The assessment and management of older cancer patients: A SIOG surgical task force survey on surgeons' attitudes

Ghignone, Federico; Leeuwen, van; Montroni, Isacco; Huisman, M.; Somasundar, Ponnandai; Cheung, Kwok-Leung; Audisio, Riccardo A.; Ugolini, Giampaolo

doi:10.1016/j.ejso.2015.12.004

Cited by 120 publications

(104 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…While this response rate is low, unfortunately there are limited web-based surveys for comparison in this subject matter area; however it is within the range of other studies utilizing this data collection methodology. 15,34,35 Third, while the survey was pilot tested, no qualitative testing for comprehension was performed. Fourth, the survey was conducted at a large, tertiary academic medical center which makes the results difficult to generalize to providers in other settings (rural, private practice, etc.).…”

Section: Author Manuscriptmentioning

confidence: 99%

Health Care Provider Knowledge and Attitudes Regarding Reporting Diseases and Events to Public Health Authorities in Tennessee

Fill

Murphree

Pettit

2017

Journal of Public Health Management and Practice

View full text Add to dashboard Cite

Context In the United States (U.S.), state laws require healthcare providers to report specific diseases and events to public health authorities, a fundamental facet of disease surveillance. However, reporting by providers is often inconsistent, infrequent and delayed. Objective To examine knowledge, attitudes, and practices regarding and understand current barriers to provider disease reporting. Design A cross-sectional study was conducted via an anonymous, standardized electronic survey. Setting The survey was conducted at Vanderbilt University Medical Center, a large, tertiary academic medical center in Nashville, Tennessee. Participants Healthcare providers in four specialties (internal medicine, pediatrics, obstetrics-gynecology and emergency medicine). Main Outcome Measure(s) Knowledge of and attitudes regarding provider reporting of diseases to public health authorities in Tennessee. Results The majority of providers acknowledged they cared for patients with reportable diseases (362/435, 83.2%) and believed that it was their responsibility to report to public health authorities (429/436, 98.4%); however less than half had ever reported a case (206/436, 47.2%). The median percent correct on the knowledge assessment of Tennessee reportable diseases and conditions was 81.3% (Interquartile Range [IQR] 68.8–87.5). Providers cited a lack of knowledge of which diseases are reportable (186/429, 43.3%) and the logistics of reporting (153/429, 35.7%) as the primary barriers for compliance. Conclusions Most providers acknowledged they cared for patients with reportable diseases and believed they had an obligation to report to public health authorities. However, a lack of knowledge about reporting was frequently described as a limitation to report effectively. Many knowledge deficits were significantly greater among residents than other providers. The policy and practice implications of these findings include a demonstrated need for education of providers about disease reporting as well as development of more convenient reporting mechanisms. Fundamental knowledge of reportable disease requirements and procedures is critical for participation in the broader public health system.

show abstract

Section: Author Manuscriptmentioning

confidence: 99%

Health Care Provider Knowledge and Attitudes Regarding Reporting Diseases and Events to Public Health Authorities in Tennessee

Fill

Murphree

Pettit

2017

Journal of Public Health Management and Practice

View full text Add to dashboard Cite

show abstract

“…Recently, the Surgical Task Force at the International Society of Geriatric Oncology found that, of 251 surgeons who responded to a questionnaire concerning their attitudes about the preoperative assessment of older cancer patients (11% response rate), only 48% considered a preoperative frailty assessment to be mandatory, only 6% used GA in daily practice, and only 34% collaborated with geriatricians. 15 These poor compliance rates likely stem from the practical difficulties of implementing GA in routine surgical practice.…”

Section: Introductionmentioning

confidence: 99%

Electronic Rapid Fitness Assessment: A Novel Tool for Preoperative Evaluation of the Geriatric Oncology Patient

Shahrokni¹,

Tin²,

Downey³

et al. 2017

J Natl Compr Canc Netw

View full text Add to dashboard Cite

Background The American College of Surgeons and American Geriatrics Society recommend performing a geriatric assessment (GA) in the preoperative evaluation of older patients. To address this, we developed an electronic GA; the Electronic Rapid Fitness Assessment (eRFA). We reviewed the feasibility and clinical utility of the eRFA in the preoperative evaluation of geriatric patients. Methods We performed a retrospective review of our experience using the eRFA in the preoperative assessment of geriatric patients. The rate of and time to completion of the eRFA were recorded. The first 50 patients who completed the assessment were asked additional questions to assess their satisfaction. Descriptive statistics of patient-reported geriatric-related data were used for analysis. Results In 2015, 636 older cancer patients (median age, 80 years) completed the eRFA during preoperative evaluation. The median time to completion was 11 minutes (95% CI, 11 to 12 minutes). Only 13% of patients needed someone else to complete the assessment for them. Of the first 50 patients, 90% (95% CI, 75% to 98%) responded that answering questions by using eRFA was easy. Geriatric syndromes were commonly identified through the performance of the GA: 16% of patients had a positive screening for cognitive impairment, 22% (95% CI, 19% to 26%) needed a cane to ambulate, and 26% (95% CI, 23% to 30%) had fallen at least once during the previous year. Conclusion Implementation of the eRFA was feasible. The eRFA identified relevant geriatric syndromes in the preoperative setting that, if addressed, could lead to improved outcomes.

show abstract

“…In addition, visceral surgeons were more likely to collaborate with a geriatrician. The main endpoints suggested by all of the respondents for further study on elderly patients were quality of life (QoL) and functional recovery [5].…”

mentioning

confidence: 99%

Attitudes of Surgeons toward Elderly Cancer Patients: A Survey from the SIOG Surgical Task Force

et al. 2017

View full text Add to dashboard Cite

show abstract

The assessment and management of older cancer patients: A SIOG surgical task force survey on surgeons' attitudes

Cited by 120 publications

References 20 publications

Health Care Provider Knowledge and Attitudes Regarding Reporting Diseases and Events to Public Health Authorities in Tennessee

Health Care Provider Knowledge and Attitudes Regarding Reporting Diseases and Events to Public Health Authorities in Tennessee

Electronic Rapid Fitness Assessment: A Novel Tool for Preoperative Evaluation of the Geriatric Oncology Patient

Attitudes of Surgeons toward Elderly Cancer Patients: A Survey from the SIOG Surgical Task Force

Contact Info

Product

Resources

About