. Ashburner,

Anne Marie McCarthy

Country: United States of America

Development and validation of the African Women Awareness of CANcer (AWACAN) tool.

Authors: Jennifer Moodley, FM Walter, SE Scott, AD Mwaka, JN Githaiga, T Stewart, A Payne,

L Cairncross, N Somdyala, D Constant

Country: South Africa

Efficiency of primary care workers in screening and enabling remote diagnosis of oral pre-cancer

and cancer lesions among migrant tribal laborers using mobile technology in interior Tamil Nadu,

India.

Authors: Samuel Raj Srinivasan

Country: India

Delays and health service use experiences of uninsured cancer patients treated at two federal

hospitals in Mexico.

Authors: Karla Unger-Saldaña, Alejandro Mohar

Country: Mexico

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Interactive Poster Session Wednesday, May 22, 2019

Location: Great Hall

Potential impact of scaling lung cancer screening in Ontario, Canada.

Authors: Wayne deRuiter, Ahmad Mobin, Laurie Zawertailo, Dolly Baliunas, Nadia Minian,

Peter Selby

Country: Canada

Lung cancer screening (LCS) in a US Healthcare System: from efficacy trials to effectiveness

research in the new Population-Based Research to Optimize the Screening Process (PROSPR2)

Initiative.

Authors: Robert Greenlee, Deborah Multerer, Kurt Schoen, Oluwatosin Olaiya, Erik Kronholm,

Carla Rottscheit, Terry Foss, Diane Kohnhorst, DeeAnn Polacek, Lynda Kubacki-Meyer

Country: United States of America

Cancer screening information in primary care EMRs in Toronto, Canada: an assessment of data

quality (work in progress).

Authors: Michelle Greiver, Karen Tu, Braden O’Neill, Babak Aliarzadeh, Tao Chen, Sumeet Kalia,

Aisha Lofters

Country: Canada

GP Practice Screening Coverage in the Context of Their Patient Population Characteristics in

England.

Authors: Carina Crawford, Becky White, Sumit Sharma, Eugenia Lewes, Rachael Ogley,

Lucy Ironmonger

Country: England

Simcoe Muskoka Cancer Screening Hotline: Connecting communities to cancer screening.

Authors: Ryan Walsh, Danusia Gzik, Mark Unwin

Country: Canada

Variation in the initial assessment for ovarian cancer in symptomatic women: a systematic review

of international guidelines.

Authors: Garth Funston, Marije Van Melle, Marie-Louise Ladegaard Baun, Henry Jensen,

Charles Helsper, Jon Emery, Emma Crosbie, Matthew Thompson, Willie Hamilton, Fiona Walter

Country: England

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Pharmacist involvement in primary care and newer immunotherapy for non-small cell lung cancer.

Authors: Kiran Jyoti, Jitender Madan, M. Arockia Babu, Om Prakash Katare, Ramesh Chandra

Country: India

Assessing the changing lung cancer narratives using focus group discussions: The PEOPLE-HULL

study.

Authors: Julie Walabyeki, James Skinner, Sara Macdonald, Katriina Whitaker, Lorna Ruston,

Una Macleod, Elizabeth Mitchell

Country: England

Engaging the communities of Hull in lung health raising initiatives: PEOPLE-Hull Community events.

Authors: Lorna Ruston, Julie Walabyeki, James Skinner, Sara Macdonald, Katriina Whitaker,

Una Macleod, Elizabeth Mitchell

Country: England

Patients’ presentation of bodily sensations – An observational study of patient-provider

encounters in Swedish primary care.

Authors: Cecilia Hultstrand, Anna-Britt Coe, Mikael Lilja, Senada Hajdarevic

Country: Sweden

Faecal immunochemical test (FIT) to triage patients with lower abdominal symptoms for suspected

colorectal cancer in primary care: review of international use and guidelines.

Authors: Marije van Melle, Sarah ER Bailey, Samir IS Yep Manzano, Hugh Wilson,

Willie Hamilton, Fiona M Walter

Country: England

The usefulness of Faecal Immunochemical Tests alone and combined with blood counts in the

diagnosis of colorectal cancer in primary care in Sweden.

