Landscape of education and clinical practice in geriatric oncology: a Japanese nationwide survey

2019 ◽  
Vol 49 (12) ◽  
pp. 1114-1119
Author(s):  
Tomohiro F Nishijima ◽  
Kazuo Tamura ◽  
Fumio Nagashima ◽  
Keisuke Aiba ◽  
Mitsue Saito ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Graduate Training ◽  
Geriatric Oncology ◽  
Nationwide Survey ◽  
Undergraduate Teaching ◽  
Graduate Schools ◽  
Education Curriculum ◽  
Oncology Service ◽  
Oncology Practice ◽  
Schools Of Medicine

Abstract Objective The aim of this survey was to describe how geriatric oncology is integrated in undergraduate teaching and graduate training as well as in daily clinical oncology practice in Japan. Methods All schools of medicine in Japan are allied with graduate schools of medicine. We conducted a survey of all Japanese medical and graduate schools (n = 81), and designated cancer hospitals (n = 437) from July 2018 to August 2018. The survey of the schools asked about existence of geriatrics division and geriatric oncology service and if an education curriculum in geriatrics and geriatric oncology was used. The survey of designated cancer hospitals requested general hospital information and the current practice patterns of general geriatric and cancer patients. Results Forty-eight medical schools (59%) participated in this survey, and teaching in geriatrics and geriatric oncology was implemented in 23 schools and 1 school, respectively. Forty-two graduate schools of medicine (52%) responded; five had an education curriculum in geriatrics, but none provided geriatric oncology training. Among 151 participating hospitals (35%), 5 had a geriatrics division and 20 hospitals employed geriatricians. There was no geriatric oncology service or geriatric oncology specialists in any of the 151 hospitals. Seventy percent of the hospitals reported performing a geriatric assessment for at least some older adults with cancer. Conclusions This survey provides information on the current state of Japanese education and clinical practice in geriatric oncology. In Japan, a nation with among the largest population of older citizens in the world, education and training greatly need to be promoted to disseminate a core set of geriatrics knowledge and skills to students, trainees and healthcare professionals.

News and Announcements

PEDIATRICS ◽  
1975 ◽  
Vol 55 (5) ◽  
pp. 749-750
Keyword(s):  
Clinical Practice ◽  
Graduate Training ◽  
Full Time ◽  
Pediatric Hematology ◽  
Certifying Examination ◽  
Letters Of Recommendation

ANNOUNCEMENT OF 1976 EXAMINATION IN PEDIATRIC HEMATOLOGY-ONCOLOGY: The SubBoard of Pediatric Hematology-Oncology of the American Board of Pediatrics will give its next certifying examination on June 5, 1976. The following criteria must be met in order to be eligible to sit for this examination: (1) Certification by the American Board of Pediatrics; (2) Two years of full-time graduate training in pediatric hematology-oncology or five years in the clinical practice of pediatric hematology-oncology; (3) Letters of recommendation from individuals able to attest to the applicant's training or clinical practice.

scholarly journals Amifostine is a Nephro-Protectant in Patients Receiving Treatment with Cisplatin- Myth, Mystery or Matter-of-Fact?

2021 ◽  
Vol 3 (1) ◽  
pp. 4-8
Author(s):  
Sin Sil Ha ◽  
Kazi Rubaina ◽  
Chung-Shien Lee ◽  
Veena John ◽  
Nagashree Seetharamu
Keyword(s):  
Clinical Practice ◽  
Adverse Effects ◽  
Chemotherapeutic Agents ◽  
Review Literature ◽  
The Past ◽  
Oncology Practice

Despite reports of amifostine possibly protecting nephrotoxicity from cisplatin, it has not been recommended by any guidelines committees or routinely prescribed in clinical practice over the past decade. In this article, we review literature and guidelines regarding use of amifostine in oncology practice for protection against adverse effects from certain chemotherapeutic agents, in particular as a nephro-protectant in patients receiving cisplatin.

Quality Care in Survivorship: Lessons Learned From the ASCO Quality Oncology Practice Initiative

2021 ◽  
pp. OP.21.00290
Author(s):  
Charles L. Shapiro ◽  
Nicole Zubizarreta ◽  
Erin Moshier ◽  
Julia P. Brockway ◽  
John Mandeli ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Clinical Practice ◽  
Negative Binomial ◽  
Scientific Evidence ◽  
Lessons Learned ◽  
Negative Binomial Regression Model ◽  
Smoking Cessation Counseling ◽  
Curative Intent ◽  
Oncology Practice ◽  
Over Time

