University of Rochester School of Medicine and Dentistry, Rochester, USA.
Tata Memorial Centre, Mumbai, India.
Indian J Cancer. 2020 Oct-Dec;57(4):457-462. doi: 10.4103/ijc.IJC_518_19.
In India, where the annual incidence of cancer is projected to reach 1.7 million by 2020, the need for clinical research to establish the most effective, resource-guided, and evidence-based care is paramount. In this study, we sought to better understand the research training needs of radiation oncologists in India.
A 12 item questionnaire was developed to assess research training needs and was distributed at the research methods course jointly organized by Indian College of Radiation Oncology, the American Brachytherapy Society, and Education Committee of the American Society of Therapeutic Radiation Oncology during the Indian Cancer Congress, 2017.
Of 100 participants who received the questionnaire, 63% responded. Ninety percent (56/63) were Radiation Oncologists. Forty-two percent (26/63) of respondents had previously conducted research. A longer length of practice (>10 years) was significantly associated with conducting research (odds ratio (OR) 6.99, P = 0.031) and having formal research training trended toward significance (OR 3.03, P = 0.058). The most common reason for not conducting research was "lack of training" (41%, 14/34). The most common types of research conducted were Audits and Retrospective studies (62%, 16/26), followed by a Phase I/II/III Trial (46%, 10/26). Having formal research training was a significant factor associated with writing a protocol (OR 5.53, P = 0.016). Limited training in research methods (54%, 13/24) and lack of mentorship (42%, 10/24) were cited as reasons for not developing a protocol. Ninety-seven percent (57/59) of respondents were interested in a didactic session on research, specifically focusing on biostatistics.
With research training and mentorship, there is a greater likelihood that concepts and written protocols will translate into successfully completed studies in radiation therapy.
在印度,预计到 2020 年癌症年发病率将达到 170 万例,因此开展临床研究以确定最有效、资源导向且基于证据的治疗方法至关重要。在这项研究中,我们试图更好地了解印度放射肿瘤学家的研究培训需求。
开发了一个包含 12 个项目的问卷,以评估研究培训需求,并在 2017 年印度癌症大会期间由印度放射肿瘤学院、美国近距离放射治疗协会和美国治疗放射肿瘤学会教育委员会联合举办的研究方法课程上发放给与会者。
在收到问卷的 100 名参与者中,有 63%的人做出了回应。90%(56/63)的应答者为放射肿瘤学家。42%(26/63)的应答者之前开展过研究。较长的从业时间(>10 年)与开展研究显著相关(比值比(OR)6.99,P=0.031),而接受正式的研究培训也有一定的趋势(OR 3.03,P=0.058)。不开展研究的最常见原因是“缺乏培训”(41%,14/34)。开展最常见的研究类型为审计和回顾性研究(62%,16/26),其次为 I 期/II 期/III 期试验(46%,10/26)。接受过正式研究培训是与撰写方案显著相关的因素(OR 5.53,P=0.016)。研究方法培训有限(54%,13/24)和缺乏指导(42%,10/24)被认为是未制定方案的原因。97%(57/59)的应答者对研究教学课程感兴趣,特别是对生物统计学的教学。
通过研究培训和指导,将更有可能将概念和书面方案转化为成功完成的放射治疗研究。