Abstract Body

Introduction

Cancer (Ca) is the 10th most common chronic condition among patients with multimorbidity (MM) in Lithuania. MM negatively influences patients‘ attendance in Ca prevention programs. Despite 4 national Ca screening programs (cervical, prostate, colorectal and breast Ca) being conducted in Lithuania, they don’t include other frequent Ca localizations – like lung, skin, kidney and pancreatic. MM causes difficulties for timely diagnosis and is associated with advanced stages of Ca at detection, which is related to higher economic burden.

„Telelispa“ project, funded by EU, is aiming to provide better quality and accessibility of medical care for MM patients and will be carried out in 2020-2022 in Lithuania. Early Ca detection among MM patients is one of the planned aims of the project.

Method

At least 385 patients with MM and 385 in control group from 7 different urban and rural primary health care facilities will be enrolled in this project.

The family physician, along with well-trained case manager, will perform the holistic evaluation for MM patients, including:

1. An extensive evaluation of risk factors and family history for Ca, a comprehensive review of attendance in the national Ca screening programs using originally developed Holistic Questionnaire

2. Physical examination, including teledermatoscopy.

3. Assignment of routine primary care tests if not performed within a year – blood tests, chest X-ray and abdominal ultrasound.

4. In case of suspected Ca, family physician will refer the patient to appropriate specialist using pre-arranged direct-access consultation (nationally not available).

Results and conclusion

Ongoing project.