PURPOSE: The ASCO Quality Oncology Practice Initiative (QOPI) project was established to evaluate the influence of guideline recommendations on routine clinical practice. METHODS: QOPI provided summary data from 839 unique practices in which data were collected every six months from the Fall of 2015 to the Spring of 2019. From these data, six items were chosen based on their relationship to domains of survivorship. A zero-inflated negative binomial regression model was used to test for trends in QOPI measures adherence rates over time. The models were adjusted for the time period, region, practice-ownership, multispecialty site, fellowship program, and hospital type. RESULTS: Smoking cessation counseling recommended and smoking cessation counseling administered or referred both increased over time, 50%-61% (adjusted incidence rate ratios (IRR), 1.028; 95% CI, 1.016 to 1.040; P < .001) and 34%-49% (adjusted IRR, 1.052; 95% CI, 1.035 to 1.070; P < .001), respectively. Infertility risks discussed before chemotherapy increased from 36% to 53% (adjusted IRR, 1.056; 95% CI, 1.035 to 1.078; P < .001) and fertility options discussed or referred to specialists increased from 23% to 38% (adjusted IRR, 1.074; 95% CI, 1.046 to 1.102; P < .001). Twenty-nine percent documented a positron emission tomography, computed tomography, or bone scan within the first 12 months for women diagnosed with early breast cancer treated for curative intent (adjusted IRR, 1.000; 95% CI, 0.977 to 1.024; P = .971). Tumor marker surveillance within 12 months increased from 78% to 87% (adjusted IRR, 1.018; 95% CI, 1.002 to 1.033; P = .023). CONCLUSION: As scientific evidence to guide cancer survivorship care grows, the role of guideline recommendations permeating clinical practice using quality metrics will become increasingly important.

Use of the geriatric assessment in clinical practice in Mexico: A survey of cancer providers.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e24013-e24013
Author(s):  
Haydee Cristina Verduzco-Aguirre ◽  
Laura Margarita Bolano Guerra ◽  
Hector Martínez-Said ◽  
Gregorio Quintero Beulo ◽  
Eva Culakova ◽  
...  
Keyword(s):  
Older Adults ◽  
Clinical Practice ◽  
Geriatric Assessment ◽  
Geriatric Oncology ◽  
Public Institution ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Qualified Personnel ◽  
Medical Oncologists ◽  
Oncology Providers

e24013 Background: Despite the growing burden of cancer in older adults in Mexico, it is unknown how many cancer care providers in Mexico use information obtained through a geriatric assessment (GA) and/or geriatric oncology principles in their everyday clinical practice. Methods: We administered a cross-sectional survey to oncology providers in Mexico via the Mexican Society of Oncology mailing list (n = 1240). The survey included questions on demographics, awareness about geriatric oncology principles, and the use of the GA and other geriatric clinical tools. The primary outcome was to estimate the proportion of providers using GA tools through the question: “For your patients ≥65 years, do you perform a multidimensional geriatric assessment using validated tools?”. We hypothesized that ≤10% of respondents would give a positive answer. We used descriptive statistics and X2 tests to compare groups of respondents. Results: We obtained 196 answers (response rate 15.8%). 121 (62%) respondents were male; median age 42. 98 (50%) were surgical oncologists, 59 (30%) medical oncologists, and 38 (19%) radiation oncologists. Median time in practice was 8 years, with 39% practicing in Mexico City. A third had their practice at a public institution, 26% at a private institution, and 38% in both. The proportion of patients aged 65-79 and ≥80 seen on an average clinic day by the respondents was 30% and 10%, respectively. 121 (62%) reported having a geriatrician available at their practice site. 37 respondents (19%) reported using validated GA tools to evaluate older adults with cancer in their practice. The proportion of respondents who evaluated each GA domain is shown in Table 1. Male respondents (p=0.03), medical oncologists (p<0.01), and those with a less busy practice (≤10 patients/day) (p=0.01) were more likely to use validated tools to perform a GA. Regarding barriers for implementing GA, 37% reported lack of time, 49% lack of qualified personnel, 44% lack of knowledge of geriatric tools, 6% patient unwillingness to undergo a GA, and 8% prohibitive cost. Only 17 (9%) thought that information obtained through a GA would not lead to practice changes. Conclusions: According to our survey, the proportion of Mexican oncology providers using validated tools to perform a GA is 19%, which is higher than expected. Some GA domains, such as comorbidity and functional status, were commonly assessed, while others, such as fall history, were seldom evaluated. Common barriers for GA implementation were lack of qualified personnel and of knowledge about geriatric tools. We plan to further explore these barriers and potential facilitators through focused interviews in order to guide future interventions.[Table: see text]

An Overview of Geriatric Oncology in Global Clinical Practice: a SIOG National Representatives’ Survey

2021 ◽  
Vol 12 (8) ◽  
pp. S67
Author(s):  
T. Mizutani ◽  
K.L. Cheung ◽  
Y. Hakobyan ◽  
H. Lane ◽  
L. Decoster ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Geriatric Oncology

A Pharmaco-cybernetics Approach to Designing an Oncology Drug Interaction Database for Clinical Practice

2021 ◽  
pp. 169-227
Keyword(s):  
Drug Interaction ◽  
Clinical Practice ◽  
Digital Health ◽  
Innovation Process ◽  
User Feedback ◽  
Clinical Usefulness ◽  
Health Innovation ◽  
Interaction Database ◽  
Oncology Practice

