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Regional multidisciplinary team intervention programme to improve colorectal cancer outcomes: study protocol for the Yorkshire Cancer Research Bowel Cancer Improvement Programme (YCR BCIP)
  1. John Taylor1,
  2. Penny Wright2,
  3. Hannah Rossington1,
  4. Jackie Mara1,
  5. Amy Glover3,
  6. Nick West3,
  7. Eva Morris1,
  8. Phillip Quirke3
  9. On behalf of YCR BCIP study group
    1. 1 Section of Epidemiology and Biostatistics, University of Leeds, Leeds Institute of Cancer and Pathology, Leeds, UK
    2. 2 Section of Patient Centred Outcome Research, University of Leeds, Leeds Institute of Cancer and Pathology, Leeds, UK
    3. 3 Section of Pathology and Tumour Biology, University of Leeds, Leeds Institute of Cancer and Pathology, Leeds, UK
    1. Correspondence to Mr John Taylor; j.c.taylor{at}


    Introduction Although colorectal cancer outcomes in England are improving, they remain poorer than many comparable countries. Yorkshire Cancer Research has, therefore, established a Bowel Cancer Improvement Programme (YCR BCIP) to improve colorectal cancer outcomes within Yorkshire and Humber, a region representative of the nation. It aims to do this by quantifying variation in practice, engaging with the colorectal multidisciplinary teams (MDTs) to understand this and developing educational interventions to minimise it and improve outcomes.

    Methods and analysis Initially, routine health datasets will be used to quantify variation in the demographics, management and outcomes of patients across the Yorkshire and Humber region and results presented to MDTs. The YCR BCIP is seeking to supplement these existing data with patient-reported health-related quality of life information (patient-reported outcome measures, PROMs) and tissue sample analysis. Specialty groups (surgery, radiology, pathology, clinical oncology, medical oncology, clinical nurse specialists and anaesthetics) have been established to provide oversight and direction for their clinical area within the programme, to review data and analysis and to develop appropriate educational initiatives.

    Ethics and dissemination The YCR BCIP is aiming to address the variation in practice to significantly improve colorectal cancer outcomes across the Yorkshire and Humber region. PROMs and tissue sample collection and analysis will help to capture the information required to fully assess care in the region. Engagement of the region’s MDTs with their data will lead to a range of educational initiatives, studies and clinical audits that aim to optimise practice across the region.

    • quality in health care
    • gastrointestinal tumours
    • public health
    • statistics & research methods
    • epidemiology

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    • Collaborators YCR BCIP study group: Paul Finan, Nicholas West, Matthew Seymour, David Sebag-Montefoire, Daniel Swinson, Damian Tolan, Simon Howell, Peter Brown, Aidan Hindley, Emily Boldison.

    • Contributors PQ is the principal investigator. NW, PW and EM are coinvestigators and/or workstream leads. Together these authors conceived and designed the study. HR and JM managed the study. JT provided statistical support. AG provided pathology support. All authors contributed to writing of the manuscript and have approved a final version.

    • Funding This work was funded by Yorkshire Cancer Research (Award reference number L394). PQ holds an NIHR Senior Investigator award. The UK Colorectal Cancer Intelligence Hub is supported by Cancer Research UK (C23434/A23706).

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Provenance and peer review Not commissioned; externally peer reviewed.

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