Evidence map›Paper›PMID 31601594›Full record

ArticleBMJ open2019

What is multidisciplinary cancer care like in practice? a protocol for a mixed-method study to characterise ambulatory oncology services in the Australian public sector.

Bróna Nic Giolla Easpaig, Gaston Arnolda, Yvonne Tran, Mia Bierbaum, Klay Lamprell, Geoffrey P Delaney, Winston Liauw, Renuka Chittajallu, Teresa Winata, Robyn L Ward and 5 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

15 authors at 7 institutions in 1 country.

Bróna Nic Giolla EaspaigAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia brona.nicgiollaeaspaig@mq.edu.au.ORCID 0000-0001-6787-056X
Gaston ArnoldaAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Yvonne TranAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Mia BierbaumAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0002-7037-4708
Klay LamprellAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Geoffrey P DelaneyLiverpool Cancer Therapy Centre, Liverpool, New South Wales, Australia.
Winston LiauwSaint George Hospital Saint George Cancer Care Centre, Kogarah, New South Wales, Australia.
Renuka ChittajalluAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Teresa WinataAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Robyn L WardFaculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
David C CurrowCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
Ian OlverDivision of Health Sciences, University of South Australia, Adelaide, South Australia, Australia.
Jonathan KarnonCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
Johanna WestbrookAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Jeffrey BraithwaiteAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0003-0296-4957
Macquarie University · AUFlinders University · AULiverpool Hospital · AUThe University of Sydney · AUUniversity of South Australia · AUUniversity of Technology Sydney · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAn understanding of the real-world provision of oncology outpatient services can help maintain service quality in the face of escalating demand and tight budgets, by informing the design of interventions that improve the effectiveness or efficiency of provision. The aims of this study are threefold. First, to develop an understanding of cancer services in outpatient clinics by characterising the organisation and practice of multidisciplinary care (MDC). Second, to explore the key areas of: (a) clinical decision-making and (b) engagement with patients' supportive needs. Third, to identify barriers to, and facilitators of, the delivery of quality care in these settings. METHODS AND ANALYSIS: A suite of mixed-methods studies will be implemented at six hospitals providing cancer outpatient clinics, with a staged roll-out. In Stage One, we will examine policies, use unstructured observations and undertake interviews with key health professionals to characterise the organisation and delivery of MDC. In Stage Two, observations of practice will continue, to deepen our understanding, and to inform two focused studies. The first will explore decision-making practices and the second will examine how staff engage with patients' needs; both studies involve interviews, to complement observation. As part of the study of supportive care, we will examine the implications of an introduction of patient-reported measures (PRMs) into care, adding surveys to interviews before and after PRMs roll-out. Data analysis will account for site-specific and cross-site issues using an adapted Qualitative Rapid Appraisal, Rigorous Analysis approach. Quantitative data from clinician surveys will be statistically analysed and triangulated with the related qualitative study findings. ETHICS AND DISSEMINATION: Ethical approval was granted by South Eastern Sydney Local Health District Human Research Ethics Committee (no. 18/207). Findings will be shared with participating hospitals and widely disseminated through publications and presentations.

Indexed as

Medical OncologyPatient Care TeamAmbulatory CareAustraliaClinical Decision-MakingHealth Services AccessibilityHumansInterviews as TopicNeeds AssessmentNeoplasmscancermulti-siteoncologyoutpatient clinicqualitative research

Identifiers

PMID31601594
PMCPMC6797275
OpenAlexW2979304180

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.