Palliative Radiotherapy Knowledge Among Community Family Physicians and Nurses

Berrang, Tanya; Samant, Rajiv

doi:10.1080/08858190802039136

Cited by 11 publications

(9 citation statements)

References 31 publications

(46 reference statements)

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“…In the context of radiotherapy this is of concern because the data are consistent with the published literature on clinical practice (Samant 2001;Lutz et al 2004Lutz et al , 2007Samant et al 2006;Berrang & Samant 2008) in which not all patients have been appropriately advised or referred. In the context of radiotherapy this is of concern because the data are consistent with the published literature on clinical practice (Samant 2001;Lutz et al 2004Lutz et al , 2007Samant et al 2006;Berrang & Samant 2008) in which not all patients have been appropriately advised or referred.…”

Section: Resultssupporting

confidence: 56%

Management of cases that might benefit from radiotherapy: a standardised patient study in primary care

Halkett

Jiwa

O'Shea

et al. 2011

European Journal of Cancer Care

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The aim of this study was to assess general practitioner (GP) consultations with standardised patients presenting with cancer-related problems that might benefit from radiotherapy. Standardised patient scenarios were constructed with indications for radiotherapy or with side effects of radiotherapy. Six GPs consulted six standardised patients. All consultations were video recorded. Two GPs independently rated the consultation performance using the Leicester Assessment Package (LAP). Each consultation was also assessed by two radiation oncologists to assess specific decisions taken or advice offered to 'patients' in each case. The mean duration of consultations was 13 min and 55 s. Three GPs differed significantly (P < 0.025) in competencies measured by the LAP, but not as assessed by radiation oncologists. There was no significant difference in LAP scores when reviewed by scenario. However, there was significant differences in the management of the case with prostate cancer (P= 0.005) and data suggest that GPs management of different problems presented varied widely. These data are consistent with the published literature which suggests that in practice not all patients are appropriately advised or referred. There is a need for innovations to support GPs to manage patients who would benefit from radiotherapy.

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Section: Resultssupporting

confidence: 56%

Management of cases that might benefit from radiotherapy: a standardised patient study in primary care

Halkett

Jiwa

O'Shea

et al. 2011

European Journal of Cancer Care

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“…Studies from Canada and the Netherlands have also reported that some GPs may have limited knowledge about the indications for palliative radiotherapy (Samant et al . ; Berrang & Samant ; Vulto et al . ).…”

Section: Discussionmentioning

confidence: 99%

“…Further to this, our previous work with Australian GPs offers some evidence that patients with advanced cancer are not always referred appropriately or in line with specialist practice. Studies from Canada and the Netherlands have also reported that some GPs may have limited knowledge about the indications for palliative radiotherapy (Samant et al 2006;Berrang & Samant 2008;Vulto et al 2009).…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…There has been much research exploring GPs perspectives and knowledge about cancer treatment and radiotherapy and ways to induct GPs and promote their involvement in cancer care (Samant et al 2006;Berrang & Samant 2008;Chapman et al 2008;Vulto et al 2009). Building on this we recently published our work with Australian GPs demonstrating that patients requiring palliative radiotherapy are not always referred appropriately (Halkett et al 2012;2014).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Patients' perspectives on the role of their general practitioner after receiving an advanced cancer diagnosis

Halkett

Jiwa

Lobb

2014

Eur J Cancer Care (Engl)

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The aim of this study was to explore patients' perspectives on the role of their general practitioner (GP) after an advanced cancer diagnosis. A qualitative research approach was used. Semi-structured interviews were conducted and data were analysed using a constant comparative methodology. Participants were eligible if they were diagnosed with advanced cancer and referred for palliative radiotherapy. Data saturation was achieved after 21 interviews. Key themes included (1) obtaining diagnosis and referral for advanced cancer treatment; (2) preference for specialist oncology care; (3) a preference for GP to act as an advocate; and (4) obtaining ongoing routine care from their GP. GP involvement in the patients' management was dependent on: time since diagnosis, GP's involvement in diagnosis and referral, doctor/patient relationship, additional chronic conditions requiring management, frequency of seeing oncologist and specialist recommendation to involve GP. Patients want GPs to have varying levels of involvement following an advanced cancer diagnosis. Not all communication between GPs and patients was positive suggesting communication skills training may be a priority. Patients wished to maintain continunity of care for their non-cancer related issues and healthcare of their family members. Future research needs to focus on working with GPs to increase their role in the management of advanced cancer.

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The Impact of a Radiation Oncologist led Oncology Curriculum on Medical Student Knowledge

Agarwal

Shah

et al. 2017

J Canc Educ

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Medical students at our institution all take a pre-clinical oncology course as well as a clinical radiation oncology didactic session during their clinical curriculum. The objective of this analysis is to demonstrate the impact of the radiation oncology didactic on medical student knowledge of core oncology concepts. All students received a standardized didactic lecture introducing students to core concepts of general oncology and radiation. We administered an 18-question pretest and a posttest examining student knowledge between 2012 and 2015. Changes in student responses between pre-test and post-tests were analyzed to evaluate the effectiveness of the didactic session. Over the course of three years, 319 (64.4%) of 495 students who completed the Radiology block completed both the pre-test and post-test. The average student test grade improved from 62.0% on the pretest to 69.6% on the posttest (p < 0.001). By category, students increased their score from 81.4% to 89.8% (p < 0.001) in general oncology, from 59.9% to 69.9% (p < 0.001) in breast oncology, from 43.0% to 51.0% (p < 0.001) in prostate oncology, and from 71.3% to 75.7% (p = 0.003) in radiation oncology. Students showed increases in knowledge across general oncology, prostate oncology, breast oncology, and radiation oncology.

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Palliative Radiotherapy Knowledge Among Community Family Physicians and Nurses

Abstract: More education regarding PR is required for primary care physicians and nurses caring for cancer patients.

Cited by 11 publications

References 31 publications

Management of cases that might benefit from radiotherapy: a standardised patient study in primary care

Management of cases that might benefit from radiotherapy: a standardised patient study in primary care

Patients' perspectives on the role of their general practitioner after receiving an advanced cancer diagnosis

The Impact of a Radiation Oncologist led Oncology Curriculum on Medical Student Knowledge

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