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This report also highlights an example of adapting curative intent treatment to an individual with complex needs, and the importance of patient and family involvement in decision-making to ensure these vulnerable patients receive safe and effective healthcare. The practicalities of multidisciplinary team working in the context of key legislation and existing frameworks to guide practice in the management of LD patients are also discussed.<\/jats:p>","DOI":"10.1136\/bcr-2018-227330","type":"journal-article","created":{"date-parts":[[2019,11,14]],"date-time":"2019-11-14T05:25:37Z","timestamp":1573709137000},"page":"e227330","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["The management of patients with learning difficulties and testicular cancer: overcoming barriers to improve care"],"prefix":"10.1136","volume":"12","author":[{"given":"Charlotte Emily","family":"Mott","sequence":"first","affiliation":[{"name":"Department of Medical Oncology, St Bartholomew's Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenrick","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, St Bartholomew's Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Constantine","family":"Alifrangis","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, St Bartholomew's Hospital, London, UK"},{"name":"Oncology, University College London Hospitals NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,11,13]]},"reference":[{"key":"2025082709224052000_12.11.e227330.1","unstructured":"Public Health England. 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