Anne-Claude Griesser - Academia.edu (original) (raw)
Papers by Anne-Claude Griesser
European Journal of Cancer Care, May 10, 2010
Socio-demographic predictors of high support needs in newly diagnosed breast cancer patients This... more Socio-demographic predictors of high support needs in newly diagnosed breast cancer patients This study aimed to identify high support needs and their socio-demographic predictors to improve supportive care for newly diagnosed breast cancer patients. A cross-sectional study measured patients' needs and unsatisfied support needs by the supportive care needs survey (SCNS-34), administered after surgery, chemotherapy or radiotherapy. Socio-demographic, disease and treatment characteristics completed data collection. A total of 308 questionnaires were completed with a response rate of 88%. The most frequent support needs (73.3% of patients) related to information and the highest unsatisfied support needs to the management of emotions and daily life (36.3-39.6% of patients). Younger age predicted high and dissatisfied support needs (P < 0.05). Patients born outside Switzerland or with a lower level of education had more needs in daily living and psychological domains (P < 0.05). Being born outside Switzerland also predicted dissatisfaction with information provided. Being parent was a predictor of significant needs in the daily living domain after adjusting for disease and treatment characteristics (P = 0.01). Therefore, information, psychological and daily living support for newly diagnosed breast cancer patients should be strongly reinforced, particularly in patients being born outside Switzerland, those with children or being younger. For the latter, support in sexuality domain should also be emphasised.
![Research paper thumbnail of [Do clinical pathways achieve the goal?]](https://attachments.academia-assets.com/114022903/thumbnails/1.jpg)
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Evidence shows that exceeding delay in discharge summary (DS) dissemination can have an impact on... more Evidence shows that exceeding delay in discharge summary (DS) dissemination can have an impact on patients' outcome such as unplanned readmissions, especially among complex patients. To decrease median delay for DS dissemination in our general internal medicine division, the process to produce the DS was completely reengineered using the electronic patient record. Results showed a decrease of 3.20 day for DS dissemination. Concomitantly the potentially avoidable readmission rate within 30 days for patients discharged to home showed a decrease of 2.00 % to reach 7.79%, being in the tolerance interval for the expected rate, whereas it was outside of the tolerance interval before the reengineered process.
Revue médicale suisse, 2009
La prise en charge diagnostique et therapeutique au stade initial du cancer de la prostate contin... more La prise en charge diagnostique et therapeutique au stade initial du cancer de la prostate continue a susciter d'importants debats au sein de la communaute medicale impliquee. Etablir un protocole de surveillance active ― option therapeutique validee depuis huit ans dans des conditions definies de la prise en charge du cancer localise de la prostate ― constitue une occasion unique de regrouper les competences des differents specialistes du domaine. Cet article presente ce concept.
Revue médicale suisse, 2009
La prise en charge diagnostique et therapeutique au stade initial du cancer de la prostate contin... more La prise en charge diagnostique et therapeutique au stade initial du cancer de la prostate continue a susciter d'importants debats au sein de la communaute medicale impliquee. Etablir un protocole de surveillance active ― option therapeutique validee depuis huit ans dans des conditions definies de la prise en charge du cancer localise de la prostate ― constitue une occasion unique de regrouper les competences des differents specialistes du domaine. Cet article presente ce concept.
PubMed, Oct 26, 2011
In order to prevent disparities in the management of breast cancer having a direct impact on the ... more In order to prevent disparities in the management of breast cancer having a direct impact on the prognosis of patients, to promote early detection and optimal treatment while considering the quality of life of patients, Breast Centers are being set up in Switzerland on the basis of existing models in Europe. The centers provide also follow-up of patients and are submitted to certification criteria established by the Swiss Society of Senology and the Swiss Cancer League. These criteria include in particular the expertise of specialists based on a sufficient volume of activity and training, compliance with recommendations of clinical practice, integration of supportive care and timeliness of care. The certification process is voluntary. A database enables the regular assessment of the provided care and of the compliance with standards. The aim and the modalities of the creation of the Breast Centers are discussed.
