- Volume 13 Issue 2
DOI QR Code
Oncologists Experience with Second Primary Cancer Screening: Current Practices and Barriers and Potential Solutions
- Shin, Dong-Wook (Department of Family Medicine and Health Promotion Center, Seoul National University Cancer Hospital) ;
- Kim, Yeol (Family Medicine Clinic, Hospital) ;
- Baek, Young-Ji (National Cancer Control Institute, National Cancer Center) ;
- Mo, Ha-Na (National Cancer Control Institute, National Cancer Center) ;
- Choi, Jin-Young (National Cancer Control Institute, National Cancer Center) ;
- Cho, Ju-Hee (Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health)
- Published : 2012.02.29
Objectives: Screening for second primary cancer (SPC) is one of the key components of cancer survivorship care. The aim of the present study was to explore oncologists' experience with promoting second primary cancer screening. Methods: Two focus group interviews were conducted with 12 oncologists of diverse backgrounds. Recurrent issues were identified and placed into thematic categories. Results: Most of the oncologists did not consider SPC screening promotion as their responsibility and did not cover it in routine care. All of the study participants had experience with unexpected SPC cases, and they were under emotional tress. There was no systematic manner of providing SPC screening. Oncologists usually prescribe SPC screening in response to patients' requests, and there was no active promotion of SPC screening. Short consultation time, limited knowledge about cancer screening, no established guideline for SPC screening, and disagreement with patients about oncologists' roles were major barriers to its promotion. An institution-based shared care model was suggested as a potential solution for promoting SPC screening given current oncology practices in Korea. Conclusion: Oncologists could not effectively deal with the occurrence of SPC, and they were not actively promoting SPC screening. Lack of knowledge, limited health care resources, and no established guidelines were major barriers for promoting SPC screening to cancer survivors. More active involvement of oncologists and a systematic approach such as shared-care models would be necessary for promoting SPC screening considering increasing number of cancer survivors who are vulnerable.
Physicians;second primary neoplasm;cancer screening;health promotion;oncology service
Supported by : National Cancer Center
- ASCO (1996) Status of the medical oncology workforce. The American Society of Clinical Oncology. J Clin Oncol, 14, 2612-21. https://doi.org/10.1200/JCO.19184.108.40.20612
- Bellizzi KM, Rowland JH, Jeffery DD, et al (2005). Health behaviors of cancer survivors: examining opportunities for cancer control intervention. J Clin Oncol, 23, 8884-93. https://doi.org/10.1200/JCO.2005.02.2343
- Bober SL, Park ER, Schmookler T, et al (2007). Perceptions of breast cancer risk and cancer screening: a qualitative study of young, female Hodgkin's disease survivors. J Cancer Educ, 22, 42-6. https://doi.org/10.1007/BF03174374
- Buchler T, Kubankova P, Boublikova L, et al (2011). Detection of second malignancies during long-term follow-up of testicular cancer survivors. Cancer, 117, 4212-8. https://doi.org/10.1002/cncr.26039
- Cheung WY, Neville BA, Cameron DB, et al (2009). Comparisons of patient and physician expectations for cancer survivorship care. J Clin Oncol, 27, 2489-95. https://doi.org/10.1200/JCO.2008.20.3232
- Cho J, Guallar E, Hsu YJ, et al (2010). A comparison of cancer screening practices in cancer survivors and in the general population: the Korean national health and nutrition examination survey (KNHANES) 2001-2007.Cancer Causes Control, 21, 2203-12. https://doi.org/10.1007/s10552-010-9640-4
- Curtis RE, Freedman DM, Ron E, et al (2006). New Malignancies Among Cancer Survivors: SEER Cancer Registries, 1973-2000. Bethesda, MD: National Cancer Institute.
- Dong C, Hemminki K (2001). Second primary neoplasms in 633,964 cancer patients in Sweden, 1958-1996. Int J Cancer, 93, 155-61. https://doi.org/10.1002/ijc.1317
- Earle CC, Burstein HJ, Winer EP, et al (2003). Quality of nonbreast cancer health maintenance among elderly breast cancer survivors. J Clin Oncol, 21, 1447-51. https://doi.org/10.1200/JCO.2003.03.060
- Earle CC, Neville BA (2004). Under use of necessary care among cancer survivors. Cancer, 101, 1712-9. https://doi.org/10.1002/cncr.20560
- Horner MJ, Ries LAG, Krapcho M, et al (2009). SEER Cancer Statistics Review, 1975-2006 Bethesda, MD: National Cancer Institute.
- Howie JG, Porter AM, Heaney DJ, et al (1991). Long to short consultation ratio: a proxy measure of quality of care for general practice. Br J Gen Pract, 41, 48-54.
