Oncologists’ Experience with Patients with Second Primary Cancer and the Attitudes toward Second Primary Cancer Screening: A Nationwide Survey
1
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Purpose Screening for second primary cancer (SPC) is one of the key components to survivorshipcare. We aim to evaluate the oncologists’ experience with SPCs and assess the currentpractice, perceived barriers, and recommendations related to SPC screening. Materials and MethodsA nationwide survey was conducted with a representative sample of 496 Korean oncologists. A questionnaire based on the findings from our previous qualitative study was administered. ResultsMore than three-fourths of oncologists (76.3%), who participated in the study, had experiencewith SPC patients. Over half of them (51.9%) stated that it was an embarrassingexperience. While the current management practice for SPC varies, most oncologists(80.2%) agreed on the necessity in proactively providing information on SPC screening. Ashort consultation time (52.3%), lack of guidelines and evidence on SPC screening (47.7%),and patients’ lack of knowledge about SPCs (45.1%) or SPC screening (41.4%) were mostfrequently reported as barriers to providing appropriate care for managing SPC. Oncologistsrecommended the development of specific screening programs or guidelines in accordanceto the type of primary cancer (65.9%), the development of an internal system for SPC screeningwithin the hospital (59.7%) or systematic connection with the national cancer screeningprogram (44.3%), and education of oncologists (41.4%) as well as patients (48.9%) regardingSPC screening. ConclusionMany oncologists reported the occurrence of SPC as an embarrassing experience. Giventhe variations in current practice and the lack of consensus, further studies are warrantedto develop the optimal clinical strategy to provide SPC screening for cancer survivors.
Abstract
Purpose Screening for second primary cancer (SPC) is one of the key components to survivorshipcare. We aim to evaluate the oncologists’ experience with SPCs and assess the currentpractice, perceived barriers, and recommendations related to SPC screening. Materials and MethodsA nationwide survey was conducted with a representative sample of 496 Korean oncologists. A questionnaire based on the findings from our previous qualitative study was administered. ResultsMore than three-fourths of oncologists (76.3%), who participated in the study, had experiencewith SPC patients. Over half of them (51.9%) stated that it was an embarrassingexperience. While the current management practice for SPC varies, most oncologists(80.2%) agreed on the necessity in proactively providing information on SPC screening. Ashort consultation time (52.3%), lack of guidelines and evidence on SPC screening (47.7%),and patients’ lack of knowledge about SPCs (45.1%) or SPC screening (41.4%) were mostfrequently reported as barriers to providing appropriate care for managing SPC. Oncologistsrecommended the development of specific screening programs or guidelines in accordanceto the type of primary cancer (65.9%), the development of an internal system for SPC screeningwithin the hospital (59.7%) or systematic connection with the national cancer screeningprogram (44.3%), and education of oncologists (41.4%) as well as patients (48.9%) regardingSPC screening. ConclusionMany oncologists reported the occurrence of SPC as an embarrassing experience. Giventhe variations in current practice and the lack of consensus, further studies are warrantedto develop the optimal clinical strategy to provide SPC screening for cancer survivors.
참고문헌 (25)
- New malignancies among cancer survivors:SEER cancer registries, 1973-2000, "Curtis RE", National Cancer Institute, ~ (2006)
- Dong C, "Second primary neoplasms in 633, 964cancer patients in Sweden, 1958-1996", Int J Cancer, 93, pp.155~161 (2001)
- SEER cancer statistics review, 1975-2006, "Horner MJ", National Cancer Institute, ~ (2009)
- Jemal A, "Annual report to the nation on the status of cancer, 1975-2001, with a special feature regarding survival", Cancer, 101, pp.3~27 (2004)
- Weir HK, "Annual report to the nation on the status of cancer, 1975-2000, featuring the uses of surveillance data for cancer prevention and control", J Natl Cancer Inst, 95, pp.1276~1299 (2003)
- Yabroff KR, "Burden of illness in cancer survivors : findings from a population-based national sample", J Natl Cancer Inst, 96, pp.1322~1330 (2004)
- 정규원, "Cancer Statistics in Korea: Incidence, Mortality and Survival in 2006-2007", Journal of Korean Medical Science, 25(8), pp.1113~1121 (2010), 대한의학회
- Schaapveld M, "Risk of new primary nonbreast cancers after breast cancer treatment : a Dutch population-based study", J Clin Oncol, 26, pp.1239~1246 (2008)
- Mandel JS, "Reducing mortality from colorectal cancer by screening for fecal occult blood. Minnesota Colon Cancer Control Study", N Engl J Med, 328, pp.1365~1371 (1993)
- Cheung WY, "Comparisons of patient and physician expectations for cancer survivorship care", J Clin Oncol, 27, pp.2489~2495 (2009)
- Buchler T, "Detection of second malignancies during long-term follow-up of testicular cancer survivors", Cancer, 117, pp.4212~4218 (2011)
- Cho J, "A comparison of cancer screening practices in cancer survivors and in the general population : the Korean National Health and Nutrition Examination Survey(KNHANES)2001-2007", Cancer Causes Control, 21, pp.2203~2212 (2010)
- Suh B, "Mode of primary cancer detection as an indicator of screening practice for second primary cancer in cancer survivors : a nationwide survey in Korea", BMC Cancer, 12, pp.557~ (2012)
- Shin DW, "Efficacy of an educational material on second primary cancer screening practice for cancer survivors: a randomized controlled trial", PLoS One, 7, pp.e33238~ (2012)
- Earle CC, "Under use of necessary care among cancer survivors", Cancer, 101, pp.1712~1719 (2004)
- Mayer DK, "Screening practices in cancer survivors", J Cancer Surviv, 1, pp.17~26 (2007)
- Earle CC, "Quality of non-breast cancer health maintenance among elderly breast cancer survivors", J Clin Oncol, 21, pp.1447~1451 (2003)
- Trask PC, "Cancer screening practices among cancer survivors", Am J Prev Med, 28, pp.351~356 (2005)
- Shin DW, "Knowledge, attitudes, and practice on second primary cancer screening among cancer survivors : a qualitative study", Patient Educ Couns, 85, pp.74~78 (2011)
- Shin DW, "Knowledge, attitudes, risk perception, and cancer screening behaviors among cancer survivors", Cancer, 117, pp.3850~3859 (2011)
- Shin DW, "Oncologists experience with second primary cancer screening : current practices and barriers and potential solutions", Asian Pac J Cancer Prev, 13, pp.671~676 (2012)
- Shin DW, "Predictors and outcomes of feeling of insufficient consultation time in cancer care in Korea : results of a nationwide multicenter survey", Support Care Cancer, 20, pp.1965~1973 (2012)
- Howie JG, "Long to short consultation ratio : a proxy measure of quality of care for general practice", Br J Gen Pract, 41, pp.48~54 (1991)
- Status of the medical oncology workforce, "The American Society of Clinical Oncology", J Clin Oncol, 14, pp.2612~2621 (1996)
- Cegala DJ, "The effects of communication skills training on patients' participation during medical interviews", Patient Educ Couns, 41, pp.209~222 (2000)