Authors: Cecilia Högberg, Stefan Jansson, Hans Thulesius, Olof Cronberg,

Ulf Gunnarsson, Mikael Lilja

Country: Sweden

Time to diagnosis - the diagnostic interval in investigation of colorectal cancer in northern Sweden.

A retrospective study.

Authors: Cecilia Högberg, Mikael Lilja, Catharina P Ingvarsson

Country: Sweden

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Duration of the diagnostic cancer care pathway in the Netherlands.

Authors: IAA Perfors, EA Noteboom, NJ de Wit, E van der Wall, GRIP study group,

AM May, CW Helsper

Country: The Netherlands

Study protocol of the BLANKET-trial: treating fear of cancer recurrence in primary care.

Authors: Y Luigjes, CW Helsper, ML van der Lee, NJ de Wit

Country: The Netherlands

How do European primary care practitioners think the timeliness of cancer diagnosis can be

improved? Results from an Örenäs Research Group study.

Authors: Michael Harris, Magdalena Esteva, Ana Luísa Neves, Peter Vedsted, Gordon Taylor,

Peter Murchie, on behalf of the Örenäs study group

Country: Switzerland

Realist evaluation of the implementation of Multi-Disciplinary Diagnostic Centres in England.

Authors: Greg Rubin, Ingrid Ablett-Spence, Jen Howse

Country: England

Development, validation and feasibility of a tool to survey patient experience of the MDC referral

pathway.

Authors: Greg Rubin, Jen Howse

Country: England

Implementing a standardized care pathway for patients with suspected cancer in primary health

care: an educational intervention.

Authors: Eliya Syed, Lena Törnkvist, Elinor Nemlander, Sarah Eklöf, Marika Larsson Lundgren,

Nazmije Kelmendi, Camilla Svensson

Country: Sweden

Wait times for breast cancer diagnosis and treatment in Ontario: A comparison of patients

diagnosed through specialized assessment units versus usual care.

Authors: Patti Groome, Colleen Webber, Marlo Whitehead, Andrea Eisen, Claire M.B. Holloway

Country: Canada

Factors associated with waiting time to breast cancer diagnosis among symptomatic patients: A

population-based study from Ontario, Canada.

Authors: Patti Groome, Colleen Webber, Marlo Whitehead, Andrea Eisen, Claire M.B. Holloway

Country: Canada

24

Factors associated with breast cancer screen detection and the diagnostic interval across five

Canadian provinces: a CanIMPACT study.

Authors: Patti Groome, Marcy Winget, Mary L. McBride, Kathleen Decker, Li Jiang,

Cynthia Kendell, Robin Urquhart, Khanh Vu, and Eva Grunfeld for the CanIMPACT Team

Country: Canada

Changes in primary care provider utilization by breast cancer phase of care: a CanIMPACT study.

Authors: Kathleen Decker, Natalie Biswanger, Rahim Moineddin, Patti Groome, Marcy Winget,

Cynthia Kendell, Mary McBride, Robin Urquhart, Marlo Whitehead, Eva Grunfeld, the Canadian

Team to Improve Community-Based Cancer Care Along the Continuum (CanIMPACT)

Country: Canada

Characterizing primary care use during active breast cancer treatment and wait times to receiving

chemotherapy: a work in progress.

Authors: Rachel Walsh, Aisha Lofters, Monika Krzyzanowska, Rahim Moineddin, Eva Grunfeld for

the Canadian Team to Improve Community-Based Cancer Care Along the Continuum

(CanIMPACT)

Country: Canada

Cross Canada differences in early stage breast cancer treatment and acute care utilization.

Authors: M Powis, PA Groome, N Biswanger, C Kendell, KM Decker, E Grunfeld, ML McBride,

R Urquhart, M Winget, GA Porter, M Krzyzanowska for the Canadian Team to Improve

Community-Based Cancer Care Along the Continuum (CanIMPACT)

Country: Canada

Nurse Navigation Program in Breast Cancer Care- Addressing Barriers to Care in a Medically

Underserved Population.

Authors: Zoneddy Dayao, Dianne Nielsen, Sandra Peacock

Country: United States of America

Shared decision making in cancer treatment; Needs and experiences of Dutch cancer patients.