Revue médicale suisse, 2011
Annals of Oncology, 2013
This study assessed whether breast cancer (BC) patients express similar levels of needs for equiv... more This study assessed whether breast cancer (BC) patients express similar levels of needs for equivalent severity of symptoms, functioning difficulties, or degrees of satisfaction with care aspects. BC patients who did (or not) report needs in spite of similar difficulties were identified among their sociodemographic or clinical characteristics. Patients and methods: Three hundred and eighty-four (73% response rate) BC patients recruited in ambulatory or surgery hospital services completed the European Organisation for Research and Treatment of Cancer Quality of Life questionnaire (EORTC QLQ)-C30 quality of life [health-related quality of life (HRQOL)], the EORTC IN-PATSAT32 (inpatient) or OUT-PATSAT35 (out-patient) satisfaction with care, and the supportive care needs survey short form 34-item (SCNS-SF34) measures. Results: HRQOL or satisfaction with care scale scores explained 41%, 45%, 40% and 22% of variance in, respectively, psychological, physical/daily living needs, information/health system, and care/support needs (P < 0.001). BC patients' education level, having children, hospital service attendance, and anxiety/depression levels significantly predicted differences in psychological needs relative to corresponding difficulties (adjusted R 2 = 0.11). Medical history and anxiety/depression levels significantly predicted differences in information/health system needs relative to degrees of satisfaction with doctors, nurses, or radiotherapy technicians and general satisfaction (adjusted R 2 = 0.12). Unmet needs were most prevalent in the psychological domains across hospital services. Conclusions: Assessment of needs, HRQOL, and satisfaction with care highlights the subgroups of BC patients requiring better supportive care targeting.
European Journal of Cancer Care, 2012
Validation of the 34-item Supportive Care Needs Survey and 8-item Breast module French versions (... more Validation of the 34-item Supportive Care Needs Survey and 8-item Breast module French versions (SCNS-SF34-Fr and SCNS-BR8-Fr) in breast cancer patients This study aimed to assess the psychometric robustness of the French version of the Supportive Care Needs Survey and breast cancer (BC) module (SCNS-SF34-Fr and SCNS-BR8-Fr). Breast cancer patients were recruited in two hospitals (in Paris, France and Lausanne, Switzerland) either in ambulatory chemotherapy or radiotherapy, or surgery services. They were invited to complete the SCNS-SF34-Fr and SCNS-BR8-Fr as well as quality of life and patient satisfaction questionnaires. Three hundred and eighty-four (73% response rate) BC patients returned completed questionnaires. A five-factor model was confirmed for the SCNS-SF34-Fr with adequate goodness-of-fit indexes, although some items evidenced content redundancy, and a one-factor was identified for the SCNS-BR8-Fr. Internal consistency and test-retest estimates were satisfactory for most scales. The SCNS-SF34-Fr and SCNS-BR8-Fr scales demonstrated conceptual differences with the quality of life and satisfaction with care scales, highlighting the specific relevance of this assessment. Different levels of needs could be differentiated between groups of BC patients in terms of age and level of education (P < 0.001). The SCNS-SF34-Fr and SCNS-BR8-Fr present adequate psychometric properties despite some redundant items.
European Journal of Cancer Supplements, 2009
Cet article présente les résultats de la revue systématique: Rotter T, Kinsman L, James E, et al.... more Cet article présente les résultats de la revue systématique: Rotter T, Kinsman L, James E, et al. Clinical pathways : Effects on professional practice, patient outcomes, length of stay and hospital costs. Cochrane Database of Systematic Reviews 2010, Issue 3. Art. No:CD006632. DOI:10.1002/14651858.CD006632.pub2. PMID: 20238347
Veterinary Evidence
PICO question In cats with psychogenic alopecia, is overgrooming reduced by the use of clomiprami... more PICO question In cats with psychogenic alopecia, is overgrooming reduced by the use of clomipramine compared to untreated cats? Clinical bottom line Category of research question Treatment The number and type of study designs reviewed One pseudo-randomised controlled study Strength of evidence Weak Outcomes reported Effect of clomipramine using owner report of number, intensity, and / or duration of grooming episodes, owner reported clinical improvement, and veterinary measured alopecia, extent of tissue damage, and hair regrowth Conclusion The only controlled study found no evidence that clomipramine alone is effective in reducing grooming episodes, alopecia, or improved hair regrowth. Further research with randomised, double blind controlled trials and limitation of confounding factors is required to determine the efficacy of clomipramine alone or in addition to behavioural / environmental therapies How to apply this evidence in practice The application of evidence into practi...
