期刊
CANCER PRACTICE
卷 10, 期 1, 页码 28-35出版社
BLACKWELL PUBLISHING INC
DOI: 10.1046/j.1523-5394.2002.101006.x
关键词
breast cancer; cancer treatment; clinical trials; colorectal cancer; recruitment
资金
- NCI NIH HHS [CA-9007, CA-57707] Funding Source: Medline
- NATIONAL CANCER INSTITUTE [R25CA057707] Funding Source: NIH RePORTER
PURPOSE: The goal of this study was to examine the effect of a rural community clinical oncology program-based cancer-care Intervention program that was launched to increase the number of rural patients with cancer enrolled in clinical trials. DESCRIPTION OF STUDY: Five rural counties in eastern North Carolina served as intervention communities, and five rural counties in South Carolina served as the comparison region, The intervention counties used a rapid tumor-reporting system, a nurse facilitator who identified and prompted oncologists to enter patients into clinical trials, a quarterly newsletter to primary-care physicians about cancer treatment and clinical trials, and a health educator who focused on community-wide education regarding cancer prevention, treatment, and clinical trial information. Outcomes included changes in knowledge and attitudes about clinical trials among the primary-care providers who were surveyed and enrollment in clinical treatment trials for breast and colorectal cancer, as analyzed by comparing practice pattern data from before and after the intervention. RESULTS: The results indicate that the intervention was not effecTIve. The proportion of primary-care physicians who were aware of clinical trials for their patients with cancer rose slightly in comparison counties (26% to 34%) but remained constant (41% to 43%) in intervention counties. Perceived patient and actual physician barriers toward clinical trial participation were reported by the physicians. A minority of potentially eligible patients with breast or colon cancer in both North Carolina and South Carolina were enrolled in clinical trials. CLINICAL IMPLICATIONS: These data suggest that different types of interventions may be needed to improve accrual to cancer treatment trials in rural communities. In addition, the role that primary-care providers play in encouraging patients with cancer to participate in clinical treatment trials needs further exploration.
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