This chapter describes how OncoRx-MI, a pharmaco-informatics platform for detecting chemotherapy interactions, was designed through a pharmaco-cybernetics approach targeting the 5 activities of the digital health innovation process. This is the first database of its kind that is able to provide interaction information for anticancer drugs and chemotherapy regimen cocktails. In order to identify the gap and determine the usefulness of this database in clinical oncology practice, the quality of online anticancer drug interactions was assessed, and the perceptions of oncology practitioners were sought. The results showed that the accuracy of drug interaction content and the clinical usefulness of the database was highly regarded by these practitioners. In addition, evidence of its relevance and credibility was demonstrated through user feedback on the database.

scholarly journals What Every Oncologist Should Know About Geriatric Assessment for Older Patients With Cancer: Young International Society of Geriatric Oncology Position Paper

2018 ◽  
Vol 14 (2) ◽  
pp. 85-94 ◽  
Author(s):  
Kah Poh Loh ◽  
Enrique Soto-Perez-de-Celis ◽  
Tina Hsu ◽  
Nienke A. de Glas ◽  
Nicolò Matteo Luca Battisti ◽  
...  
Keyword(s):  
Geriatric Assessment ◽  
Older Patients ◽  
Geriatric Oncology ◽  
Treatment Decisions ◽  
Position Paper ◽  
Illustrative Case ◽  
Newly Diagnosed ◽  
Patients With Cancer ◽  
Detailed Evaluation ◽  
Oncology Practice

Aging is a heterogeneous process. Most newly diagnosed cancers occur in older adults, and it is important to understand a patient’s underlying health status when making treatment decisions. A geriatric assessment provides a detailed evaluation of medical, psychosocial, and functional problems in older patients with cancer. Specifically, it can identify areas of vulnerability, predict survival and toxicity, assist in clinical treatment decisions, and guide interventions in routine oncology practice; however, the uptake is hampered by limitations in both time and resources, as well as by a lack of expert interpretation. In this review, we describe the utility of geriatric assessment by using an illustrative case and provide a practical approach to geriatric assessment in oncology.

scholarly journals Merging Undergraduate Teaching, Graduate Training, and Producing Research: Lessons from Three Collaborative Experiments

2018 ◽  
Vol 52 (1) ◽  
pp. 117-122 ◽  
Author(s):  
Toby W. Bolsen ◽  
Bailey R. Fairbanks ◽  
Eduardo E. Aviles ◽  
Reagan G. Pritchett ◽  
Justin T. Kingsland ◽  
...  
Keyword(s):  
Undergraduate Students ◽  
Graduate Training ◽  
Original Data ◽  
The United States ◽  
Undergraduate Teaching ◽  
Crime And Punishment ◽  
Professional Goals ◽  
Hands On ◽  
Public Audience ◽  
Social Scientific

ABSTRACTTeaching undergraduate students, mentoring graduate students, and generating publishable research are distinct tasks for many political scientists. This article highlights lessons for merging these activities through experiences from an initiative that sparked a series of collaborative-research projects focused on opinions about crime and punishment in the United States. This article describes three collaborative projects conducted between 2015 and 2017 to demonstrate how to merge undergraduate teaching, graduate training, and producing research. By participating in these projects, students learned about social-scientific research through hands-on experiences designing experiments, collecting and analyzing original data, and reporting empirical findings to a public audience. This approach is an effective way to engage students and generate research that can advance professional goals.

scholarly journals Attitudes and beliefs of emergency physicians on lab tests utilization in clinical practice. A multicenter survey

2019 ◽  
Vol 15 (3) ◽  
Author(s):  
Carlotta Saccenti ◽  
Marco Lunian ◽  
Martina Montagnana ◽  
Andrea Balloni ◽  
Giulia Maria Azin ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Clinical Pathways ◽  
Medical Knowledge ◽  
Nationwide Survey ◽  
Laboratory Diagnostics ◽  
Attitudes And Beliefs ◽  
Emergency Physicians ◽  
Digital Format ◽  
Multicenter Survey ◽  
Real Scenario

It is commonly perceived that the main obstacle for an effective partnership between Emergency Medicine (EM) and Laboratory Medicine (LM) is the lack of reciprocal knowledge and understanding. A further aspect is a partial comprehension of clinical significance and implications of some tests. The real scenario of attitudes and beliefs of Emergency Physicians (EPs) on lab tests utilization in clinical practice remains largely unclear. Therefore, this original study was designed to explore this field of medical knowledge, by using a survey on attitudes and beliefs in laboratory diagnostics which was disseminated among many Italian EPs. A questionnaire containing 20 different items/statements was designed and then disseminated either directly, or in a digital format. Overall, 183 questionnaires were compiled and collected. The results of this nationwide survey seem to confirm the existence of a suboptimal knowledge of both clinical and economic impact of urgent laboratory tests by Italian EPs. An unsatisfactory relationship between EPs and laboratory professionals seems also to emerge. Several EPs attribute this to Shortage of time to think (18.6%), followed by Fair of medical-legal litigation (13.6%). On the other hand, interestingly, it also emerged that some Italian hospitals still include obsolete o redundant tests in panels of urgent laboratory analyses, potentially misleading for the diagnostic reasoning in the Emergency Department (ED). In conclusion, the virtuous circle between EM and LM should be further reinforced for optimizing clinical pathways in Italian EDs, improving clinical outcomes and reducing unnecessary expenditures. A major agreement between laboratory and emergency professionals

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