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Oncologists experience with second primary cancer screening: current practices and barriers and potential solutions
Dong Wook Shin1, Yeol Kim, Young Ji Baek
1Department of Family Medicine and Health Promotion Center, Seoul National University Hospital, Seoul, South Korea.
Oncologists rarely promote second primary cancer (SPC) screening, viewing it as unplanned care. Barriers include time, knowledge gaps, and lack of guidelines, necessitating shared care models for improved cancer survivorship.
Area of Science:
- Oncology
- Cancer Survivorship
- Public Health
Background:
- Second primary cancer (SPC) screening is vital for cancer survivorship care.
- Understanding oncologists' perspectives on promoting SPC screening is crucial.
Purpose of the Study:
- To explore oncologists' experiences and challenges in promoting second primary cancer screening among cancer survivors.
Main Methods:
- Qualitative study involving two focus group interviews with 12 oncologists.
- Thematic analysis was used to identify recurrent issues and categorize findings.
Main Results:
- Most oncologists do not consider SPC screening promotion a routine responsibility.
- SPC screening is often reactive, prompted by patient requests, not proactive.
- Key barriers include short consultation times, limited knowledge, lack of guidelines, and role ambiguity.
Conclusions:
- Oncologists face challenges in managing and promoting SPC screening effectively.
- Lack of knowledge, resources, and guidelines hinders proactive SPC screening.
- Shared care models and increased oncologist involvement are recommended for better SPC screening promotion in cancer survivors.
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