Clinician perspectives on communication and implementation challenges in precision oncology

Author:

Hamilton Jada G123ORCID,Banerjee Smita C13,Carlsson Sigrid V456ORCID,Vera Jacqueline1,Lynch Kathleen A1ORCID,Sar-Graycar Lili1ORCID,Martin Chloé M1ORCID,Parker Patricia A13,Hay Jennifer L13

Affiliation:

1. Department of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY 10022, USA

2. Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA

3. Weill Cornell Medical College, New York, NY 10065, USA

4. Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA

5. Department of Epidemiology & Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY 10017, USA

6. Department of Urology, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Sweden

Abstract

Aim: To describe patient communication challenges encountered by oncology clinicians, which represent a fundamental barrier to implementing precision oncology. Materials & methods: We conducted three focus groups including breast, melanoma and thoracic oncology clinicians regarding their precision oncology communication experiences. Transcripts were reviewed and coded using inductive thematic text analysis. Results: We identified four themes: varied definitions of precision oncology exist, clinicians and patients face unique challenges to precision oncology implementation, patient communication challenges engendered or heightened by precision oncology implementation and clinician communication solutions and training needs. Conclusion: This study elucidated clinicians’ perspectives on implementing precision oncology and related communication challenges. Understanding these challenges and developing strategies to help clinicians navigate these discussions are critical for ensuring that patients reap the full benefits of precision oncology.

Funder

National Cancer Institute

Publisher

Future Medicine Ltd

Subject

Pharmacology,Molecular Medicine,General Medicine

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