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Difference of compliance rates for the recommendations in Japanese Guideline on Febrile Neutropenia according to respondents’ attributes: the second report on a questionnaire survey among hematology-oncology physicians and surgeons

PURPOSE: The Japanese Society of Medical Oncology (JSMO) published a guideline (GL) on febrile neutropenia (FN) in 2017. This study aims to identify promoting factors and disincentives for complying with GL recommendations according to attributes of doctors providing chemotherapy. METHODS: A questio...

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Autores principales: Akiyama, Nobu, Okamura, Takuho, Yoshida, Minoru, Kimura, Shun-ichi, Yano, Shingo, Yoshida, Isao, Kusaba, Hitoshi, Takahashi, Kosuke, Fujita, Hiroyuki, Fukushima, Keitaro, Iwasaki, Hiromichi, Tamura, Kazuo, Saeki, Toshiaki, Takamatsu, Yasushi, Zenda, Sadamoto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8942955/
https://www.ncbi.nlm.nih.gov/pubmed/35094140
http://dx.doi.org/10.1007/s00520-022-06834-9
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author Akiyama, Nobu
Okamura, Takuho
Yoshida, Minoru
Kimura, Shun-ichi
Yano, Shingo
Yoshida, Isao
Kusaba, Hitoshi
Takahashi, Kosuke
Fujita, Hiroyuki
Fukushima, Keitaro
Iwasaki, Hiromichi
Tamura, Kazuo
Saeki, Toshiaki
Takamatsu, Yasushi
Zenda, Sadamoto
author_facet Akiyama, Nobu
Okamura, Takuho
Yoshida, Minoru
Kimura, Shun-ichi
Yano, Shingo
Yoshida, Isao
Kusaba, Hitoshi
Takahashi, Kosuke
Fujita, Hiroyuki
Fukushima, Keitaro
Iwasaki, Hiromichi
Tamura, Kazuo
Saeki, Toshiaki
Takamatsu, Yasushi
Zenda, Sadamoto
author_sort Akiyama, Nobu
collection PubMed
description PURPOSE: The Japanese Society of Medical Oncology (JSMO) published a guideline (GL) on febrile neutropenia (FN) in 2017. This study aims to identify promoting factors and disincentives for complying with GL recommendations according to attributes of doctors providing chemotherapy. METHODS: A questionnaire survey was conducted with SurveyMonkey™ for physician members of the Japanese Association of Supportive Care in Cancer and relevant academic organizations. Each question had four options (always do, do in more than half of patients, do in less than half, do not at all) and a free description form. Responses were analyzed according to the respondents’ attributes. RESULT: Seven hundred eighty-eight out of retrieved 801 responses were available for analysis. Multivariable analysis demonstrated that the percentage of GL users was higher among women and Japanese Society of Clinical Oncology members. The overall compliance rate was higher among women, JSMO members, and board-certified medical oncologists. Internists emphasized the significance of collecting blood cultures at FN onset, and surgeons stressed the importance of G-CSF prophylaxis. Hematologists were less likely to adhere to recommendations on risk assessment of FN by the Multinational Association of Supportive Care in Cancer score and administration of gammaglobulin products. However, those are acceptable due to the characteristics of their practice. Eight recommendations had no difference in compliance rates between users and non-users, some of whose statements were ambiguous and discretionary. CONCLUSION: Women were more likely to use and adhere to GL. The recommendations should be developed considering the characteristics of specialty and subspecialty and avoiding ambiguity and discretionary statements. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00520-022-06834-9.
