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ワカバヤシ ヒデタカ
Wakabayashi Hidetaka
若林 秀隆 所属 医学部 医学科（東京女子医科大学病院） 職種 教授・基幹分野長 |
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| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | The barriers to interprofessional care for cancer cachexia among Japanese healthcare providers: A nationwide survey. |
| 掲載誌名 | 正式名：Journal of cachexia, sarcopenia and muscle 略 称：J Cachexia Sarcopenia Muscle ISSNコード：21906009/21905991 |
| 掲載区分 | 国外 |
| 巻・号・頁 | pp.1 |
| 国際共著 | 国際共著 |
| 著者・共著者 | Naito Tateaki, Wakabayashi Hidetaka, Aso Sakiko, Konishi Masaaki, Saitoh Masakazu, Baracos Vickie E, Coats Andrew J, Anker Stefan D, Sherman Lawrence, Klompenhouwer Tatiana, Shirotani Noriyasu, Inui Akio, Arai Hidenori |
| 担当区分 | 2nd著者 |
| 発行年月 | 2023/11 |
| 概要 | BACKGROUND:Cancer 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.METHODS:A 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.RESULTS:A 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.CONCLUSIONS:There is a need to improve the educational system and team practic |
| DOI | 10.1002/jcsm.13384 |
| PMID | 38018293 |