British Journal of Surgery, 2013
Background Enhanced recovery protocols may reduce postoperative complications and length of hospi... more Background Enhanced recovery protocols may reduce postoperative complications and length of hospital stay. However, the implementation of these protocols requires time and financial investment. This study evaluated the cost-effectiveness of enhanced recovery implementation. Methods The first 50 consecutive patients treated during implementation of an enhanced recovery programme were compared with 50 consecutive patients treated in the year before its introduction. The enhanced recovery protocol principally implemented preoperative counselling, reduced preoperative fasting, preoperative carbohydrate loading, avoidance of premedication, optimized fluid balance, standardized postoperative analgesia, use of a no-drain policy, as well as early nutrition and mobilization. Length of stay, readmissions and complications within 30 days were compared. A cost-minimization analysis was performed. Results Hospital stay was significantly shorter in the enhanced recovery group: median 7 (interquar...
Objective. Collaborative quality improvement pro- grams have been successfully used to manage chr... more Objective. Collaborative quality improvement pro- grams have been successfully used to manage chronic diseases in adults and acute lung complica- tions in premature infants. Their effectiveness to improve pain management in acute care hospitals is currently unknown. The purpose of this study was to determine whether a collaborative quality improve- ment program implemented at hospital level could improve pain management and overall pain relief. Design. To assess the effectiveness of the pro- gram, we performed a before-after trial comparing patient's self-reported pain management and expe- rience before and after program implementation. We included all adult patients hospitalized for more than 24 hours and discharged either to their home or to a nursing facility, between March 1, 2001 and March 31, 2001 (before program implementation) and
All in-text references underlined in blue are linked to publications on ResearchGate, letting you... more All in-text references underlined in blue are linked to publications on ResearchGate, letting you access and read them immediately.
Revue medicale suisse, 2015
Early readmission is the major success indicator of the transition between hospital and home. Pat... more Early readmission is the major success indicator of the transition between hospital and home. Patients admitted with heart failure reach a 20% rate. Potentially avoidable readmissions, defined as unpredictable and related to a known condition during index hospitalization, represent the improvement margin. For these latter, implementation of specific interventions can be effective. Complex interventions on transition, including several modalities and seeking to encourage patient autonomy seem more effective than others. We describe two models: a pragmatic one developed in a regional hospital, and a more complex one developed in a university hospital during the LEAR-HF study. In both cases, it is imperative to work on "medical liability": should it extend beyond discharge up to the threshold of the private practice?
British Journal of Surgery, 2015
Background Enhanced recovery after surgery (ERAS) programmes have been shown to decrease complica... more Background Enhanced recovery after surgery (ERAS) programmes have been shown to decrease complications and hospital stay. The cost-effectiveness of such programmes has been demonstrated for colorectal surgery. This study aimed to assess the economic outcomes of a standard ERAS programme for pancreaticoduodenectomy. Methods ERAS for pancreaticoduodenectomy was implemented in October 2012. All consecutive patients who underwent pancreaticoduodenectomy until October 2014 were recorded. This group was compared in terms of costs with a cohort of consecutive patients who underwent pancreaticoduodenectomy between January 2010 and October 2012, before ERAS implementation. Preoperative, intraoperative and postoperative real costs were collected for each patient via the hospital administration. A bootstrap independent t test was used for comparison. ERAS-specific costs were integrated into the model. Results The groups were well matched in terms of demographic and surgical details. The over...
European Journal of Oncology Nursing, 2015
ABSTRACT Advanced Practice Lung Cancer Nurses (APLCN) are well-established in several countries b... more ABSTRACT Advanced Practice Lung Cancer Nurses (APLCN) are well-established in several countries but their role has yet to be established in Switzerland. Developing an innovative nursing role requires a structured approach to guide successful implementation and to meet the overarching goal of improved nursing sensitive patient outcomes. The "Participatory, Evidence-based, Patient-focused process, for guiding the development, implementation, and evaluation of advanced practice nursing" (PEPPA framework) is one approach that was developed in the context of the Canadian health system. The purpose of this article is to describe the development of an APLCN model at a Swiss Academic Medical Center as part of a specialized Thoracic Cancer Center and to evaluate the applicability of PEPPA framework in this process. In order to develop and implement the APLCN role, we applied the first seven phases of the PEPPA framework. This article spreads the applicability of the PEPPA framework for an APLCN development. This framework allowed us to i) identify key components of an APLCN model responsive to lung cancer patients' health needs, ii) identify role facilitators and barriers, iii) implement the APLCN role and iv) design a feasibility study of this new role. The PEPPA framework provides a structured process for implementing novel Advanced Practice Nursing roles in a local context, particularly where such roles are in their infancy. Two key points in the process include assessing patients' health needs and involving key stakeholders. Copyright © 2015 Elsevier Ltd. All rights reserved.
