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Challenges in Clinical Trial Implementation: Results from a Survey of the National Accreditation Program of Breast Centers (NAPBC)

Background Although the results of clinical trials often guide best practices, changing clinical practice based on clinical trial results can be challenging. The objective of this study was to examine provider-reported barriers to adopting best clinical practices according to clinical trial data. Me... Full description

Journal Title: Annals of surgical oncology 2019-10-17, Vol.26 (13), p.4364-4371
Main Author: Weiss, Anna
Other Authors: Lopez, Nicole E , Ward, Erin P , Lee, Katherine C , Caudle, Abigail S , Dickson-Witmer, Diana , Chang, Cecilia , Kelly, Kaitlyn , Martin, Linda Williams , Jacobs, Lisa Kay , Hunt, Kelly K , Yao, Katherine , Blair, Sarah L
Format: Electronic Article Electronic Article
Language: English
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Publisher: Cham: Springer International Publishing
ID: ISSN: 1068-9265
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recordid: cdi_springer_journals_10_1245_s10434_019_07807_9
title: Challenges in Clinical Trial Implementation: Results from a Survey of the National Accreditation Program of Breast Centers (NAPBC)
format: Article
creator:
  • Weiss, Anna
  • Lopez, Nicole E
  • Ward, Erin P
  • Lee, Katherine C
  • Caudle, Abigail S
  • Dickson-Witmer, Diana
  • Chang, Cecilia
  • Kelly, Kaitlyn
  • Martin, Linda Williams
  • Jacobs, Lisa Kay
  • Hunt, Kelly K
  • Yao, Katherine
  • Blair, Sarah L
subjects:
  • Accreditation
  • Breast
  • Breast Neoplasms - therapy
  • Breast Oncology
  • CLINICAL TRIALS
  • Clinical Trials as Topic - standards
  • Cross-Sectional Studies
  • Female
  • Guideline Adherence - statistics & numerical data
  • Health Plan Implementation
  • Humans
  • MAMMARY GLANDS
  • MEDICAL PERSONNEL
  • Medicine
  • Medicine & Public Health
  • NEOPLASMS
  • Oncologists - psychology
  • Oncologists - standards
  • Oncology
  • Practice Guidelines as Topic - standards
  • RADIOLOGY AND NUCLEAR MEDICINE
  • RECOMMENDATIONS
  • Response rates
  • Surgery
  • Surgical Oncology
  • Surveys and Questionnaires
ispartof: Annals of surgical oncology, 2019-10-17, Vol.26 (13), p.4364-4371
description: Background Although the results of clinical trials often guide best practices, changing clinical practice based on clinical trial results can be challenging. The objective of this study was to examine provider-reported barriers to adopting best clinical practices according to clinical trial data. Methods A cross-sectional survey was conducted of providers from the National Accreditation Program for Breast Centers about barriers that prevent the incorporation of trial findings. Descriptive analyses and multivariable analyses were performed to determine provider characteristics that were significantly associated with reported barriers. Results Overall, 383 institutions participated (63.5% response rate), with a total of 1226 physicians responding to the survey (80% response rate). Providers identified national guidelines and meetings as the most compelling way to receive practice-changing information. They reported the following internal barriers to trial implementation: patient preference (45%), strongly held beliefs by partners/colleagues (37%), and insufficient time to discuss new practices (30%). External barriers preventing trial implementation included a lack of agreement from multidisciplinary tumor boards (32%), fear of reimbursement loss (23%), and resistance from clinical staff (20%). Reported barriers differed by provider specialty, with plastic surgeons and radiation oncologists reporting that strongly held beliefs by partners/colleagues and disagreement from multidisciplinary tumor boards were the most significant factors preventing clinical trial implementation. Conclusions Physician beliefs and patient preferences are the most frequently reported barriers to clinical trial implementation. Tactics to better educate providers about how to explain new clinical trial data to their patients and colleagues are needed.
language: eng
source:
identifier: ISSN: 1068-9265
fulltext: no_fulltext
issn:
  • 1068-9265
  • 1534-4681
  • 1534-4681
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titleChallenges in Clinical Trial Implementation: Results from a Survey of the National Accreditation Program of Breast Centers (NAPBC)
creatorWeiss, Anna ; Lopez, Nicole E ; Ward, Erin P ; Lee, Katherine C ; Caudle, Abigail S ; Dickson-Witmer, Diana ; Chang, Cecilia ; Kelly, Kaitlyn ; Martin, Linda Williams ; Jacobs, Lisa Kay ; Hunt, Kelly K ; Yao, Katherine ; Blair, Sarah L
creatorcontribWeiss, Anna ; Lopez, Nicole E ; Ward, Erin P ; Lee, Katherine C ; Caudle, Abigail S ; Dickson-Witmer, Diana ; Chang, Cecilia ; Kelly, Kaitlyn ; Martin, Linda Williams ; Jacobs, Lisa Kay ; Hunt, Kelly K ; Yao, Katherine ; Blair, Sarah L
descriptionBackground Although the results of clinical trials often guide best practices, changing clinical practice based on clinical trial results can be challenging. The objective of this study was to examine provider-reported barriers to adopting best clinical practices according to clinical trial data. Methods A cross-sectional survey was conducted of providers from the National Accreditation Program for Breast Centers about barriers that prevent the incorporation of trial findings. Descriptive analyses and multivariable analyses were performed to determine provider characteristics that were significantly associated with reported barriers. Results Overall, 383 institutions participated (63.5% response rate), with a total of 1226 physicians responding to the survey (80% response rate). Providers identified national guidelines and meetings as the most compelling way to receive practice-changing information. They reported the following internal barriers to trial implementation: patient preference (45%), strongly held beliefs by partners/colleagues (37%), and insufficient time to discuss new practices (30%). External barriers preventing trial implementation included a lack of agreement from multidisciplinary tumor boards (32%), fear of reimbursement loss (23%), and resistance from clinical staff (20%). Reported barriers differed by provider specialty, with plastic surgeons and radiation oncologists reporting that strongly held beliefs by partners/colleagues and disagreement from multidisciplinary tumor boards were the most significant factors preventing clinical trial implementation. Conclusions Physician beliefs and patient preferences are the most frequently reported barriers to clinical trial implementation. Tactics to better educate providers about how to explain new clinical trial data to their patients and colleagues are needed.