Authors: EA Noteboom, AM May, E Visserman, V Engelen, E van der Wall, NJ de Wit, CW Helsper

Country: The Netherlands

Managing opioids and mitigating risk: A survey of attitudes, confidence and practices of oncology

health care professionals.

Authors: Alissa Tedesco, Jenny Lau, Jocelyn Brown, Lauren Hutton, Breffni Hannon

Country: Canada

25

Management of incidental genomic sequencing results in primary care: what are providers’

experiences and needs?

Authors: Agnes Sebastian, June C. Carroll, Meredith Vanstone, Marc Clausen, Rita Kodida, Emma

Reble, Chloe Mighton, Salma Shickh, Melyssa Aronson, Andrea Eisen, Christine Elser,

Raymond H. Kim, Jordan Lerner-Ellis, Yvonne Bombard

Country: Canada

Microcytosis as a risk marker for cancer in primary care: a cohort study using electronic patient

records.

Authors: Rhian Hopkins, Elizabeth Shephard, Sarah Bailey, Willie Hamilton

Country: England

A Retrospective Analysis of the Impact of Steroid Induced Hyperglycemia on Outcomes for

Individuals Diagnosed with Non-Hodgkin's Lymphoma Who Received an R-CHOP Chemotherapy

Regimen from January 1, 2010 to December 31, 2014.

Authors: Mark Kristjanson, Sonja Bruin, Kathleen Decker, Pascal Lambert

Country: Canada

The Distress Thermometer as a Prognostic Tool for One-Year Survival among Patients with Lung

Cancer.

Author: Olaf Geerse

Country: The Netherlands

Diagnostic accuracy of follow-up routines for the detection of recurrences in colorectal cancer

survivors treated with curative intent: systematic review and meta-analysis.

Authors: Geertje B Liemburg, Daan Brandenbarg, Saskia FA Duijts, Marjolein Y Berger,

Joke C Korevaar, Annette J Berendsen

Country: The Netherlands

Therapeutic Touch TM in a Geriatric Palliative Care unit - A Retrospective Review.

Author: Helen Senderovich

Country: Canada

Improving cancer surveillance for breast, colorectal, and prostate cancer survivors: Knowledge

synthesis and actionable recommendations for BETTER WISE.

Authors: M Shea-Budgell, D Campbell-Scherer, C Aguilar, K Aubrey-Bassler, A Lofters, E Grunfeld,

I Carneiro, D Manca

Country: Canada

26

Survivorship Care Plan provision: breast cancer survivors’ reported value and usefulness.

Authors: Genevieve Chaput, Michael Shulha, Tristan Williams, Reem El Sherif

Country: Canada

Empowerment through education: engaging breast cancer survivors in their survivorship care.

Authors: Genevieve Chaput, Tristan Williams, Blythe Fortier-McGill

Country: Canada

Fostering Interspeciality Learning in Cancer Survivorship Care: Learning suite results.

Authors: Genevieve Chaput, Tristan Williams, Joanne Alfieri, Scott Owen, Anna DePauw,

Blythe Fortier-McGill, Jonathan Sussman

Country: Canada

Need for education about cancer care and information about rehabilitation options: an

exploratory study in primary health care in Region Stockholm.

Authors: Pia Klernäs, Marie I Nilsson, Camilla Svensson, Nazmije Kelmendi, Elinor Nemlander,

Eliya Syed, Åsa Gisel, Sarah Eklöf

Country: Sweden

Cancer survivorship in Latin America.

Authors: Francisco Acevedo, Robert Pepen, Ann H. Partridge, Catherine M. Alfano,

Larissa Nekhlyudov

Country: United States of America

27

Breakout Sessions Thursday, May 23, 2019

Session 1 (10:15 – 11:15 AM)

Session Details Abstract Title, Authors, Country

Workshop: Canadian Team to Improve Community-Based Cancer Care along the Continuum (CanIMPACT) Location: Great Hall

Canadian Team to Improve Community-Based Cancer Care along the Continuum (CanIMPACT) Authors: Bojana Petrovic, June Carroll, Patti Groome, Mary McBride, Baukje Miedema, Eva Grunfeld on behalf of CanIMPACT Country: Canada

Improving cancer diagnostic decision-making in primary care. Location: East Common Room Session Chair: Jon Emery

