Inequalities in access to neuro-oncology supportive care and rehabilitation: A survey of healthcare professionals' perspectives

被引：3

作者：

Boele, Florien ^{[1
,2
]}

Rosenlund, Lena ^{[20
]}

Nordentoft, Sara ^{[18
]}

Melhuish, Sara ^{[14
]}

Nicklin, Emma ^{[1
]}

Ryden, Isabelle ^{[22
]}

Williamson, Aoife ^{[23
]}

Donders-Kamphuis, Marike ^{[4
,5
]}

Preusser, Matthias ^{[19
]}

Le Rhun, Emilie ^{[11
,12
,13
]}

Kiesel, Barbara ^{[10
]}

Minniti, Giuseppe ^{[15
,16
,17
]}

Furtner, Julia ^{[6
]}

Dirven, Linda ^{[3
]}

Taphoorn, Martin ^{[3
]}

Galldiks, Norbert ^{[7
,8
,9
]}

Ruda, Roberta ^{[21
]}

Chalmers, Anthony ^{[24
]}

Short, Susan C. ^{[25
,26
]}

Piil, Karin ^{[27
,28
]}

机构：

[1] Univ Leeds, St Jamess Univ Hosp, Leeds Inst Med Res, Leeds, W Yorkshire, England

[2] Univ Leeds, Leeds Inst Hlth Sci, Leeds, W Yorkshire, England

[3] Leiden Univ, Dept Neurol, Med Ctr, Leiden, Netherlands

[4] Haaglanden Med Ctr, Dept Neurosurg, The Hague, Netherlands

[5] Univ Med Ctr Rotterdam, Erasmus MC, Dept Neurosurg, Rotterdam, Netherlands

[6] Danube Private Univ, Fac Med & Dent, Res Ctr Med Image Anal & Artificial Intelligence, Krems, Austria

[7] Univ Cologne, Fac Med, Dept Neurol, Cologne, Germany

[8] Univ Cologne, Univ Cologne Hosp, Cologne, Germany

[9] Res Ctr Juelich, Inst Neurosci & Med INM 3, Julich, Germany

[10] Med Univ Vienna, Dept Neurosurg, Vienna, Austria

[11] Univ Hosp, Clin Neurosci Ctr, Dept Neurosurg, Zurich, Switzerland

[12] Univ Zurich, Zurich, Switzerland

[13] Univ Hosp, Clin Neurosci Ctr, Dept Neurol, Zurich, Switzerland

[14] St Bartholomews Hosp, Speech & Language Therapy Dept, London, England

[15] Dept Radiol Sci Oncol & Anat Pathol, Rome, Italy

[16] Sapienza Univ Rome, Rome, Italy

[17] IRCCS Neuromed, Pozzilli, Italy

[18] Copenhagen Univ Hosp, Dept Neurosurg, Rigshosp, Neuroctr, Copenhagen, Denmark

[19] Med Univ Vienna, Dept Med, Div Oncol, Vienna, Austria

[20] Reg Canc Ctr Stockholm Gotland, Stockholm, Sweden

[21] Univ Turin, Dept Neurosci, Div Neurooncol, Turin, Italy

[22] Univ Gothenburg, Inst Neurosci & Physiol, Sahlgrenska Acad, Dept Clin Neurosci, Gothenburg, Sweden

[23] Beatson West Scotland Canc Ctr, Glasgow, Lanark, Scotland

[24] Univ Glasgow, Sch Canc Sci, Glasgow, Lanark, Scotland

[25] Univ Leeds, Leeds Inst Med Res, Leeds, W Yorkshire, England

[26] Leeds Teaching Hosp NHS Trust, Dept Clin Oncol, Leeds, W Yorkshire, England

[27] Copenhagen Univ Hosp, Ctr Canc & Organ Dis, Dept Oncol, Rigshosp, Blegdamsvej 9, DK-2100 Copenhagen, Denmark

[28] Roskilde Univ, Dept People & Technol, Roskilde, Denmark

来源：

NEURO-ONCOLOGY PRACTICE | 2024年 / 11卷 / 04期

关键词：

brain tumor; disparity; inequalities; rehabilitation; supportive/palliative care; HIGH-GRADE GLIOMA; BRAIN-TUMOR; UNMET NEEDS;

D O I：

10.1093/nop/npae023

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Background Neuro-oncology patients and caregivers should have equitable access to rehabilitation, supportive-, and palliative care. To investigate existing issues and potential solutions, we surveyed neuro-oncology professionals to explore current barriers and facilitators to screening patients' needs and referral to services.Methods Members of the European Association of Neuro-Oncology and the European Organisation for Research and Treatment of Cancer Brain Tumor Group (EORTC-BTG) were invited to complete a 39-item online questionnaire covering the availability of services, screening, and referral practice. Responses were analyzed descriptively; associations between sociodemographic/clinical variables and screening/referral practice were explored.Results In total, 103 participants completed the survey (67% women and 57% medical doctors). Fifteen professions from 23 countries were represented. Various rehabilitation, supportive-, and palliative care services were available yet rated "inadequate" by 21-37% of participants. Most respondents with a clinical role (n = 94) declare to screen (78%) and to refer (83%) their patients routinely for physical/cognitive/emotional issues. Survey completers (n = 103) indicated the main reasons for not screening/referring were (1) lack of suitable referral options (50%); (2) shortage of healthcare professionals (48%); and (3) long waiting lists (42%). To improve service provision, respondents suggested there is a need for education about neuro-oncology-specific issues (75%), improving the availability of services (65%) and staff (64%), developing international guidelines (64%), and strengthening the existing evidence-base for rehabilitation (60%).Conclusions Detecting and managing neuro-oncology patients' and caregivers' rehabilitation, supportive,- and palliative care needs can be improved. Better international collaboration can help address healthcare disparities.

引用

页码：484 / 493

页数：10

共 41 条

[41] Postacute Cognitive Rehabilitation for Adult Brain Tumor Patients [J].

Weyer-Jamora, Christina ;

Brie, Melissa S. ;

Luks, Tracy L. ;

Smith, Ellen M. ;

Hervey-Jumper, Shawn L. ;

Taylor, Jennie W. .

NEUROSURGERY, 2021, 89 (06) :945-953

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