Ganz Patricia A, Kwan Lorna, Somerfield Mark R, Alberts David, Garber Judy E, Offit Kenneth, Lippman Scott M
Division of Cancer Prevention & Control Research, Jonsson Comprehensive Cancer Center at UCLA, University of California, Los Angeles (UCLA) School of Medicine, Los Angeles, CA 90095-6900, USA.
J Clin Oncol. 2006 Jun 20;24(18):2948-57. doi: 10.1200/JCO.2006.05.8321. Epub 2006 May 15.
In 2004, the American Society of Clinical Oncology (ASCO) Cancer Prevention Committee surveyed the members to describe involvement in clinical prevention activities.
A previously administered survey, with updated items on genetics, chemoprevention, and survivorship, was mailed to a stratified random sample of 2,000 domestic members and a convenience sample of 3,144 international members.
A total of 49.7% of domestic members contacted and survey eligible responded (n = 851). Nonresponders were younger (50.5 v 51.7 years; P < .01); 465 international members responded. Overall, 35% had received formal instruction in cancer prevention and control, and most respondents expected increased use of prevention, screening/early detection, and risk reduction/genetic counseling in their practices in the next 5 years. Most reported caring for cancer survivors, including providing general medical care. They also either directly provide or refer patients for cancer prevention and control services (eg, cancer screening, tobacco and nutrition counseling, risk reduction, and chemoprevention). Multivariable modeling found fewer perceived barriers to inclusion of cancer prevention activities in clinical practice among those practicing in an academic setting, seeing a higher proportion of patients without a cancer diagnosis, having formal training in prevention and control, expecting an increase in prevention activities in the next 5 years, and providing community advice on prevention.
Barriers to the inclusion of cancer prevention and control activities in oncology clinical practice exist. Nevertheless, a substantial proportion of both domestic and international ASCO members report an interest in cancer prevention and control activities, with a desire for more specific educational programs in this emerging area of oncology practice.
2004年，美国临床肿瘤学会（ASCO）癌症预防委员会对其成员进行了调查，以描述他们参与临床预防活动的情况。
一份先前使用过的调查问卷，添加了有关遗传学、化学预防和生存的最新项目，被邮寄给2000名国内成员的分层随机样本以及3144名国际成员的便利样本。
共有49.7%被联系且符合调查条件的国内成员做出了回应（n = 851）。未回应者更年轻（50.5岁对51.7岁；P <.01）；465名国际成员做出了回应。总体而言，35%的成员接受过癌症预防和控制方面的正规培训，大多数受访者预计在未来5年中，他们在实践中会更多地使用预防、筛查/早期检测以及风险降低/遗传咨询。大多数人报告称会照顾癌症幸存者，包括提供一般医疗护理。他们还直接提供或为患者转介癌症预防和控制服务（如癌症筛查、烟草和营养咨询、风险降低以及化学预防）。多变量建模发现，在学术环境中执业、诊治未患癌症患者比例更高、接受过预防和控制正规培训、预计未来5年预防活动会增加以及提供社区预防建议的人员中，认为将癌症预防活动纳入临床实践存在的障碍较少。
肿瘤临床实践中纳入癌症预防和控制活动存在障碍。尽管如此，相当比例的美国临床肿瘤学会国内和国际成员都表示对癌症预防和控制活动感兴趣，希望在这个肿瘤学实践的新兴领域有更具体的教育项目。