Consultation frequency in general practice before cancer diagnosis in relation to the patient’s usual consultation pattern. Authors: Henry Jensen, Peter Vedsted, Henrik Møller Country: Denmark The role of others in appraising potential cancer symptoms. Authors: Rosalind Adam, Alison J Thornton, Alison M Elliott, Katriina L Whitaker, Philip C Hannaford, Susan Hall, Sarah Smith, Peter Murchie Country: Scotland Using clinical decision support tools to improve cancer diagnostic decision-making in primary care. Authors: Sophie Chima, Kristi Milley, Shakira Milton, Jennifer Walker, Jeanette Reece, Jon Emery Country: Australia How do primary care practitioners in different European countries compare in their diagnostic decision-making for patients that could have cancer? Results from an Örenäs Research Group study. Authors: Michael Harris, Magdalena Esteva, Gordon Taylor, Peter Murchie and Peter Vedsted, on behalf of the Örenäs study group Country: Switzerland

28

Screening and follow-up of abnormal results. Location: Debates Room Session Chair: Aisha Lofters

Psychological distress after a false-positive colorectal cancer screening test. Authors: D Brandenbarg, HC Westers, GI Veenstra, AJ Berendsen, MH Blanker Country: The Netherlands Transitions in Care Following an Abnormal FIT Result in a Mailed FIT Colorectal Cancer Screening Program: Qualitative Exploration of Patient Challenges and Motivations. Authors: Gloria Coronado, Amanda Petrik, Jamie Thompson, Jennifer Schneider, Jennifer Rivelli Country: United States of America A systems-level pragmatic trial using a predicted-risk model to improve completion rates of colorectal-cancer screening in community health centers. Authors: Gloria Coronado, Amanda Petrik, Ricardo Jimenez, Eric Johnson, Michael Leo, Jamie Thompson Country: United States of America Is Adherence to Cancer Screening Associated with Knowledge of Screening Guidelines? A Feasibility Study of Linking Self-reported Survey Data with Medical Records. Authors: Aisha Lofters, Deanna Telner, Sumeet Kalia, Morgan Slater Country: Canada

29

Session 2 (11:15 – 12:00 PM)

Session Details Abstract Title, Authors, Country

Having important conversations when seriously ill. Location: Debates Room Session Chair: Jonathan Sussman

The effect of prioritizing treatment goals on decision self-efficacy among older patients with cancer in a palliative setting (OPTion-study). Authors: M Stegmann, TJN Hiltermann, J Nuver, WH van Geffen, AJ Berendsen Country: The Netherlands Patient and Family Engagement in Primary Care Research: Lessons from the Meta-LARC Advance Care Planning Trial. Authors: Michelle Greiver, Kathy Kastner, Judy Katz, Annette Totten, Kirsten Wentlandt, Ivanka Pribramska, Keira Grant Country: Canada Promoting important conversations in primary care: a trial of advance care planning for seriously ill patients and their families. Authors: Michelle Greiver, Kathy Kastner, Judy Katz, Kirsten Wentlandt, Ivanka Pribramska, Keira Grant, Annette Totten Country: Canada

Innovations in cancer risk prediction. Location: East Common Room Session Chair: Stephen Taplin

Evaluating the usability of the CanRisk tool for predicting risk of breast and ovarian cancer: a mixed methods study. Authors: Stephanie Archer, Chantal Babb de Villiers, Fiona Scheibl, Andrew Lee, Alex P. Cunningham, Tim Carver, Douglas F. Easton, Jon Emery, Marc Tischkowitz, Antonis C. Antoniou, Fiona M. Walter Country: England The acceptability and feasibility of a genomic test in general practice to guide colorectal cancer screening Authors: Jennifer Walker, Sibel Saya, Ingrid Winship, Mark Clendenning, Jasmeen Oberoi, Shakira Milton, Mary Kyriakides, Dan Buchanan, Mark Jenkins, Jon Emery Country: Australia Exploring a novel method for optimising the implementation of a colorectal cancer risk prediction tool into primary care. Authors: Jennifer Walker, Shakira Milton, Jane Rinaldi, Joanne Kinder, Gaynor Hobjin, Allyson Callaghan, Jan Wallace, Prof Jon Emery Country: Australia

