Willingness of patients with sarcoma to participate in cancer surveillance research: a cross-sectional patient survey
| Autor: | Roberto Vélez, Victoria Giglio, Dana Ghanem, Michelle Ghert, Marc H. Isler, David A. Wilson, Benjamin J. Miller, Yee Cheen Doung, Kenneth R. Gundle, Kevin B. Jones, Robert E. Turcotte, James B. Hayden, Sophie Mottard, R. Lor Randall, Patricia Schneider |
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| Přispěvatelé: | Institut Català de la Salut, [Schneider P, Giglio V, Ghanem D, Wilson D] Department of Surgery, McMaster University, Hamilton, Ontario, Canada. [Turcotte R] Division of Orthopaedic Surgery, McGill University Health Centre, Montreal, Québec, Canada. [Isler M] Department of Orthopaedic Oncology, University of Montreal, Hopital Maisonneuve-Rosemont, Montreal, Québec, Canada. [Vélez R] Servei de Cirurgia Ortopèdica i Traumatologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain, Vall d'Hebron Barcelona Hospital Campus |
| Rok vydání: | 2021 |
| Předmět: |
sarcoma
statistics & research methods Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics::Epidemiologic Studies::Cross-Sectional Studies [ANALYTICAL DIAGNOSTIC AND THERAPEUTIC TECHNIQUES AND EQUIPMENT] law.invention 0302 clinical medicine Randomized controlled trial law Medicine 030212 general & internal medicine Cancer media_common Randomized Controlled Trials as Topic Neoplasms::Neoplasms by Histologic Type::Neoplasms Connective and Soft Tissue::Sarcoma [DISEASES] Outcome measures General Medicine Behavior and Behavior Mechanisms::Motivation [PSYCHIATRY AND PSYCHOLOGY] técnicas de investigación::métodos epidemiológicos::características de los estudios epidemiológicos::estudios epidemiológicos::estudios transversales [TÉCNICAS Y EQUIPOS ANALÍTICOS DIAGNÓSTICOS Y TERAPÉUTICOS] Feeling Oncology 030220 oncology & carcinogenesis Public Health and Health Services Patient survey Sarcoma neoplasias::neoplasias por tipo histológico::neoplasias de tejido conjuntivo y de tejidos blandos::sarcoma [ENFERMEDADES] medicine.medical_specialty Canada media_common.quotation_subject Clinical Trials and Supportive Activities Clinical Sciences conducta y mecanismos de la conducta::motivación [PSIQUIATRÍA Y PSICOLOGÍA] 7.3 Management and decision making 03 medical and health sciences Clinical Research Humans Motivation clinical trials Other Medical and Health Sciences business.industry Evidence-based medicine medicine.disease Clinical trial Cross-Sectional Studies Spain Family medicine orthopaedic oncology Assaigs clínics - Mètodes estadístics business Pacients - Participació |
| Zdroj: | BMJ open, vol 11, iss 2 BMJ Open BMJ Open, Vol 11, Iss 2 (2021) Scientia |
| Popis: | ObjectivesTo determine the proportion of patients with extremity sarcoma who would be willing to participate in a clinical trial in which they would be randomised to one of four different postoperative sarcoma surveillance regimens. Additionally, we assessed patients’ perspectives on the burden of cancer care, factors that influence comfort with randomisation and the importance of cancer research.DesignProspective, cross-sectional patient survey.SettingOutpatient sarcoma clinics in Canada, the USA and Spain between May 2017 and April 2020. Survey data were entered into a study-specific database.ParticipantsPatients with extremity sarcoma who had completed definitive treatment from seven clinics across Canada, the USA and Spain.Main outcome measuresThe proportion of patients with extremity sarcoma who would be willing to participate in a randomised controlled trial (RCT) that evaluates varying postoperative cancer surveillance regimens.ResultsOne hundred thirty complete surveys were obtained. Respondents reported a wide range of burdens related to clinical care and surveillance. The majority of patients (85.5%) responded that they would agree to participate in a cancer surveillance RCT if eligible. The most common reason to participate was that they wanted to help future patients. Those that would decline to participate most commonly reported that participating in research would be too much of a burden for them at a time when they are already feeling overwhelmed. However, most patients agreed that cancer research will help doctors better understand and treat cancer.ConclusionsThese results demonstrate that most participants would be willing to participate in an RCT that evaluates varying postoperative cancer surveillance regimens. Participants’ motivation for trial participation included altruistic reasons to help future patients and deterrents to trial participation included the overwhelming burden of a cancer diagnosis. These results will help inform the development of patient-centred RCT protocols in sarcoma surveillance research.Level of evidenceV. |
| Databáze: | OpenAIRE |
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