Back to Search Start Over

Utilization of clinical practice guidelines for cancer care in routine practice and during the coronavirus disease 2019 pandemic in India.

Authors :
Mathur, Prashant
Ramamoorthy, Thilagavathi
Lakshminarayana, Sudarshan Kondalli
Nath, Anita
Mathew, Stany
Rajput, Gurpreet Kaur
Source :
Asia Pacific Journal of Clinical Oncology. Aug2024, Vol. 20 Issue 4, p507-514. 8p.
Publication Year :
2024

Abstract

Aim: The coronavirus disease 2019 (COVID‐19) pandemic affected cancer service delivery and the feasibility of following the standard treatment guidelines. The present paper describes the use of clinical care guidelines for cancer management in routine practice and the approach adopted towards cancer care during the COVID‐19 pandemic in India. Methods: A web‐based survey was done in 107 hospitals (including public and private health facilities) that hosted Hospital‐Based Cancer Registries under the National Cancer Registry Programme. The participants comprised Principal Investigators of these registries, who were also medical, surgical, and radiation oncology clinicians. The survey was done between May 1, 2021, and July 31, 2021. Participants were provided with a web link for the survey questionnaire, confidential login, and password. Results: The study found high utilization of Clinical Practice Guidelines (CPGs) during practice, with eight out of ten physicians constantly to referring them. The study reported lack of knowledge, skills, and training to administer the treatment based on the guidelines followed by organizational infrastructure and affordability of treatment by the patients as the factors hampering utilization. International clinical guidelines were preferred when compared to national guidelines. The COVID‐19 pandemic decreased the use of CPGs, wherein six out of ten clinicians reported their use. Conclusion: Stakeholders who formulate clinical guidelines must consider the practical aspects and feasibility of implementing such guidelines during a pandemic and similar situations. This should be coupled with adequate changes in care practice to ensure optimal care delivery and a continuum of cancer care in routine and pandemic‐imposed situations. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
17437555
Volume :
20
Issue :
4
Database :
Academic Search Index
Journal :
Asia Pacific Journal of Clinical Oncology
Publication Type :
Academic Journal
Accession number :
178585280
Full Text :
https://doi.org/10.1111/ajco.14071