- Jemal A, Clegg LX, Ward E, et al (2004). Annual report to the nation on the status of cancer, 1975-2001, with a special feature regarding survival. Cancer, 101, 3-27. https://doi.org/10.1002/cncr.20288
- Kitzinger J (1995). Qualitative research. Introducing focus groups. BMJ, 311, 299-302. https://doi.org/10.1136/bmj.311.7000.299
- Lee KD, Chen SC, Chan CH, et al (2008). Increased risk for second primary malignancies in women with breast cancer diagnosed at young age: a population-based study in Taiwan. Cancer Epidemiol Biomarkers Prev, 17, 2647- 55. https://doi.org/10.1158/1055-9965.EPI-08-0109
- Mandel JS, Bond JH, Church TR, et al (1993). Reducing mortality from colorectal cancer by screening for fecal occult blood. Minnesota Colon Cancer Control Study. New Engl J Med, 328, 1365-71. https://doi.org/10.1056/NEJM199305133281901
- Mayer DK, Terrin NC, Menon U, et al (2007). Screening practices in cancer survivors. J Cancer Surviv, 1, 17-26. https://doi.org/10.1007/s11764-007-0007-0
- National Cancer Center (Korea) (2008). Cancer Facts and Figures Goyang: National Cancer Center.
- Park SM, Lim MK, Jung KW, et al (2007). Prediagnosis smoking, obesity, insulin resistance, and second primary cancer risk in male cancer survivors: National Health Insurance Corporation Study. J Clin Oncol, 25, 4835-43. https://doi.org/10.1200/JCO.2006.10.3416
- Park SM, Park CT, Park SY, et al (2009). Factors related to second cancer screening practice in disease-free cervical cancer survivors. Cancer Causes Control, 20, 1697-703. https://doi.org/10.1007/s10552-009-9421-0
- Schaapveld M, Visser O, Louwman MJ, et al (2008). Risk of new primary nonbreast cancers after breast cancer treatment: a Dutch population-based study. J Clin Oncol, 26, 1239-46. https://doi.org/10.1200/JCO.2007.11.9081
- Shapiro S, Strax P, Venet L (1971). Periodic breast cancer screening in reducing mortality from breast cancer. JAMA, 215, 1777-85. https://doi.org/10.1001/jama.1971.03180240027005
- Shin DW, Baik YJ, Kim YW, et al (2010). Knowledge, attitudes, and practice on second primary cancer screening among cancer survivors: A qualitative study. Patient Educ Counsel, 85, 74-8.
- Shin DW, Kim YW, Oh JH, et al (2011). Knowledge, attitudes, risk perception, and cancer screening behaviors among cancer survivors. Cancer, 117, 3850-9. https://doi.org/10.1002/cncr.25951
- Timonen S, Pyorala T (1977). Cervical cancer. Mass screening, incidence and mortality in Finland. Acta Obstet Gynecol Scand, 67, 13-9.
- Trask PC, Rabin C, Rogers ML, et al (2005). Cancer screening practices among cancer survivors. Am J Prev Med, 28, 351-6. https://doi.org/10.1016/j.amepre.2005.01.005
- Weir HK, Thun MJ, Hankey BF, et al (2003). Annual report to the nation on the status of cancer, 1975-2000, featuring the uses of surveillance data for cancer prevention and control. J Natl Cancer Inst, 95, 1276-99. https://doi.org/10.1093/jnci/djg040
- Yabroff KR, Lawrence WF, Clauser S, et al (2004). Burden of illness in cancer survivors: findings from a populationbased national sample. J Natl Cancer Inst, 96, 1322-30. https://doi.org/10.1093/jnci/djh255
- Yoo KY (2008). Cancer control activities in the Republic of Korea. Jpn J Clin Oncol, 38, 327-33. https://doi.org/10.1093/jjco/hyn026
- Barriers to Cancer Screening among Medical Aid Program Recipients in the Republic of Korea: A Qualitative Study vol.15, pp.2, 2014, https://doi.org/10.7314/APJCP.2014.15.2.589
- A Path Analysis on Factors Influencing Second Primary Cancer Screening Practices in Stomach, Colon, and Breast Cancer Survivors vol.44, pp.2, 2014, https://doi.org/10.4040/jkan.2014.44.2.139
- Management of cancer survivors in Korea vol.58, pp.3, 2015, https://doi.org/10.5124/jkma.2015.58.3.216
- Management of long-term cancer survivors in primary care vol.59, pp.4, 2016, https://doi.org/10.5124/jkma.2016.59.4.252
- A qualitative study of healthcare providers’ perceptions and suggestions for developing cancer survivorship care models in South Korea pp.09615423, 2016, https://doi.org/10.1111/ecc.12613
- Management of Cancer Survivors in Clinical and Public Health Perspectives: Current Status and Future Challenges in Korea vol.28, pp.5, 2013, https://doi.org/10.3346/jkms.2013.28.5.651
- Characteristics and Survival of Breast Cancer Patients with Multiple Synchronous or Metachronous Primary Cancers vol.56, pp.5, 2015, https://doi.org/10.3349/ymj.2015.56.5.1213
- One-Year Experience Managing a Cancer Survivorship Clinic Using a Shared-Care Model for Gastric Cancer Survivors in Korea vol.31, pp.6, 2016, https://doi.org/10.3346/jkms.2016.31.6.859
- Risky Lifestyle Behaviors among Gastric Cancer Survivors Compared with Matched Non-cancer Controls: Results from Baseline Result of Community Based Cohort Study vol.50, pp.3, 2018, https://doi.org/10.4143/crt.2017.129