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Oncology clinical practice guidelines usage among physicians in Nepal
Divya Bhandari1, Akihiko Ozaki1,2, Bikal Ghimire3
1Medical Governance Research Institute, Tokyo, Japan.
Journal of Evaluation in Clinical Practice
|June 29, 2021
Summary
Oncology clinical practice guidelines (OCPGs) from high-income countries are often not feasible in Nepal. Developing local guidelines and fostering a learning environment are crucial for effective cancer care in low-resource settings.
Area of Science:
- Oncology
- Health Services Research
- Global Health
Background:
- Oncology clinical practice guidelines (OCPGs) are evidence-based recommendations to optimize cancer patient care.
- Implementation of OCPGs in low and middle-income countries, such as Nepal, remains understudied.
Purpose of the Study:
- To identify the types of OCPGs used by Nepalese physicians in oncology.
- To explore barriers and facilitators influencing OCPG use in Nepal.
Main Methods:
- An online cross-sectional survey was conducted among Nepalese physicians in oncology departments.
- Data were collected from June 2020 to January 2021, with descriptive analyses performed.
Main Results:
- National Comprehensive Cancer Network (NCCN) guidelines were most frequently used (75.5%), followed by American Society of Clinical Oncology (ASCO) guidelines (44.7%).
- Over half (56.9%) found OCPGs infeasible in Nepal due to insufficient facilities, resistance to change, and time constraints.
- Only 22.6% of physicians used OCPGs consistently.
Conclusions:
- OCPGs developed in high-income nations may not be suitable for resource-limited settings like Nepal.
- Development of localized OCPGs, considering resource availability and patient constraints, is recommended.
- Creating a supportive learning environment is essential for enhancing physician knowledge and promoting evidence-based practice.
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