Evidence map›Paper›PMID 35650174›Full record

ArticleJournal of medical imaging and radiation oncology2022

Attitudes and access to resources and strategies to improve quality of radiotherapy among US radiation oncologists: A mixed methods study.

Y Helen Zhang, Elaine Cha, Kathleen Lynch, Renee Gennarelli, Jeffrey Brower, Michael V Sherer, Daniel W Golden, Susan Chimonas, Deborah Korenstein, Erin F Gillespie

Open access · greenAbstract read
In one paragraph

Article in Journal of medical imaging and radiation oncology, 2022. 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
0.7field-weighted citation impact, top 32% 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, 5 citations in OpenAlex.

  1. Dissemination and Implementation-A Primer for Accelerating "Time to Translation" in Radiation Oncology.International journal of radiation oncology, biology, physics · 2025
    Review
  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

10 authors at 4 institutions in 1 country.

Y Helen ZhangDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Elaine ChaDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID https://orcid.org/0000-0001-8514-1467
Kathleen LynchCenter for Health Policy and Outcomes, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Renee GennarelliCenter for Health Policy and Outcomes, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Jeffrey BrowerRadiation Oncology Associates-New England, Manchester, New Hampshire, USA.
Michael V ShererDepartment of Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, California, USA.
Daniel W GoldenDepartment of Radiation and Cellular Oncology, University of Chicago, Chicago, Illinois, USA.
Susan ChimonasCenter for Health Policy and Outcomes, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Deborah KorensteinCenter for Health Policy and Outcomes, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Erin F GillespieDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID https://orcid.org/0000-0002-1386-1542
Memorial Sloan Kettering Cancer Center · USRadiation Oncology Associates · USUniversity of California San Diego · USUniversity of Chicago · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Leveraging implementation science to accelerate adoption of shorter-course radiation for breast and prostate cancerK08CA252640 · NCI · UNIVERSITY OF WASHINGTON · PI GILLESPIE, ERIN FAYE · 2020 to 2025
$1.3M
American Society of Clinical Oncology Young Investigator AwardNCI NIH HHS K08 CA252640NCI NIH HHS P30 CA008748Radiological Society of North America Education Innovation Grant
6 · The paper itself

Abstract

introductionWe aimed to assess contouring-related practices among US radiation oncologists and explore how access to and use of resources and quality improvement strategies vary based on individual- and organization-level factors.

methodsWe conducted a mixed methods study with a sequential explanatory design. Surveys were emailed to a random 10% sample of practicing US radiation oncologists. Participating physicians were invited to a semi-structured interview. Kruskal-Wallis and Wilcoxon rank-sum tests and a multivariable regression model were used to evaluate associations. Interview data were coded using thematic content analysis.

resultsSurvey overall response rate was 24%, and subsequent completion rate was 97%. Contouring-related questions arise in ≥50% of clinical cases among 73% of respondents. Resources accessed first include published atlases (75%) followed by consulting another radiation oncologist (60%). Generalists access consensus guidelines more often than disease-site specialists (P = 0.04), while eContour.org is more often used by generalists (OR 4.3, 95% CI 1.2-14.8) and younger physicians (OR 1.33 for each 5-year increase, 95% CI 1.08-1.67). Common physician-reported barriers to optimizing contour quality are time constraints (58%) and lack of access to disease-site specialists (21%). Forty percent (40%, n = 14) of physicians without access to disease-site specialists indicated it could facilitate the adoption of new treatments. Almost all (97%) respondents have formal peer review, but only 43% have contour-specific review, which is more common in academic centres (P = 0.02).

conclusionPotential opportunities to improve radiation contour quality include improved access to disease-site specialists and contour-specific peer review. Physician time must be considered when designing new strategies.

Indexed as

Radiation OncologistsRadiation OncologyAttitudeHumansPeer ReviewSurveys and Questionnairespeer reviewradiation contouringradiation oncologyradiotherapy planningsurvey methodology

Identifiers

PMID35650174
PMCPMC9532345
OpenAlexW4281614967

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.