Shaw R M, Thomas R
Department of Sociology, McMaster University, Hamilton, Ontario, Canada.
Eur J Cancer Care (Engl). 2014 Jan;23(1):98-110. doi: 10.1111/ecc.12108. Epub 2013 Aug 27.
The information needs and media preferences of Canadian cancer specialists regarding breast cancer treatment related arm morbidity. Breast cancer treatment related arm morbidity is a common but pernicious condition that is under-recognised, under-diagnosed, and can result in long-term impairment and disability. Despite the prevalence of this condition, little is known about breast cancer specialists' information needs and media preferences around this issue. In-depth telephone interviews with 14 Canadian cancer specialists were conducted, and were coded and analysed using a grounded theory approach. Findings revealed that cancer specialists were open to receiving all types of information about treatment related arm morbidity, and have preferences for particular types of media formats. However, barriers that could problematise the uptake of research findings into clinical practice were also noted and included gaps in specialists' knowledge of the complex nature of treatment related lymphoedema. Hence providing specialists with summary information about arm morbidity will not suffice, and an educational campaign around this condition, including the importance of physician vigilance in regularly monitoring patients for early and latent indications of this morbidity may be necessary.
加拿大癌症专家对乳腺癌治疗相关手臂发病率的信息需求和媒体偏好。乳腺癌治疗相关手臂发病率是一种常见但有害的状况，目前未得到充分认识、诊断不足，并且可能导致长期损伤和残疾。尽管这种状况普遍存在，但对于乳腺癌专家在这个问题上的信息需求和媒体偏好却知之甚少。对14位加拿大癌症专家进行了深入的电话访谈，并采用扎根理论方法进行编码和分析。研究结果显示，癌症专家愿意接受有关治疗相关手臂发病率的所有类型信息，并且对特定类型的媒体形式有偏好。然而，也注意到可能使研究结果在临床实践中难以应用的障碍，包括专家对治疗相关淋巴水肿复杂性质的知识空白。因此，仅向专家提供有关手臂发病率的简要信息是不够的，围绕这种状况开展一场教育活动可能是必要的，包括医生保持警惕定期监测患者以发现这种发病率的早期和潜在迹象的重要性。