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subjectAccreditation ; Breast ; Breast Neoplasms - therapy ; Breast Oncology ; CLINICAL TRIALS ; Clinical Trials as Topic - standards ; Cross-Sectional Studies ; Female ; Guideline Adherence - statistics & numerical data ; Health Plan Implementation ; Humans ; MAMMARY GLANDS ; MEDICAL PERSONNEL ; Medicine ; Medicine & Public Health ; NEOPLASMS ; Oncologists - psychology ; Oncologists - standards ; Oncology ; Practice Guidelines as Topic - standards ; RADIOLOGY AND NUCLEAR MEDICINE ; RECOMMENDATIONS ; Response rates ; Surgery ; Surgical Oncology ; Surveys and Questionnaires
ispartofAnnals of surgical oncology, 2019-10-17, Vol.26 (13), p.4364-4371
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descriptionBackground Although the results of clinical trials often guide best practices, changing clinical practice based on clinical trial results can be challenging. The objective of this study was to examine provider-reported barriers to adopting best clinical practices according to clinical trial data. Methods A cross-sectional survey was conducted of providers from the National Accreditation Program for Breast Centers about barriers that prevent the incorporation of trial findings. Descriptive analyses and multivariable analyses were performed to determine provider characteristics that were significantly associated with reported barriers. Results Overall, 383 institutions participated (63.5% response rate), with a total of 1226 physicians responding to the survey (80% response rate). Providers identified national guidelines and meetings as the most compelling way to receive practice-changing information. They reported the following internal barriers to trial implementation: patient preference (45%), strongly held beliefs by partners/colleagues (37%), and insufficient time to discuss new practices (30%). External barriers preventing trial implementation included a lack of agreement from multidisciplinary tumor boards (32%), fear of reimbursement loss (23%), and resistance from clinical staff (20%). Reported barriers differed by provider specialty, with plastic surgeons and radiation oncologists reporting that strongly held beliefs by partners/colleagues and disagreement from multidisciplinary tumor boards were the most significant factors preventing clinical trial implementation. Conclusions Physician beliefs and patient preferences are the most frequently reported barriers to clinical trial implementation. Tactics to better educate providers about how to explain new clinical trial data to their patients and colleagues are needed.
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titleChallenges in Clinical Trial Implementation: Results from a Survey of the National Accreditation Program of Breast Centers (NAPBC)
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atitleChallenges in Clinical Trial Implementation: Results from a Survey of the National Accreditation Program of Breast Centers (NAPBC)
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abstractBackground Although the results of clinical trials often guide best practices, changing clinical practice based on clinical trial results can be challenging. The objective of this study was to examine provider-reported barriers to adopting best clinical practices according to clinical trial data. Methods A cross-sectional survey was conducted of providers from the National Accreditation Program for Breast Centers about barriers that prevent the incorporation of trial findings. Descriptive analyses and multivariable analyses were performed to determine provider characteristics that were significantly associated with reported barriers. Results Overall, 383 institutions participated (63.5% response rate), with a total of 1226 physicians responding to the survey (80% response rate). Providers identified national guidelines and meetings as the most compelling way to receive practice-changing information. They reported the following internal barriers to trial implementation: patient preference (45%), strongly held beliefs by partners/colleagues (37%), and insufficient time to discuss new practices (30%). External barriers preventing trial implementation included a lack of agreement from multidisciplinary tumor boards (32%), fear of reimbursement loss (23%), and resistance from clinical staff (20%). Reported barriers differed by provider specialty, with plastic surgeons and radiation oncologists reporting that strongly held beliefs by partners/colleagues and disagreement from multidisciplinary tumor boards were the most significant factors preventing clinical trial implementation. Conclusions Physician beliefs and patient preferences are the most frequently reported barriers to clinical trial implementation. Tactics to better educate providers about how to explain new clinical trial data to their patients and colleagues are needed.
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pmid31625045
doi10.1245/s10434-019-07807-9