Evidence map›Paper›PMID 38018293›Full record

ArticleJournal of cachexia, sarcopenia and muscle2024

The barriers to interprofessional care for cancer cachexia among Japanese healthcare providers: A nationwide survey.

Tateaki Naito, Hidetaka Wakabayashi, Sakiko Aso, Masaaki Konishi, Masakazu Saitoh, Vickie E Baracos, Andrew J Coats, Stefan D Anker, Lawrence Sherman, Tatiana Klompenhouwer and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Developing a supportive care pathway for sarcopenia prevention in nasopharyngeal carcinoma: a context-sensitive and implementation-oriented approach.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  3. Article
  4. Barriers to effective cancer cachexia management: perspectives of healthcare professionals in Jordan.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
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  7. Review
  8. Article
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  11. Article
  12. Blazing a trail in cancer cachexia care.Asia-Pacific journal of oncology nursing · 2023
    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

13 authors at 12 institutions in 5 countries.

Tateaki NaitoDivision of Thoracic Oncology, Shizuoka Cancer Center, 1007, Shimonagakubo, Nagaizumi-cho, Sunto-gun, Shizuoka, 411-8777, Japan.ORCID 0000-0003-4047-2929
Hidetaka WakabayashiDepartment of Rehabilitation Medicine, Tokyo Women's Medical University Hospital, Tokyo, Japan.
Sakiko AsoDivision of Nursing, Shizuoka Cancer Center, Shizuoka, Japan.
Masaaki KonishiDepartment of Cardiology, Yokohama City University School of Medicine, Yokohama, Japan.
Masakazu SaitohDepartment of Physical Therapy, Faculty of Health Science, Juntendo University, Tokyo, Japan.
Vickie E BaracosDivision of Palliative Care Medicine, Department of Oncology, University of Alberta, Edmonton, AB, Canada.
Andrew J CoatsScientific Director Heart Research Institute, Sydney, NSW, Australia.
Stefan D AnkerDivision of Cardiology and Metabolism, Department of Cardiology and Berlin-Brandenburg Centre for Regenerative Therapies (BCRT), DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Charité-Universitätsmedizin Berlin (CVK), Berlin, Germany.
Lawrence ShermanMeducate Global, LLC, Tierra Verde, FL, USA.
Tatiana KlompenhouwerSociety on Sarcopenia, Cachexia and Wasting Disorders, Duluth, GA, USA.
Noriyasu ShirotaniShin-Yokohama Home Care Clinic, Yokohama, Japan.
Akio InuiPharmacological Department of Herbal Medicine, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.
Hidenori AraiNational Center for Geriatrics and Gerontology, Obu, Japan.
Shizuoka Cancer Center · JPAsia Society · USCenter for Global Development · USGerman Centre for Cardiovascular Research · DEJuntendo University · JPKagoshima University · JPNational Center for Geriatrics and Gerontology · JPThe Heart Research Institute · AUTokyo Women's Medical University Hospital · JPUniversity of Alberta · CAYokohama City University · JPYokohama Sakae Kyosai Hospital · JP

Funding

Japan Agency for Medical Research and Development (AMED) 22ck0106673h0002Pfizer Inc.
6 · The paper itself

Abstract

backgroundCancer cachexia is a severe complication of advanced malignancy, with few therapeutic options. To promote interprofessional care for cancer cachexia, healthcare providers' needs should be addressed in detail. This pre-planned subgroup analysis of the Global Educational Needs Evaluation: a systemic interprofessional study in cancer cachexia (GENESIS-CC) survey aimed to identify barriers to interprofessional care of cancer cachexia in Japan.

methodsA nationwide survey was electronically conducted for healthcare providers in oncological or general healthcare facilities from January to March 2021 in Japan. The Japanese Regional Advisory Board developed a barrier scoring system with 33 from the 58 original survey items to quantify six domains of barriers: (1) lack of confidence, (2) lack of knowledge, (3) barriers in personal practice, (4) barriers in perception, (5) barriers in team practice and (6) barriers in education. The largest possible barrier score was set at 100 points. We compared the scores by profession.

resultsA total of 1227 valid responses were obtained from 302 (24.6%) physicians, 252 (20.5%) pharmacists, 236 (19.2%) nurses, 218 (17.8%) dietitians, 193 (15.7%) rehabilitation therapists and 26 (2.0%) other professionals. Overall, 460 (37.5%) were not very or at all confident about cancer cachexia care, 791 (84.1%) agreed or strongly agreed that care was influenced by reimbursement availability and 774 (81.9%) did not have cancer cachexia as a mandatory curriculum. The largest mean barrier score (± standard deviation) was 63.7 ± 31.3 for education, followed by 55.6 ± 21.8 for team practice, 43.7 ± 32.5 for knowledge, 42.8 ± 17.7 for perception and 36.5 ± 16.7 for personal practice. There were statistically significant interprofessional differences in all domains (P < 0.05), especially for pharmacists and nurses with the highest or second highest scores in most domains.

conclusionsThere is a need to improve the educational system and team practices of cancer cachexia for most Japanese healthcare providers, especially pharmacists and nurses. Our study suggests the need to reform the mandatory educational curriculum and reimbursement system on cancer cachexia to promote interprofessional care for cancer cachexia in Japan.

Indexed as

NeoplasmsPhysiciansCachexiaHealth PersonnelHumansJapancancer cachexiamedical educationneed assessmentreimbursementteam practice

Identifiers

PMID38018293
PMCPMC10834325
OpenAlexW4389148295

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.