Knowledge Translation in Oncology

Author:

Morgan Sarah12,Hanna Jessica12,Yousef George M12ORCID

Affiliation:

1. Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Canada

2. Department of Paediatric Laboratory Medicine, Hospital for Sick Children, Toronto, Canada

Abstract

Abstract Objectives Knowledge translation (KT) is the dynamic process of mobilizing best-practice evidence to guide health care decisions. Methods Using a PubMed search, challenges were identified and milestones defined. Results Substantial challenges exist in integrating discoveries into patient care, including technical limitations related to genomic testing like turnaround time, standardization, reproducibility, and results interpretation. Other challenges include lack of proper training in genetic counseling for health care providers, clarity of scientific evidence, and ethical, legal and social considerations. In addition, most health care systems lack accessibility to genetic testing services. Moving forward, KT should be addressed at three main frontiers. The first is patients centered for proper understanding and decision making; the second is directed toward health care professionals, including clinical decision support and clarity of roles; and the third addresses resources of health care systems. Conclusions Implementing KT requires developing strategies to enhance awareness and promote behavioral changes congruent with research evidence, designing a systematic approach by health care providers and stakeholders to achieve patient-centered care.

Publisher

Oxford University Press (OUP)

Subject

General Medicine

Reference51 articles.

1. Defining knowledge translation;Straus;CMAJ.,2009

2. The case for knowledge translation: shortening the journey from evidence to effect;Davis;BMJ.,2003

3. Supporting patients facing difficult health care decisions: use of the Ottawa decision support framework;Légaré;Can Fam Physician.,2006

4. Canadian Institute of Health Research (CIHR). Knowledge translation. 2016. http://www.cihr-irsc.gc.ca/e/29418.html#2. Accessed July 1, 2018.

5. Center on Knowledge Translation for Disability and Rehabilitation Research. What is knowledge translation? 2005. http://ktdrr.org/ktlibrary/articles_pubs/ncddrwork/focus/focus10/Focus10.pdf. Accessed May 1, 2018.

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