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spelling pubmed-89429552022-04-07 Difference of compliance rates for the recommendations in Japanese Guideline on Febrile Neutropenia according to respondents’ attributes: the second report on a questionnaire survey among hematology-oncology physicians and surgeons Akiyama, Nobu Okamura, Takuho Yoshida, Minoru Kimura, Shun-ichi Yano, Shingo Yoshida, Isao Kusaba, Hitoshi Takahashi, Kosuke Fujita, Hiroyuki Fukushima, Keitaro Iwasaki, Hiromichi Tamura, Kazuo Saeki, Toshiaki Takamatsu, Yasushi Zenda, Sadamoto Support Care Cancer Original Article PURPOSE: The Japanese Society of Medical Oncology (JSMO) published a guideline (GL) on febrile neutropenia (FN) in 2017. This study aims to identify promoting factors and disincentives for complying with GL recommendations according to attributes of doctors providing chemotherapy. METHODS: A questionnaire survey was conducted with SurveyMonkey™ for physician members of the Japanese Association of Supportive Care in Cancer and relevant academic organizations. Each question had four options (always do, do in more than half of patients, do in less than half, do not at all) and a free description form. Responses were analyzed according to the respondents’ attributes. RESULT: Seven hundred eighty-eight out of retrieved 801 responses were available for analysis. Multivariable analysis demonstrated that the percentage of GL users was higher among women and Japanese Society of Clinical Oncology members. The overall compliance rate was higher among women, JSMO members, and board-certified medical oncologists. Internists emphasized the significance of collecting blood cultures at FN onset, and surgeons stressed the importance of G-CSF prophylaxis. Hematologists were less likely to adhere to recommendations on risk assessment of FN by the Multinational Association of Supportive Care in Cancer score and administration of gammaglobulin products. However, those are acceptable due to the characteristics of their practice. Eight recommendations had no difference in compliance rates between users and non-users, some of whose statements were ambiguous and discretionary. CONCLUSION: Women were more likely to use and adhere to GL. The recommendations should be developed considering the characteristics of specialty and subspecialty and avoiding ambiguity and discretionary statements. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00520-022-06834-9. Springer Berlin Heidelberg 2022-01-29 2022 /pmc/articles/PMC8942955/ /pubmed/35094140 http://dx.doi.org/10.1007/s00520-022-06834-9 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Akiyama, Nobu
Okamura, Takuho
Yoshida, Minoru
Kimura, Shun-ichi
Yano, Shingo
Yoshida, Isao
Kusaba, Hitoshi
Takahashi, Kosuke
Fujita, Hiroyuki
Fukushima, Keitaro
Iwasaki, Hiromichi
Tamura, Kazuo
Saeki, Toshiaki
Takamatsu, Yasushi
Zenda, Sadamoto
Difference of compliance rates for the recommendations in Japanese Guideline on Febrile Neutropenia according to respondents’ attributes: the second report on a questionnaire survey among hematology-oncology physicians and surgeons
title Difference of compliance rates for the recommendations in Japanese Guideline on Febrile Neutropenia according to respondents’ attributes: the second report on a questionnaire survey among hematology-oncology physicians and surgeons
title_full Difference of compliance rates for the recommendations in Japanese Guideline on Febrile Neutropenia according to respondents’ attributes: the second report on a questionnaire survey among hematology-oncology physicians and surgeons
title_fullStr Difference of compliance rates for the recommendations in Japanese Guideline on Febrile Neutropenia according to respondents’ attributes: the second report on a questionnaire survey among hematology-oncology physicians and surgeons
title_full_unstemmed Difference of compliance rates for the recommendations in Japanese Guideline on Febrile Neutropenia according to respondents’ attributes: the second report on a questionnaire survey among hematology-oncology physicians and surgeons
title_short Difference of compliance rates for the recommendations in Japanese Guideline on Febrile Neutropenia according to respondents’ attributes: the second report on a questionnaire survey among hematology-oncology physicians and surgeons
title_sort difference of compliance rates for the recommendations in japanese guideline on febrile neutropenia according to respondents’ attributes: the second report on a questionnaire survey among hematology-oncology physicians and surgeons
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8942955/
https://www.ncbi.nlm.nih.gov/pubmed/35094140
http://dx.doi.org/10.1007/s00520-022-06834-9
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