30

Cancer screening and prevention in marginalized communities. Location: Great Hall Session Chair: Annette Berendsen

Cancer screening rates among transgender adults: Cross-sectional analysis of primary care data. Authors: Dhanveer Singh, Tara Kiran, Sam Davie, Sue Hranilovic, Andrew D. Pinto, Alex Abramovich, Aisha Lofters Country: Ireland Cancer risk reduction in multicultural communities. Author: Arja Leppänen Country: Sweden Cervical Cancer Screening and Abnormal Cytology among Refugee Newcomers at a Primary Care Clinic in Toronto. Author: Vanessa Redditt, Shivani Chandra, Praseedha Janakiram, Meb Rashid, Vanessa Wright, Aisha Lofters, Sheila Dunn Country: Canada

Understanding pathways to cancer diagnosis. Location: Music Room Session Chair: Greg Rubin

Open two locks with one key: How understanding complex symptom presentations can improve earlier cancer diagnosis and reduce socioeconomic inequalities. Authors: Georgia Black, Katriina Whitaker, Dorothee Amelung, Suzanne Van Even Country: England The Route to and Experience of a Diagnosis of Head and Neck Cancer: a qualitative study with patients and health professionals. Authors: J Deane, J Patterson, L Sharp Country: England Pathway to Colorectal diagnosis in the Waikato: How effective is the primary care referral route? Authors: Ross Lawrenson, Sheena Moosa, Lynne Chepulis, Tania Blackmore, Mark Elwood, Melissa Firth, Rawiri Keenan, Brendan Hokowhitu, Jacquie Kidd, Tim Stokes, David Weller, Jon Emery Country: New Zealand

31

Plenary Selected Oral Presentations Thursday, May 23, 2019

Location: Great Hall

Session Chair: Aisha Lofters

Exploring the feasibility of using mobile phones to improve the management of clients with

cervical cancer precursor lesions.

Authors: Deborah Constant, Jennifer Moodley, Matthys H Botha, Frederick H van der Merwe,

Amanda Edwards, Mariette Momberg

Country: South Africa

Use of thermo-coagulation within a ‘screen and treat’ cervical cancer screening programme in

Malawi -outcomes at one year, professional perspectives, and client experience.

Authors: Christine Campbell, Beatrice Kabota, Harriet Chirwa, David Morton, Reynier Ter Haar,

Heather A Cubie

Country: Scotland

Fecal occult blood test screening uptake among immigrants from Muslim majority countries: A

retrospective cohort study in Ontario, Canada.

Authors: Mandana Vahabi, Aisha Lofters, Josephine Pui-Hing Wong, Ellison, L., Erin Graves,

Cynthia Damba, Richard H. Glazier

Country: Canada

Improving Tobacco Dependence Treatment Programs for Inuit: Co-creation of a culturally adapted

evidence-based program (IT’S TIME).

Authors: Rosa Dragonetti, Megan Barker, Peter Selby, Christine Lund

Country: Canada

32

Ca-PRI Abstract Review Panel

On behalf of the Ca-PRI Planning Committee, we would like to thank the following individuals for

being a member of the Ca-PRI Abstract Review Panel:

Aisha Lofters Ann Burchell Annette Berendsen Charles Helsper Christine Campbell David Weller

Denise Campbell-Scherer Diego Llovet Donna Manca Eva Grunfeld Fiona Walter Frank Sullivan Greg Rubin Henk van Weert Jeff Sisler Jon Emery Kris Aubrey-Brassler Larissa Nekhlyudov Lawrence Paszat Li Li Mary Ann O’Brien Melissa Shea-Budgell Michelle Greiver Monika Krzyanowska Patti Groome Paul Krueger Richard Neal Rosalind Adam Ruth Heisey Stephen Taplin Victoria Hammersley

33

Ca-PRI Planning Committee

On behalf of the Ca-PRI Executive Group, we would like to thank the following individuals for

being a member of the Ca-PRI Planning Committee:

David Weller

Christine Campbell

Victoria Hammersley

Eva Grunfeld

Mary Ann O’Brien

Aisha Lofters

Julia Baxter

Allison Mullin

Holly Downey