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肾癌管理需求评估调查

Needs Assessment Survey for the Management of Kidney Cancer.

作者信息

Lavallée Luke T, Fitzpatrick Ryan, Cnossen Sonya, Witiuk Kelsey, Wood Lori, Basiuk Joan, Vanhuyse Marie, Tanguay Simon, Pautler Stephen E, Finelli Antonio, Jewett Michael A, Cagiannos Ilias, Morash Christopher, Breau Rodney H

机构信息

Division of Urology, Department of Surgery, the Ottawa Hospital and University of Ottawa, Ottawa, Ontario, Canada.

Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.

出版信息

Urol Pract. 2017 May;4(3):257-263. doi: 10.1016/j.urpr.2016.07.007. Epub 2016 Oct 15.

Abstract

INTRODUCTION

In this study we determined self-perceived knowledge gaps and continuing medical education preferences among Canadian urologists and medical oncologists related to the treatment of patients with kidney cancer.

METHODS

A needs assessment survey was created by the Quality Initiative group of the Kidney Cancer Research Network of Canada using an iterative feedback process. The survey determined knowledge gaps and continuing medical education preferences pertaining to 23 previously validated quality indicators of kidney cancer care. Topics included screening, diagnosis, prognosis, surgical management, systemic therapies and followup care. The survey was distributed via e-mail to Canadian urologists and medical oncologists.

RESULTS

Among the 164 respondents 121 (74%) were urologists and 43 (26%) were medical oncologists. The majority of respondents practice in academic (72, 57%) or large urban community centers (40, 32%). Of the 23 quality indicators examined 14 were designated as priority continuing medical education topics based on perceived inadequate knowledge or high interest in the topic. Priority topics were similar for urologists and medical oncologists, and covered the spectrum of kidney cancer care with an emphasis on hereditary kidney cancer and management of advanced disease. Most respondents preferred that continuing medical education be delivered through in person, case based group discussions.

CONCLUSIONS

Canadian urologists and medical oncologists report similar knowledge gaps and continuing medical education preferences regarding kidney cancer care. Priority topics include screening for hereditary kidney cancer and management of advanced disease.

摘要

引言

在本研究中,我们确定了加拿大泌尿外科医生和医学肿瘤学家在肾癌患者治疗方面自我认知的知识差距以及继续医学教育偏好。

方法

加拿大肾癌研究网络质量倡议小组采用迭代反馈流程创建了一项需求评估调查。该调查确定了与23项先前验证的肾癌护理质量指标相关的知识差距和继续医学教育偏好。主题包括筛查、诊断、预后、手术管理、全身治疗和后续护理。该调查通过电子邮件分发给加拿大泌尿外科医生和医学肿瘤学家。

结果

在164名受访者中,121名(74%)是泌尿外科医生,43名(26%)是医学肿瘤学家。大多数受访者在学术机构(72名,57%)或大型城市社区中心(40名,32%)执业。在所检查的23项质量指标中,14项被指定为优先继续医学教育主题,这是基于对知识不足或对该主题的高度兴趣。泌尿外科医生和医学肿瘤学家的优先主题相似,涵盖了肾癌护理的各个方面,重点是遗传性肾癌和晚期疾病的管理。大多数受访者更喜欢通过面对面的、基于病例的小组讨论来提供继续医学教育。

结论

加拿大泌尿外科医生和医学肿瘤学家在肾癌护理方面报告了相似的知识差距和继续医学教育偏好。优先主题包括遗传性肾癌的筛查和晚期疾病的管理。

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