scholarly journals The Effect of COVID-19 on Radiation Oncology Professionals and Patients With Cancer: From Trauma to Psychological Growth

2020 ◽  
Vol 5 (4) ◽  
pp. 705-706 ◽  
Author(s):  
Annunziata Romeo ◽  
Lorys Castelli ◽  
Pierfrancesco Franco
Keyword(s):  
Radiation Oncology ◽  
Psychological Growth ◽  
Patients With Cancer

scholarly journals Code status communication training in postgraduate oncology programs: a needs assessment

2020 ◽  
Vol 27 (6) ◽  
Author(s):  
O.H. Levine ◽  
S.K. Dhesy-Thind ◽  
M.M. McConnell ◽  
M.C. Brouwers ◽  
S.D. Mukherjee
Keyword(s):  
Radiation Oncology ◽  
Communication Skill ◽  
Communication Training ◽  
Educational Resources ◽  
Code Status ◽  
Patients With Cancer ◽  
Formal Evaluation ◽  
Barriers To Teaching ◽  
To Receive ◽  
Skill Building

Background Discussions with patients with cancer about cardiopulmonary resuscitation directives (code status) are often led by residents. This study was carried out in Canada to identify current educational practices and gaps in training for this communication skill. Methods Canadian medical and radiation oncology residents and program directors (pds) were surveyed about teaching practices, satisfaction with current education, and barriers to teaching code status discussion skills. Relative frequencies of categorical and ordinal responses were calculated. Results Between November 2016 and February 2017, 95 (58.6%) of 162 residents and 17 (63%) of 27 pds completed surveys. Only 54.1% and 48.3% of medical and radiation oncology residents, respectively, had received any code status communication training before entering an oncology program. While 41% of residents expected to receive formal teaching on this topic during residency, 47.1% of pds endorsed inclusion of this topic in curricula. Only 20% of residents reported receiving formal evaluation of this skill while 41.2% of pds indicated that evaluations are provided. The importance of this communication skill in oncology was strongly supported. Among residents, 88% desired more training, and 82.3% of pds identified the need for new educational resources. Lack of time, resources, and evaluation tools were among the most commonly identified barriers to teaching. Conclusions Oncology residency pds and trainees feel that code status communication is important, but teaching and evaluation of this skill are limited. Barriers to teaching and skill-building have been identified. Further work is underway to develop novel educational resources for code status communication training.

Procedural pain in patients with cancer: a Delphi expert management consensus

2021 ◽  
pp. bmjspcare-2020-002668
Author(s):  
Francisco J Villegas Estévez ◽  
Maria Dolores López Alarcón ◽  
Carmen Beato ◽  
Almudena Sanz-Yagüe ◽  
Josep Porta-Sales ◽  
...  
Keyword(s):  
Pain Management ◽  
Delphi Method ◽  
Radiation Oncology ◽  
Healthcare Professionals ◽  
Procedural Pain ◽  
Patients With Cancer ◽  
Current Definition ◽  
Palliative Care Units ◽  
Strong Consensus ◽  
Definition Of

ObjectivesDiagnosis, treatment and care of cancer often involve procedures that may be distressing and potentially painful for patients. The PROCEDIO Study aimed to generate expert-based recommendations on the management of moderate to severe procedural pain in inpatients and outpatients with cancer.MethodsUsing a two-round Delphi method, experts from pain and palliative care units, medical and radiation oncology and haematology departments expressed their agreement on 24 statements using a 9-point Likert scale, which were classified as appropriate (median 7–9), uncertain (4–6) or inappropriate (1–3). Consensus was achieved if at least two-thirds of the panel scored within the range containing the median.ResultsWith an overall agreement on the current definition of procedural pain, participants suggested a wider description based on evidence and their clinical experience. A strong consensus was achieved regarding the need for a comprehensive pre-procedural pain assessment and experts emphasised that healthcare professionals involved in procedural pain management should be adequately trained. Most panellists (98.2%) agreed that pharmacological treatment should be chosen considering the duration of the procedure. Transmucosal fentanyl (96.5%) and morphine (71.7%) were recommended as the most appropriate drugs. Oral and nasal transmucosal fentanyl were agreed as the most suitable for both outpatients and inpatients, while consensus was reached for intravenous and subcutaneous morphine for inpatients.ConclusionsThese results provide updated expert-based recommendations on the definition, prevention and treatment of moderate to severe procedural pain, which could inform specialists involved in pain management of patients with cancer.

