Evidence map›Paper›PMID 24151327›Full record

ArticleJournal of oncology practice2013

Effect of medical oncologists' attitudes on accrual to clinical trials in a community setting.

Carol P Somkin, Lynn Ackerson, Gail Husson, Vicky Gomez, Tatjana Kolevska, Desiree Goldstein, Louis Fehrenbacher

Abstract read
In one paragraph

Article in Journal of oncology practice, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 43 citations in OpenAlex.

  1. Priorities for Rural Lymphoma Survivors: A Qualitative Study.Clinical lymphoma, myeloma & leukemia · 2020
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  14. Automatic trial eligibility surveillance based on unstructured clinical data.International journal of medical informatics · 2019
    Article
  15. Article
  16. Conceptual Model for Accrual to Cancer Clinical Trials.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2019
    Article
  17. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Carol P SomkinKaiser Permanente Northern California, Oakland; and Kaiser Permanente Medical Center, Vallejo, CA.
Lynn Ackerson
Gail Husson
Vicky Gomez
Tatjana Kolevska
Desiree Goldstein
Louis Fehrenbacher
Kaiser Permanente · USKaiser Permanente Vallejo Medical Center · US

Funding

Increasing Participation in Cancer Clinical TrialsR01CA114543 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI SOMKIN, CAROL P · 2007 to 2011
$2.8M
Center for Transdisciplinary ELSI Research in Translational GenomicsP20HG007243 · NHGRI · KAISER FOUNDATION RESEARCH INSTITUTE · PI HARRIS-WAI, JULIE NOEL, KOENIG, BARBARA A. · 2013 to 2016
$958k
NCI NIH HHS R01 CA114543NHGRI NIH HHS P20 HG007243
6 · The paper itself

Abstract

purposeOncology clinical trials (OCTs) are crucial in evaluating new cancer treatments, but only 2% to 3% of US adult patients with cancer enter OCTs. This study assessed barriers to participation in clinical trials among oncologists in a large integrated health care delivery system with an active clinical trials program. Although many studies have identified major physician barriers to enrollment, few have examined how these barriers affect actual trial accrual.

methodsUsing information from a mailed survey, we examined the effect of oncologists' attitudes, beliefs, experiences, sociodemographic factors, and practice characteristics on clinical trial accrual in the 2 years following the survey. We identified relationships between these variables and subsequent clinical trial accrual using correlations and mixed effects models.

resultsA construct combining questions that assessed oncologist attitudes, beliefs, and experiences substantially influenced OCT enrollment (r = .51; P < .0001). This construct included awareness of open clinical trials and specific eligible patients, as well as the practice of initiating a discussion about OCTs with most eligible patients. This broad concept of awareness had the greatest correlation with enrollment and mediated the effect on enrollment of other values and beliefs, such as welcoming a patient's initiation of a trial discussion and valuing the support of research nurses and coordinators.

conclusionEven in a health care setting with an active clinical trials program, substantial research personnel, infrastructure support, and widespread access to trials among oncologists and patients, oncologists' participation remains quite variable. Oncologist values, beliefs, and awareness of clinical trials play an important role in OCT accrual.

Indexed as

Attitude of Health PersonnelMedical OncologyPatient SelectionAdultClinical Trials as TopicFemaleHumansMaleMiddle AgedPractice Patterns, Physicians'Prospective StudiesSurveys and Questionnaires

Identifiers

PMID24151327
PMCPMC5706122
OpenAlexW2134929806

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.