Difference of compliance rates for the recommendations in Japanese Guideline on Febrile Neutropenia according to respondents’ attributes: the second report ... View Full Text


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Article Info

DATE

2022-01-29

AUTHORS

Nobu Akiyama, Takuho Okamura, Minoru Yoshida, Shun-ichi Kimura, Shingo Yano, Isao Yoshida, Hitoshi Kusaba, Kosuke Takahashi, Hiroyuki Fujita, Keitaro Fukushima, Hiromichi Iwasaki, Kazuo Tamura, Toshiaki Saeki, Yasushi Takamatsu, Sadamoto Zenda

ABSTRACT

PurposeThe Japanese Society of Medical Oncology (JSMO) published a guideline (GL) on febrile neutropenia (FN) in 2017. This study aims to identify promoting factors and disincentives for complying with GL recommendations according to attributes of doctors providing chemotherapy.MethodsA questionnaire survey was conducted with SurveyMonkey™ for physician members of the Japanese Association of Supportive Care in Cancer and relevant academic organizations. Each question had four options (always do, do in more than half of patients, do in less than half, do not at all) and a free description form. Responses were analyzed according to the respondents’ attributes.ResultSeven hundred eighty-eight out of retrieved 801 responses were available for analysis. Multivariable analysis demonstrated that the percentage of GL users was higher among women and Japanese Society of Clinical Oncology members. The overall compliance rate was higher among women, JSMO members, and board-certified medical oncologists. Internists emphasized the significance of collecting blood cultures at FN onset, and surgeons stressed the importance of G-CSF prophylaxis. Hematologists were less likely to adhere to recommendations on risk assessment of FN by the Multinational Association of Supportive Care in Cancer score and administration of gammaglobulin products. However, those are acceptable due to the characteristics of their practice. Eight recommendations had no difference in compliance rates between users and non-users, some of whose statements were ambiguous and discretionary.ConclusionWomen were more likely to use and adhere to GL. The recommendations should be developed considering the characteristics of specialty and subspecialty and avoiding ambiguity and discretionary statements. More... »

PAGES

4327-4336

Journal

TITLE

Supportive Care in Cancer

ISSUE

5

VOLUME

30

Author Affiliations

  • Department of Internal Medicine, School of Medicine, Teikyo University, Kaga 2-11-1, Itabashi ward, 173-8605, Tokyo, Japan
  • Department of Breast Surgery, School of Medicine, Tokai University, Isehara, Kanagawa, Japan
  • Fourth Department of Internal Medicine, Teikyo University Hospital Mizonokuchi, Kawasaki, Kanagawa, Japan
  • Division of Hematology, Jichi Medical University Saitama Medical Center, Saitama, Saitama, Japan
  • Division of Clinical Oncology and Hematology, The Jikei University School of Medicine, Minato, Tokyo, Japan
  • Department of Hematologic Oncology, National Hospital Organization Shikoku Cancer Center, Matsuyama, Ehime, Japan
  • Department of Comprehensive Clinical Oncology, Faculty of Medical Sciences, Kyushu University, Fukuoka, Fukuoka, Japan
  • Department of Respiratory Medicine, Anjo Kosei Hospital, Anjo, Aichi, Japan
  • Department of Hematology, Saiseikai Yokohama Nanbu Hospital, Yokohama, Kanagawa, Japan
  • Department of Pediatrics, Dokkyo Medical University, Mibu, Tochigi, Japan
  • Department of Infection Control and Prevention, Faculty of Medical Sciences, University of Fukui, Eiheiji, Fukui, Japan
  • Professor Emeritus, Fukuoka University, Fukuoka, Fukuoka, Japan
  • Department of Breast Oncology, Saitama Medical University International Medical Center, Hidaka, Saitama, Japan
  • Department of Hematology, Oncology, Endocrinology and Infectious Disease, Fukuoka University, Fukuoka, Fukuoka, Japan
  • Department of Radiation Oncology, National Cancer Center Hospital East, Kashiwa, Chiba, Japan
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00520-022-06834-9

    DOI

    http://dx.doi.org/10.1007/s00520-022-06834-9

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1145096381

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/35094140


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    23 schema:description PurposeThe Japanese Society of Medical Oncology (JSMO) published a guideline (GL) on febrile neutropenia (FN) in 2017. This study aims to identify promoting factors and disincentives for complying with GL recommendations according to attributes of doctors providing chemotherapy.MethodsA questionnaire survey was conducted with SurveyMonkey™ for physician members of the Japanese Association of Supportive Care in Cancer and relevant academic organizations. Each question had four options (always do, do in more than half of patients, do in less than half, do not at all) and a free description form. Responses were analyzed according to the respondents’ attributes.ResultSeven hundred eighty-eight out of retrieved 801 responses were available for analysis. Multivariable analysis demonstrated that the percentage of GL users was higher among women and Japanese Society of Clinical Oncology members. The overall compliance rate was higher among women, JSMO members, and board-certified medical oncologists. Internists emphasized the significance of collecting blood cultures at FN onset, and surgeons stressed the importance of G-CSF prophylaxis. Hematologists were less likely to adhere to recommendations on risk assessment of FN by the Multinational Association of Supportive Care in Cancer score and administration of gammaglobulin products. However, those are acceptable due to the characteristics of their practice. Eight recommendations had no difference in compliance rates between users and non-users, some of whose statements were ambiguous and discretionary.ConclusionWomen were more likely to use and adhere to GL. The recommendations should be developed considering the characteristics of specialty and subspecialty and avoiding ambiguity and discretionary statements.
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