European Journal of Cancer Care, May 10, 2010
Socio-demographic predictors of high support needs in newly diagnosed breast cancer patients This... more Socio-demographic predictors of high support needs in newly diagnosed breast cancer patients This study aimed to identify high support needs and their socio-demographic predictors to improve supportive care for newly diagnosed breast cancer patients. A cross-sectional study measured patients' needs and unsatisfied support needs by the supportive care needs survey (SCNS-34), administered after surgery, chemotherapy or radiotherapy. Socio-demographic, disease and treatment characteristics completed data collection. A total of 308 questionnaires were completed with a response rate of 88%. The most frequent support needs (73.3% of patients) related to information and the highest unsatisfied support needs to the management of emotions and daily life (36.3-39.6% of patients). Younger age predicted high and dissatisfied support needs (P < 0.05). Patients born outside Switzerland or with a lower level of education had more needs in daily living and psychological domains (P < 0.05). Being born outside Switzerland also predicted dissatisfaction with information provided. Being parent was a predictor of significant needs in the daily living domain after adjusting for disease and treatment characteristics (P = 0.01). Therefore, information, psychological and daily living support for newly diagnosed breast cancer patients should be strongly reinforced, particularly in patients being born outside Switzerland, those with children or being younger. For the latter, support in sexuality domain should also be emphasised.
Evidence shows that exceeding delay in discharge summary (DS) dissemination can have an impact on... more Evidence shows that exceeding delay in discharge summary (DS) dissemination can have an impact on patients' outcome such as unplanned readmissions, especially among complex patients. To decrease median delay for DS dissemination in our general internal medicine division, the process to produce the DS was completely reengineered using the electronic patient record. Results showed a decrease of 3.20 day for DS dissemination. Concomitantly the potentially avoidable readmission rate within 30 days for patients discharged to home showed a decrease of 2.00 % to reach 7.79%, being in the tolerance interval for the expected rate, whereas it was outside of the tolerance interval before the reengineered process.
Revue médicale suisse, 2009
La prise en charge diagnostique et therapeutique au stade initial du cancer de la prostate contin... more La prise en charge diagnostique et therapeutique au stade initial du cancer de la prostate continue a susciter d'importants debats au sein de la communaute medicale impliquee. Etablir un protocole de surveillance active ― option therapeutique validee depuis huit ans dans des conditions definies de la prise en charge du cancer localise de la prostate ― constitue une occasion unique de regrouper les competences des differents specialistes du domaine. Cet article presente ce concept.
Revue médicale suisse, 2009
La prise en charge diagnostique et therapeutique au stade initial du cancer de la prostate contin... more La prise en charge diagnostique et therapeutique au stade initial du cancer de la prostate continue a susciter d'importants debats au sein de la communaute medicale impliquee. Etablir un protocole de surveillance active ― option therapeutique validee depuis huit ans dans des conditions definies de la prise en charge du cancer localise de la prostate ― constitue une occasion unique de regrouper les competences des differents specialistes du domaine. Cet article presente ce concept.
PubMed, Oct 26, 2011
In order to prevent disparities in the management of breast cancer having a direct impact on the ... more In order to prevent disparities in the management of breast cancer having a direct impact on the prognosis of patients, to promote early detection and optimal treatment while considering the quality of life of patients, Breast Centers are being set up in Switzerland on the basis of existing models in Europe. The centers provide also follow-up of patients and are submitted to certification criteria established by the Swiss Society of Senology and the Swiss Cancer League. These criteria include in particular the expertise of specialists based on a sufficient volume of activity and training, compliance with recommendations of clinical practice, integration of supportive care and timeliness of care. The certification process is voluntary. A database enables the regular assessment of the provided care and of the compliance with standards. The aim and the modalities of the creation of the Breast Centers are discussed.
