The barriers to interprofessional care for cancer cachexia among Japanese healthcare providers: A nationwide survey

Naito, Tateaki; Wakabayashi, Hidetaka; Aso, Sakiko; Konishi, Masaaki; Saitoh, Masakazu; Baracos, Vickie E.; Coats, Andrew J.; Anker, Stefan D.; Sherman, Lawrence; Klompenhouwer, Tatiana; Shirotani, Noriyasu; Inui, Akio; Arai, Hidenori

doi:10.1002/jcsm.13384

Cited by 4 publications

(3 citation statements)

References 23 publications

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“…To work well, MDT approach to care of a complex disease or syndrome like CC require investment in education, team practice mentorship and training to improve knowledge and shape positive perception. Interestingly, in Japan, a nationwide electronic survey of multi-disciplinary oncological and general healthcare providers (physicians, nurses, pharmacists, dietitians, rehabilitation therapists and other health professionals) indicated that education, team practice, knowledge and perception on CC management were the main barriers to interprofessional care of CC among the HCPs [ 27 ]. Thus, a call for a deliberate institutional effort to nurture team practice, knowledge improvement and building a positive perception of CC syndrome.…”

Section: Discussionmentioning

confidence: 99%

Healthcare professionals’ knowledge of and compliance with the ASCO/ESMO/GLIM guidelines for the diagnosis and management of cancer cachexia (CC): the ASSIST-CC baseline findings in Uganda

Atuhe,

Jatho,

Nalwadda

et al. 2024

ecancer Journal

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Background: More than 50% of people with advanced cancer suffer from cancer-related cachexia (CC) -a major contributor to morbidity and mortality. Despite the lack of local guidelines on CC diagnosis and management in Uganda, the American Society of Clinical Oncology (ASCO), the European Society for Medical Oncology (ESMO) and the Global Leadership Initiative on Malnutrition (GLIM) developed guidelines on CC screening and management. However, the level of knowledge on CC and compliance with the available guidelines among Ugandan oncology health professionals is unknown. This study aimed to assess the level of awareness and knowledge of CC diagnosis and management and compliance with the ASCO/ESMO/GLIM guidelines on CC among healthcare professionals (HCPs) involved in the care of cancer patients. Methods:In this phase one, a self-administered structured questionnaire developed using the ASCO/ESMO and GLIM guidelines on diagnosis and management of CC was used to assess the level of awareness, and knowledge of 200 health professionals from three hospital settings on CC, and compliance with the ASCO/ESMO/GLIM guidelines on CC related core communication, barriers to communication, clinician training in communication, discussing goals of care, treatment options and meeting the needs of the underserved populations. The data were entered into Research Electronic Data Capture software analysed using STATA version 18.0 software. Results:The overall objectively correct knowledge score of CC diagnosis criteria was 67.5% (n = 135), yet there was a much lower level of awareness about ASCO/ESMO/ GLIM guidelines on CC at 30% (n = 60) and only 21% (n = 42) of the HCPs have ever assessed Quality of life of CC patients. The compliance with ASCO/ESMO/GLIM guidelines on nutritional interventions for patients with CC varied across the variables markedly, ranging from 25.1% (n = 50) to 81% (n = 162) for the specific ASCO/ESMO/GLIM guidelines' recommendations. Whereas compliance with the guidelines on discussing goals of care, prognosis, treatment options and end-of-life care scored the highest in most variables, most HCPs exhibited low compliance with the discussion about patients'

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Section: Discussionmentioning

confidence: 99%

Healthcare professionals’ knowledge of and compliance with the ASCO/ESMO/GLIM guidelines for the diagnosis and management of cancer cachexia (CC): the ASSIST-CC baseline findings in Uganda

Atuhe,

Jatho,

Nalwadda

et al. 2024

ecancer Journal

View full text Add to dashboard Cite

show abstract

“…A recent global survey of healthcare provider education needs for cancer cachexia (GENESIS-CC) found that only one-third of respondents felt confident in caring for patients at risk of or with cancer cachexia. 3 Subsequent Japanese subgroup analysis 4 revealed large interprofessional differences of barriers in all domains of confidence, knowledge, perception, practice, and education, with pharmacists and nurses having the greatest barriers to cachexia care. Based on this situation, this Asia-Pacific Journal of Oncology Nursing (APJON) special issue focused on multidisciplinary care to shed light on the unmet needs in cancer cachexia care.…”

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confidence: 99%

“…However, education about cancer cachexia is inadequate in current nursing education. 3 , 4 It is essential to establish an education system for nurses regarding cancer cachexia and to introduce new educational models, including the Human Response to Illness Model presented by McClement. 9 …”

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confidence: 99%