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Oral anticancer medicines in acute oncology; recognition by non-specialist clinicians and risk reduction measures
Carl D Booth1, S Michael Crawford2, Ganesan Jeyasangar2
1Lead Pharmacist for Cancer Services, Pharmacy Department, Airedale NHS Foundation Trust, Airedale General Hospital, Keighley, West Yorkshire, UK.
Objective:
This study investigated the awareness of non-oncology specialist medical staff about commonly used oral anticancer medicines (OAMs).
Methods:
Interviews conducted with a range of non-oncology specialist doctors.
Results:
The recognition of OAMs was poor by all grades of doctors, with capecitabine being the only drug recognised by more than half the doctors (26 of 40; 65%). Consultant medical staff scored significantly better than most junior grades of staff.
Conclusions:
A barrier to safe patient care appears to be the initial identification of OAMs on acute admission. Once a drug had been identified as an OAM, doctors are aware that they should not prescribe it and should contact the acute oncology service for advice. A range of measures has been introduced to improve the identification of OAMs by doctors.
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