Revue médicale suisse, 2011
Annals of Oncology, 2013
This study assessed whether breast cancer (BC) patients express similar levels of needs for equiv... more This study assessed whether breast cancer (BC) patients express similar levels of needs for equivalent severity of symptoms, functioning difficulties, or degrees of satisfaction with care aspects. BC patients who did (or not) report needs in spite of similar difficulties were identified among their sociodemographic or clinical characteristics. Patients and methods: Three hundred and eighty-four (73% response rate) BC patients recruited in ambulatory or surgery hospital services completed the European Organisation for Research and Treatment of Cancer Quality of Life questionnaire (EORTC QLQ)-C30 quality of life [health-related quality of life (HRQOL)], the EORTC IN-PATSAT32 (inpatient) or OUT-PATSAT35 (out-patient) satisfaction with care, and the supportive care needs survey short form 34-item (SCNS-SF34) measures. Results: HRQOL or satisfaction with care scale scores explained 41%, 45%, 40% and 22% of variance in, respectively, psychological, physical/daily living needs, information/health system, and care/support needs (P < 0.001). BC patients' education level, having children, hospital service attendance, and anxiety/depression levels significantly predicted differences in psychological needs relative to corresponding difficulties (adjusted R 2 = 0.11). Medical history and anxiety/depression levels significantly predicted differences in information/health system needs relative to degrees of satisfaction with doctors, nurses, or radiotherapy technicians and general satisfaction (adjusted R 2 = 0.12). Unmet needs were most prevalent in the psychological domains across hospital services. Conclusions: Assessment of needs, HRQOL, and satisfaction with care highlights the subgroups of BC patients requiring better supportive care targeting.
European Journal of Cancer Care, 2012
Validation of the 34-item Supportive Care Needs Survey and 8-item Breast module French versions (... more Validation of the 34-item Supportive Care Needs Survey and 8-item Breast module French versions (SCNS-SF34-Fr and SCNS-BR8-Fr) in breast cancer patients This study aimed to assess the psychometric robustness of the French version of the Supportive Care Needs Survey and breast cancer (BC) module (SCNS-SF34-Fr and SCNS-BR8-Fr). Breast cancer patients were recruited in two hospitals (in Paris, France and Lausanne, Switzerland) either in ambulatory chemotherapy or radiotherapy, or surgery services. They were invited to complete the SCNS-SF34-Fr and SCNS-BR8-Fr as well as quality of life and patient satisfaction questionnaires. Three hundred and eighty-four (73% response rate) BC patients returned completed questionnaires. A five-factor model was confirmed for the SCNS-SF34-Fr with adequate goodness-of-fit indexes, although some items evidenced content redundancy, and a one-factor was identified for the SCNS-BR8-Fr. Internal consistency and test-retest estimates were satisfactory for most scales. The SCNS-SF34-Fr and SCNS-BR8-Fr scales demonstrated conceptual differences with the quality of life and satisfaction with care scales, highlighting the specific relevance of this assessment. Different levels of needs could be differentiated between groups of BC patients in terms of age and level of education (P < 0.001). The SCNS-SF34-Fr and SCNS-BR8-Fr present adequate psychometric properties despite some redundant items.
European Journal of Cancer Supplements, 2009
Cet article présente les résultats de la revue systématique: Rotter T, Kinsman L, James E, et al.... more Cet article présente les résultats de la revue systématique: Rotter T, Kinsman L, James E, et al. Clinical pathways : Effects on professional practice, patient outcomes, length of stay and hospital costs. Cochrane Database of Systematic Reviews 2010, Issue 3. Art. No:CD006632. DOI:10.1002/14651858.CD006632.pub2. PMID: 20238347
Veterinary Evidence
PICO question In cats with psychogenic alopecia, is overgrooming reduced by the use of clomiprami... more PICO question In cats with psychogenic alopecia, is overgrooming reduced by the use of clomipramine compared to untreated cats? Clinical bottom line Category of research question Treatment The number and type of study designs reviewed One pseudo-randomised controlled study Strength of evidence Weak Outcomes reported Effect of clomipramine using owner report of number, intensity, and / or duration of grooming episodes, owner reported clinical improvement, and veterinary measured alopecia, extent of tissue damage, and hair regrowth Conclusion The only controlled study found no evidence that clomipramine alone is effective in reducing grooming episodes, alopecia, or improved hair regrowth. Further research with randomised, double blind controlled trials and limitation of confounding factors is required to determine the efficacy of clomipramine alone or in addition to behavioural / environmental therapies How to apply this evidence in practice The application of evidence into practi...
