Team-Based Care in Oncology: The Impact of the Advanced Practice Provider

Pickard, Todd; Williams, Stephanie; Tetzlaff, Eric D; Petraitis, Camille; Hylton, Heather

doi:10.1200/edbk_390572

Cited by 6 publications

(4 citation statements)

References 31 publications

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“…This finding particularly highlights the growing involvement of non-physician professions in HCC treatment within the US healthcare system. As such, APP like nurse practitioners and physician assistants are increasingly vital members of oncology teams in the United States (25,26). Our data indicated that there were no relevant differences in HCC prescription activities between medical specialties and APP.…”

Section: Prescriptions Rates or Those With Relatively Low Prescriptio...mentioning

confidence: 66%

Online searches for hepatocellular carcinoma drugs mirror prescription trends across specialties and changes in guideline recommendations

Berning,

Schroer,

Adhikari

et al. 2024

Front. Oncol.

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Background & aimsThe treatment options for systemically progressed hepatocellular carcinoma (HCC) have significantly expanded in recent years. In this study, we aimed to evaluate the potential of Google searches as a reflection of prescription rates for HCC drugs in the United States (US).MethodsWe conducted an in-depth analysis of US prescription data obtained from the IQVIA National Prescription Audit (NPA) and corresponding Google Trends data from January 2017 to December 2022. We focused on drugs used in the first line and second or later treatment lines for HCC, collecting data on their prescriptions and search rates. Search volumes were collected as aggregated search queries for both generic drugs and their respective brand names.ResultsDuring the study period from Q1 2017 to Q4 2022, monthly prescriptions for drugs used in HCC treatment showed an 173% increase (from 1253 to 3422). Conversely online searches increased by 3.5% (from 173 to 179 per 10 million searches). Notably, strong correlations were observed between search interest and prescriptions for newer drugs, which indicates increasing usage, while older drugs with declining usage displayed limited correlation. Our findings suggest a growing role of non-physician professions in managing systemically progressed HCC within the US healthcare system, although oncologists remained primarily responsible for drug prescriptions.ConclusionsIn conclusion, online search monitoring can offer the potential to reflect prescription trends specifically related to the treatment of HCC. This approach provides a swift and accessible means of evaluating the evolving landscape of HCC treatment.

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Section: Prescriptions Rates or Those With Relatively Low Prescriptio...mentioning

confidence: 66%

Online searches for hepatocellular carcinoma drugs mirror prescription trends across specialties and changes in guideline recommendations

Berning,

Schroer,

Adhikari

et al. 2024

Front. Oncol.

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“…Team-based care is essential to the practice of hematology, and guidelines on team-based care in oncology provide a framework for developing similar resources for APPs and physicians specializing in hematology. 33 The AATF feels that ASH would benefit from developing a series of best practice guidelines for APP-physician collaboration in hematology as well as guidelines and resources for onboarding and training of APPs new to the field of hematology.…”

Section: Discussionmentioning

confidence: 99%

Advanced practice providers in hematology: actionable findings from national paired APP and physician surveys

Marshall,

Masselink,

Kouides

et al. 2024

Blood Advances

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Advanced Practice Providers (APPs) are critical to the hematology workforce. However, there is limited knowledge about APPs in hematology regarding specialty-specific training, scope of practice, challenges and opportunities in APP-physician interactions, and involvement with the American Society of Hematology (ASH). We conducted APP and physician focus groups to elucidate major themes in these areas and used results to inform development of two national surveys, one of APPs and one of physicians who work with APPs. The APP survey was distributed to members of the Advanced Practitioner Society of Hematology and Oncology (APSHO) and the physician survey was distributed to physician members of ASH. 841 APPs and 1334 physicians completed the surveys. APPs reported most hematology-specific knowledge was obtained via on-the-job training, and felt additional APP-focused training would be helpful (as did physicians). Nearly all APPs and physicians agreed that APPs were an integral part of their organizations and that physician-APP collaborations were generally positive. 42.1% of APPs and 29.3% of physicians reported burnout, and over 50% of physicians felt that working with APPs had reduced their burnout. Both physicians and APPs reported interest in additional resources including "best practice" guidelines for APP-physician collaboration, APP access to hematology educational resources (both existing and newly developed resources for physicians and trainees), and greater APP integration into national specialty-specific professional organizations including APP-focused sessions at conferences. Professional organizations such as ASH are well positioned to address these areas. -

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“…Clinical guidelines and best practices recommend a well-integrated team-based approach to cancer care that brings together complementary disciplines to optimize team processes, care management, and patient outcomes [1,2]. With the rapidly evolving and demanding nature of cancer care (e.g., higher caseloads, diverse treatment options, distinct needs and preferences of patients), teams often report feeling ill-equipped to meet these demands [3].…”

Section: Introductionmentioning

confidence: 99%

Cancer Care Team Functioning during COVID-19: A Narrative Literature Review and Synthesis

Attieh,

Loiselle

2024

Current Oncology

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Amid pandemics, health care teams face unprecedented challenges, requiring significant efforts to sustain optimal functioning and navigate rapid practice changes. It is therefore crucial to identify factors affecting team functioning in these contexts. The present narrative review more specifically summarizes the literature on key elements of cancer teams’ functioning during COVID-19. The search strategy involved four main databases (i.e., Medline OVID, EMBASE, PsycINFO, and CINAHL), as well as Google Scholar, from January 2000 to September 2022. Twenty-three publications were found to be relevant. Each was read thoroughly, and its content summarized. Across publications, three key themes emerged: (1) swiftly adopting virtual technology for communication and interprofessional collaboration, (2) promoting team resilience, and (3) encouraging self-care and optimizing team support. Our findings underscore key team functioning elements to address in future pandemics. More research is needed to document the perspectives of broader-based team members (such as patients and lay carers) to inform more comprehensive evidence-based team functioning guidelines.

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Team-Based Care in Oncology: The Impact of the Advanced Practice Provider

Cited by 6 publications

References 31 publications

Online searches for hepatocellular carcinoma drugs mirror prescription trends across specialties and changes in guideline recommendations

Online searches for hepatocellular carcinoma drugs mirror prescription trends across specialties and changes in guideline recommendations

Advanced practice providers in hematology: actionable findings from national paired APP and physician surveys

Cancer Care Team Functioning during COVID-19: A Narrative Literature Review and Synthesis

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