Implementing an integrative oncology pathway in a comprehensive cancer center: expert insights and perspectives.

IF 2.4 4区医学 Q2 ONCOLOGY

Current Opinion in Oncology Pub Date : 2025-07-01 Epub Date: 2025-04-23 DOI:10.1097/CCO.0000000000001150

Marie-Aline Echterbille, Florence Horicks, Jennifer Dhont, Virginie De Wilde

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引用次数: 0

Abstract

Purpose of review: Integrative oncology (IO) has evolved into an evidence-informed discipline endorsed by major oncology organizations. However, integrating IO into standard oncology care remains a challenge, often dependent on institutional culture and provider attitudes. This exploratory pilot study aimed to assess healthcare professionals' (HCPs) knowledge, communication practices, perceived needs, and perspectives regarding IO in a Belgian Comprehensive Cancer Center with no preexisting IO pathway.

Recent findings: Among the 33 participants, 45% understood IO as a patient-centered approach, while 88% acknowledged complementarity to conventional medicine. However, 24% found its definition unclear. Physician-patient communication remains challenging, with 48% of HCPs believing patients hesitate to discuss IO. Key needs include training (88%), standardized communication tools (45%), and a directory of recommended therapists (94%). The interviews facilitated a shift in perception, with 55% of HCPs expressing increased willingness to engage in IO initiatives.

Summary: Successfully integrating IO requires tailored training, specialized referents, and a well structured care pathway. The observed shift in mindset among HCPs highlights the importance of awareness and collaborative solution-building for effective IO adoption.

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在综合性癌症中心实施整合肿瘤学途径：专家见解和观点。

综述目的：综合肿瘤学（IO）已经发展成为一门由主要肿瘤组织认可的循证学科。然而，将IO纳入标准肿瘤治疗仍然是一个挑战，通常取决于机构文化和提供者的态度。本探索性试点研究旨在评估比利时综合癌症中心医疗保健专业人员（HCPs）的知识、沟通实践、感知需求和关于IO的观点，该中心没有预先存在的IO途径。最近的发现：在33名参与者中，45%的人认为IO是一种以患者为中心的方法，而88%的人认为IO是传统医学的补充。然而，24%的人认为其定义不明确。医患沟通仍然具有挑战性，48%的HCPs认为患者对讨论IO犹豫不决。主要需求包括培训（88%）、标准化沟通工具（45%）和推荐治疗师目录（94%）。访谈促进了观念的转变，55%的hcp表示更愿意参与IO计划。总结：成功整合IO需要量身定制的培训、专门的参考对象和结构良好的护理途径。在医疗保健提供者中观察到的思维转变突出了意识和协作解决方案构建对于有效采用IO的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Oncology 医学-肿瘤学

CiteScore

6.10

自引率

2.90%

发文量

130

审稿时长

4-8 weeks

期刊介绍： With its easy-to-digest reviews on important advances in world literature, Current Opinion in Oncology offers expert evaluation on a wide range of topics from sixteen key disciplines including sarcomas, cancer biology, melanoma and endocrine tumors. Published bimonthly, each issue covers in detail the most pertinent advances in these fields from the previous year. This is supplemented by annotated references detailing the merits of the most important papers.