British Journal of Surgery, 2013
Background Enhanced recovery protocols may reduce postoperative complications and length of hospi... more Background Enhanced recovery protocols may reduce postoperative complications and length of hospital stay. However, the implementation of these protocols requires time and financial investment. This study evaluated the cost-effectiveness of enhanced recovery implementation. Methods The first 50 consecutive patients treated during implementation of an enhanced recovery programme were compared with 50 consecutive patients treated in the year before its introduction. The enhanced recovery protocol principally implemented preoperative counselling, reduced preoperative fasting, preoperative carbohydrate loading, avoidance of premedication, optimized fluid balance, standardized postoperative analgesia, use of a no-drain policy, as well as early nutrition and mobilization. Length of stay, readmissions and complications within 30 days were compared. A cost-minimization analysis was performed. Results Hospital stay was significantly shorter in the enhanced recovery group: median 7 (interquar...
Objective. Collaborative quality improvement pro- grams have been successfully used to manage chr... more Objective. Collaborative quality improvement pro- grams have been successfully used to manage chronic diseases in adults and acute lung complica- tions in premature infants. Their effectiveness to improve pain management in acute care hospitals is currently unknown. The purpose of this study was to determine whether a collaborative quality improve- ment program implemented at hospital level could improve pain management and overall pain relief. Design. To assess the effectiveness of the pro- gram, we performed a before-after trial comparing patient's self-reported pain management and expe- rience before and after program implementation. We included all adult patients hospitalized for more than 24 hours and discharged either to their home or to a nursing facility, between March 1, 2001 and March 31, 2001 (before program implementation) and
All in-text references underlined in blue are linked to publications on ResearchGate, letting you... more All in-text references underlined in blue are linked to publications on ResearchGate, letting you access and read them immediately.
Revue medicale suisse, 2015
Early readmission is the major success indicator of the transition between hospital and home. Pat... more Early readmission is the major success indicator of the transition between hospital and home. Patients admitted with heart failure reach a 20% rate. Potentially avoidable readmissions, defined as unpredictable and related to a known condition during index hospitalization, represent the improvement margin. For these latter, implementation of specific interventions can be effective. Complex interventions on transition, including several modalities and seeking to encourage patient autonomy seem more effective than others. We describe two models: a pragmatic one developed in a regional hospital, and a more complex one developed in a university hospital during the LEAR-HF study. In both cases, it is imperative to work on "medical liability": should it extend beyond discharge up to the threshold of the private practice?
British Journal of Surgery, 2015
Background Enhanced recovery after surgery (ERAS) programmes have been shown to decrease complica... more Background Enhanced recovery after surgery (ERAS) programmes have been shown to decrease complications and hospital stay. The cost-effectiveness of such programmes has been demonstrated for colorectal surgery. This study aimed to assess the economic outcomes of a standard ERAS programme for pancreaticoduodenectomy. Methods ERAS for pancreaticoduodenectomy was implemented in October 2012. All consecutive patients who underwent pancreaticoduodenectomy until October 2014 were recorded. This group was compared in terms of costs with a cohort of consecutive patients who underwent pancreaticoduodenectomy between January 2010 and October 2012, before ERAS implementation. Preoperative, intraoperative and postoperative real costs were collected for each patient via the hospital administration. A bootstrap independent t test was used for comparison. ERAS-specific costs were integrated into the model. Results The groups were well matched in terms of demographic and surgical details. The over...
European Journal of Oncology Nursing, 2015
ABSTRACT Advanced Practice Lung Cancer Nurses (APLCN) are well-established in several countries b... more ABSTRACT Advanced Practice Lung Cancer Nurses (APLCN) are well-established in several countries but their role has yet to be established in Switzerland. Developing an innovative nursing role requires a structured approach to guide successful implementation and to meet the overarching goal of improved nursing sensitive patient outcomes. The "Participatory, Evidence-based, Patient-focused process, for guiding the development, implementation, and evaluation of advanced practice nursing" (PEPPA framework) is one approach that was developed in the context of the Canadian health system. The purpose of this article is to describe the development of an APLCN model at a Swiss Academic Medical Center as part of a specialized Thoracic Cancer Center and to evaluate the applicability of PEPPA framework in this process. In order to develop and implement the APLCN role, we applied the first seven phases of the PEPPA framework. This article spreads the applicability of the PEPPA framework for an APLCN development. This framework allowed us to i) identify key components of an APLCN model responsive to lung cancer patients' health needs, ii) identify role facilitators and barriers, iii) implement the APLCN role and iv) design a feasibility study of this new role. The PEPPA framework provides a structured process for implementing novel Advanced Practice Nursing roles in a local context, particularly where such roles are in their infancy. Two key points in the process include assessing patients' health needs and involving key stakeholders. Copyright © 2015 Elsevier Ltd. All rights reserved.