Evidence map›Paper›PMID 28274395›Full record

ArticlePractical radiation oncology

Attitudes of radiation oncologists toward palliative and supportive care in the United States: Report on national membership survey by the American Society for Radiation Oncology (ASTRO).

Randy L Wei, Malcolm D Mattes, James Yu, Adrienne Thrasher, Hui-Kuo Shu, Harald Paganetti, Jennifer De Los Santos, Bridget Koontz, Christopher Abraham, Tracy Balboni

Abstract read
In one paragraph

Article in Practical radiation oncology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
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

20 citing papers in PubMed.

  1. Cancer Pain: Radiotherapy as a Double-Edged Sword.International journal of molecular sciences · 2025
    Review
  2. Review
  3. Article
  4. Article
  5. Palliative care on the radiation oncology ward-improvements in clinical care through interdisciplinary ward rounds.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2023
    Article
  6. Radiotherapy and palliative care outpatient clinic: a new healthcare integrated model in Italy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Observational
  7. Article
  8. Review
  9. An Italian survey on "palliative intent" radiotherapy.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2022
    Article
  10. Goals of care discussions: perceptions of radiation and medical oncologists.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  11. Article
  12. Article
  13. Enhancing Career Paths for Tomorrow's Radiation Oncologists.International journal of radiation oncology, biology, physics · 2019
    Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Radiation oncologists role, training and perceptions in palliative care: a systematic review.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology
    Review
  20. Article
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

10 authors.

Randy L WeiDepartment of Radiation Oncology, University of California, Irvine, California. Electronic address: rwei@uci.edu.
Malcolm D MattesDepartment of Radiation Oncology, West Virginia University, Morgantown, West Virginia.
James YuDepartment of Radiation Oncology, Yale School of Medicine, New Haven, Connecticut.
Adrienne ThrasherAmerican Society for Radiation Oncology, Arlington, Virginia.
Hui-Kuo ShuDepartment of Radiation Oncology, Emory School of Medicine, Atlanta, Georgia.
Harald PaganettiDepartment of Radiation Oncology, Massachusetts General Hospital & Harvard Medical School, Boston, Massachusetts.
Jennifer De Los SantosDepartment of Radiation Oncology, University of Alabama, Birmingham, Alabama.
Bridget KoontzDepartment of Radiation Oncology, Duke University, Durham, North Carolina.
Christopher AbrahamDepartment of Radiation Oncology, Washington University in St. Louis, St. Louis, Missouri.
Tracy BalboniDepartment of Radiation Oncology, Dana-Farber/Brigham and Women's Cancer Center, Boston, Massachusetts.

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Sally Lynn Hodder · 2012 to 2026
$81.0M
NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

purposeRadiation oncologists are frequently involved in providing palliative and supportive care (PSC) for patients with advanced cancers through delivery of palliative radiation. Whether they are confident in their ability to assess and initiate treatments for pain, nonpain, and psychosocial distress is unknown. The American Society for Radiation Oncology surveyed its practicing members in the United States on self-assessment of their primary PSC skills and access to continuing medical education on PSC.

methodsWe electronically surveyed 4093 practicing radiation oncologists in the United States. The survey consisted of 16-questions in 5 sections

resultsThe survey was e-mailed to 4093 American Society for Radiation Oncology members, and 649 responses were received (response rate 16%). The majority (91%) of radiation oncologists surveyed believe PSC is an important competency for radiation oncologists. Most radiation oncologists reported that they are moderately confident in their ability to assess and manage pain and gastrointestinal symptoms, but less confident in their ability to manage anorexia, anxiety, and depression. Despite areas of decreased confidence, a large number (42%) of radiation oncologists do not receive any additional PSC education beyond their residency training. Lastly, a perceived fear of upsetting referring medical oncologists and lack of clinic time are concerns for radiation oncologists who may want to initiate goals of care/advance care planning discussions with patients and their families.

conclusionRadiation oncologists are more confident in their ability to assess and manage pain than in their ability to manage depression, anxiety, anorexia, and fatigue. There is a need for increasing continuing medical educational efforts in PSC for practicing radiation oncologists, and strengthening PSC training in residency programs.

Indexed as

Attitude of Health PersonnelClinical CompetenceEducation, Medical, ContinuingFemaleHumansMaleNeoplasmsPalliative CareRadiation OncologistsSelf-AssessmentSocieties, MedicalSurveys and QuestionnairesUnited States

Identifiers

PMID28274395
PMCPMC5538013

What OpenQuestion holds

Textmetadata
LicenceTDM
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.