scholarly journals Cancer Screening Patterns and Concerns in Caregivers of Patients Undergoing Radiation Therapy

2016 ◽  
Vol 12 (4) ◽  
pp. e405-e412
Author(s):  
Jolinta Y. Lin ◽  
Tejan P. Diwanji ◽  
James W. Snider ◽  
Nancy Knight ◽  
William F. Regine
Keyword(s):  
Radiation Therapy ◽  
Cancer Screening ◽  
Radiation Oncology ◽  
Primary Care Physicians ◽  
Cancer Society ◽  
Screening Guidelines ◽  
The Public ◽  
Targeted Interventions ◽  
Patients With Cancer ◽  
American Urological Association

Purpose: Evolving cancer screening guidelines can confuse the public. Caregivers of patients undergoing radiation oncology may represent a promising outreach target for disseminating and clarifying screening information. We aimed to: (1) determine the incidence of cancer screening in this cohort, and (2) identify barriers to and deficiencies in screening. Methods: We distributed a 21-item survey on cancer screening history and related concerns to caregivers ≥ 18 years old at one urban and two suburban radiation oncology centers. Reported screening habits were compared with American Cancer Society/American Urological Association guidelines for breast, cervical, colon, and prostate cancer. Statistical analysis included Pearson χ2 tests. Results: A total of 209 caregivers (median age, 55.5 years; 146 women) were surveyed. Although 92% had primary care physicians (PCPs), only 58% reported being informed about recommended screening intervals. Participants ≤ 49 years old were less likely to report PCP discussion of cancer screening than older participants (41% and 66%, respectively; P = .006). Ninety-eight respondents (47%) had one or more screening concern(s). Among screening-eligible caregivers, 23 (18%) reported not undergoing regular colonoscopies. Fourteen women (13%) did not have Papanicolaou smears at recommended intervals, and 21 (18%) did not have annual mammograms. Six men (21%) did not undergo annual prostate screening. Decreased recommended screening with colonoscopy and mammography correlated with younger age. Conclusion: This survey of relatively unexplored caregivers identified cancer screening deficiencies and concerns that might be addressed by targeted interventions. With approximately 60% of patients with cancer receiving radiation therapy, advice in the radiation oncology setting could positively affect cancer screening behaviors in caregivers.

scholarly journals Practice-Based Evidence to Evidence-Based Practice: Building the National Radiation Oncology Registry

2013 ◽  
Vol 9 (3) ◽  
pp. e90-e95 ◽  
Author(s):  
Jason A. Efstathiou ◽  
Deborah S. Nassif ◽  
Todd R. McNutt ◽  
C. Bob Bogardus ◽  
Walter Bosch ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Radiation Oncology ◽  
Evidence Based Practice ◽  
Successful Implementation ◽  
Evidence Based ◽  
Patients With Cancer

Successful implementation of the National Radiation Oncology Registry should improve the quality of care for patients with cancer treated with radiation.

scholarly journals History and Current State of Radiation Oncology Services and Practice in Jordan

2020 ◽  
pp. 852-858
Author(s):  
Jamal Khader ◽  
Abdelatif Al Mousa ◽  
Samir Al-Kayed ◽  
Hana Mahasneh ◽  
Rasmi Mubaidin ◽  
...  
Keyword(s):  
Radiation Oncology ◽  
Arab Countries ◽  
Current Status ◽  
Small Individual ◽  
Patients With Cancer ◽  
Current State ◽  
The People ◽  
Individual Effort ◽  
Shed Light ◽  
Insufficient Number

Radiation therapy (RT) for patients with cancer in Jordan began with a small individual effort and has now grown to be one of the most prominent treatment centers in the Middle East. Currently, there are 4 different centers that provide RT not only for the people of Jordan but also for citizens of other neighboring Arab countries. Because Jordan is a developing country, it still faces problems with the insufficient number of RT machines available and their supporting staff (physicists and technologists among others). In this article, we shed light on the history and current status of radiation oncology in Jordan and discuss the challenges we face.

scholarly journals The Impact of COVID-19 on Radiation Oncology Clinics and Patients With Cancer in the United States

2020 ◽  
Vol 5 (4) ◽  
pp. 538-543 ◽  
Author(s):  
Amanda Rivera ◽  
Nitin Ohri ◽  
Evan Thomas ◽  
Robert Miller ◽  
Miriam A. Knoll
Keyword(s):  
United States ◽  
Radiation Oncology ◽  
The United States ◽  
Patients With Cancer ◽  
The Impact
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