Navigation Links
Few physicians refer patients to cancer clinical trials
Date:2/11/2011

A small proportion of adult cancer patients participate in clinical trials in part due to a low level of physician referrals, according to an online study published Feb. 11 in The Journal of the National Cancer Institute.

Although more than 8000 clinical trials are accepting participants, according to the National Cancer Institute (NCI), only an estimated 2%𔃂% of newly diagnosed cancer patients participate in them. Prior studies suggest that most eligible patients do not enroll in trials because their physicians do not refer them.

To understand what types of physicians are referring their patients to clinical cancer trials, Carrie N. Klabunde, Ph.D., of NCI, and colleagues, conducted a survey-based study of specialty physicians caring for colorectal and lung cancer patients. The researchers analyzed data from the Cancer Care Outcomes Research and Surveillance Consortium (CanCORS) for 1533 oncologists, radiation oncologists, and surgeons caring for colorectal and lung cancer patients. The physicians had completed a survey during 2005�.

The researchers found that 869 of the physicians, or 56.7%, responded that they had referred or enrolled at least one patient in clinical trials in the previous 12 months: 87.8% of medical oncologists, 66.1% of radiation oncologists, and 35% of surgeons. Two-thirds of the physicians affiliated with a Community Clinical Oncology Program or an NCI-designated cancer center reported participating in trials.

Furthermore, the researchers write, "Those more likely to participate in a clinical trial were medical or radiation oncologists (vs surgeons), were in larger practices, had academic appointments, saw a higher volume of lung or colorectal cancer patients, and attended weekly tumor board meetings."

The researchers also found that among the physicians who reported referring or enrolling at least one patient in cancer clinical trials in this period, the mean number of patients referred or enrolled was 17.2 for medical oncologists, 9.5 for radiation oncologists, and 12.2 for surgeons. The researchers note that primary care physicians have limited involvement in discussing clinical trial participation with patients; and that financial incentives were associated with physicians' clinical trials accrual volume, a finding consistent with previous studies showing financial incentives influence physician behavior.

The researchers point out certain limitations of their study: the physicians surveyed do not comprise a nationally representative sample; the study is based on physicians' self-reports of their participation in clinical trials; and the measure of trials participation combined patient referral and enrollment.

The researchers conclude that continued monitoring of physician participation in cancer clinical trials is essential. They write, "More research is needed to better understand clinician attitudes toward clinical research and to examine specific features of practice infrastructureincluding availability of support staff, electronic health records, reimbursement, and clinical trial databasesthat facilitate or hinder physician participation in clinical trials."

In an accompanying editorial, Lori M. Minasian, M.D., and Ann M. O'Mara, M.D., of the Community Oncology and Prevention Trials Research Group at the National Cancer Institute (NCI), write that "the American public continues to value medical research," and cite a Mayo clinic study in which 76% of patients said they expected their treating physician to inform them about clinical trials.

The authors also point out that medical students will be required to learn about clinical and translational research, according to a new standard from the Liaison Committee on Medical Education.

The authors conclude: "If we want research to inform practice, we need a workforce of physicians who value the research and understand how to incorporate research results into their practice. Much of the American public looks to their physicians to do that."


'/>"/>

Contact: Kristine Crane
jncimedia@oxfordjournals.org
301-841-1285
Journal of the National Cancer Institute
Source:Eurekalert

Related medicine news :

1. Medicare payments for medical imaging are higher to nonradiologist physicians than to radiologists
2. Study suggests physicians wait longer for brain recovery after hypothermia Rx in cardiac arrest
3. 6 physicians named top in nation
4. ER patients prefer ordering physicians discuss risks/benefits of CT with them before ordering exam
5. Paradigm shift in how physicians treat peripheral artery disease
6. Virtual Viewbox offers portable radiology access for physicians
7. Researchers investigate differences in quality of care delivered by US resident and staff physicians
8. Study shows physicians reluctant to use chemoprevention for prostate cancer
9. New imaging technique could help physicians ease the aftermath of breast cancer
10. Disparities remain a challenge in health care says American College of Physicians
11. Ochsner Health System Connects Community Physicians to Electronic Medical Records; Orion Health HIE Solution Provides Access to Healthcare Providers Across the Gulf South
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/27/2016)... ... May 27, 2016 , ... Aimed at nurses and ... stories, which come courtesy of leaders in the nursing and health care industry. It ... advocates and associations—namely Abilene Christian University. , As the nursing industry is coming ...
(Date:5/26/2016)... ... May 26, 2016 , ... Despite last week’s media reports hinting ... and company to wait until March 2017 for an interest rate increase, according to ... College of Business. , “The Federal Open Market Committee (FOMC) dot charts are of ...
(Date:5/26/2016)... ... May 26, 2016 , ... ... thousands of defective respirators, according to court documents and SEC filings. A ... and Becky Tyler v. American Optical Corporation, Case No. BC588866, Los Angeles County, ...
(Date:5/26/2016)... ... ... Connor Sports, through its Connor Cares initiative, will continue to expand ... Tour that will commemorate the Indiana Fever legend’s hall-of-fame career and final WNBA ... levels of the game, Connor Sports has committed to a significantly increased focus on ...
(Date:5/26/2016)... (PRWEB) , ... May 26, 2016 , ... ... one that has a significant negative impact on long-term patient survival, reports a ... The results, published online this week in the Journal of Thoracic and Cardiovascular ...
Breaking Medicine News(10 mins):
(Date:5/25/2016)... FDA 510(k) clearance covers ... for urological and surgical applications Mauna ... Cellvizio®, the multidisciplinary confocal laser endomicroscopy (CLE) platform, ... US with the 12 th 510(k) clearance ... This new FDA clearance covers Confocal Miniprobes indicated ...
(Date:5/25/2016)... May 25, 2016  Zymo Research Corp. announced ... new reference materials that help researchers obtain the ... to analyses. The rapid growth of the study ... to have standard methods to improve the reproducibility ... inherently exist at every step of the measurement ...
(Date:5/25/2016)... , May 25, 2016  Granger Diagnostics today ... test for wounds and infections. This test ensures ... and select viruses. The test requires only a ... David G. Bostwick , MD, ... to facilitate wound healing: "We are excited to ...
Breaking Medicine Technology: