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Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
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Suicide Risk Screening for Head and Neck Cancer Patients: An Implementation Study.

Bhargav Kansara1, Ameer Basta1, Marian Mikhael1

  • 1Department of Oncological Sciences, Morsani College of Medicine, University of South Florida, Tampa, Florida, United States.

Applied Clinical Informatics
|May 22, 2024
PubMed
Summary
This summary is machine-generated.

Oncology staff had varied views on electronic suicide risk screening for head and neck cancer patients. Improvements in training, staffing, and tools are needed for successful implementation.

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Area of Science:

  • Oncology
  • Mental Health
  • Health Services Research

Background:

  • Head and neck cancer (HNC) patients face elevated suicide risk.
  • Limited research exists on suicide risk screening (SRS) for this population.
  • Electronic SRS implementation in routine HNC care requires evaluation.

Purpose of the Study:

  • To assess oncology professionals' perspectives on the feasibility, acceptability, and appropriateness of an electronic SRS program for HNC patients.
  • To identify barriers and facilitators for implementing SRS in routine oncology care.
  • To gather recommendations for optimizing SRS in HNC patient care.

Main Methods:

  • A mixed-methods study involving a single-site implementation of an electronic SRS program.
  • Surveys and interviews were conducted with oncology staff (N=29 survey, N=25 interview).
  • Quantitative measures of feasibility, acceptability, and appropriateness were used, supplemented by qualitative data.

Main Results:

  • Nurses and medical assistants reported lower feasibility, acceptability, and appropriateness of SRS compared to other staff.
  • Staff identified needs for additional personnel, enhanced training, and accessible screening modalities.
  • Revisions to patient-reported outcomes were suggested to improve suicide risk prediction.

Conclusions:

  • Staff perspectives on implementing SRS in HNC care varied significantly.
  • Optimizing workflow and reducing staff burden are crucial for large-scale SRS implementation.
  • Strategies like improved training, diverse completion methods, and refined risk assessment tools are necessary.