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BARRIERS TO PARTICIPATION IN
CANCER TRIALS: A SURVEY ON
CLINICAL RESEARCH PERCEPTION
Holtz, L1; Cecilio, L1; Minowa, E2; Julian, GS2
1Instituto Oncoguia, São Paulo, Brazil;
2Evidências Credibilidade Científica - Kantar Health, São Paulo, Brazil
A Kantar Health Company
Patient group importance
•  Advocacy groups are considered very important by patients
regarding disease-related information, quality of life and unmet
needs on patient´s perspective 1,2
•  In oncology, patient´s groups are important to provide emotional
support, information and solidarity to patients 3
1- Lipscomb J et al. Med Care. 2002 Jun;40(6 Suppl):III3-10.
2- Till JE. Health Qual Life Outcomes. 2003;1:16.
3- Ahlberg K. et al. Oncol Nurs Forum. 2006 Jul;33(4):E53-61.
Oncoguia Institute
•  Created in 2009
•  An independent non-profit institution
•  Mission: to help cancer patients live better
Channels of Communication
•  Oncoguia Web Portal: www.oncoguia.org.br
•  Program Of Support And Counseling For Cancer Patients (PAP)
•  Advocacy
•  Patient Space
•  Social Media (Facebook, Instagram, Twitter, YouTube)
•  Educational Events
•  Public Policy National Forum
•  Educational Campaigns
•  Strategic meetings
Barriers in Clinical Trials
Recruitment
	
  
Barriers in Clinical Trials
Recruitment
	
  
Patients Awareness on Clinical
Research
•  Lack of patients’ awareness is one of the major barriers on clinical
trials recruitment 4
•  Physician-patient miscommunication and clarifications regarding
clinical research impairs clinical trials recruitment 4
4- Comis RL et al. J Clin Oncol. 2003 Mar 1;21(5):830-5.
5- Tanner A et al. Contemp Clin Trials. 2015 Mar;41:39-44.
Rationale / Objectives
•  Clinical research brings benefits to scientific development and saves
money to public system 6
•  In Brazil, lack of information on clinical research may impair patients
participation in clinical trials
•  For these reasons, the present study aimed to identify level of
knowledge on clinical research by the Oncoguia Web Portal users –
cancer patients and relatives
6- Johnston SC etal. Lancet. 2006 Apr 22;367(9519):1319-27.
Methodology
•  Online survey applied to Oncoguia Web Portal users
•  Questionnaire applied covered:
•  Clinical research definition
•  Source of information on clinical research
•  Clinical research contribution to cancer treatment development
•  Would you participate on a clinical trial?
•  Do you know anyone who has ever participated on a clinical trial?
Results
•  April 2012 to October 2014
•  Internet-based survey from Oncoguia Institute to access
their knowledge regarding clinical research
•  “What is clinical research?”
•  254 respondents
•  Mainly described as “New Treatment to diseases”
Sources of Information on
Clinical Research
Do you believe clinical research
can bring advances to cancer
treatment?
Improvements brought by
clinical research
Par$cipa$on	
  in	
  an	
  oncologic	
  	
  
clinical	
  trial	
  
Reasons	
  given	
  to	
  par.cipate	
  in	
  a	
  clinical	
  trial	
  
Previous	
  par$cipa$on	
  in	
  clinical	
  trials	
  
Conclusions
•  Survey respondents associate clinical research with an option in
cancer treatment
•  The main source of information was internet , which can give some
misleading information on the topic
•  Lack of awareness affect patients’ availability in participating in
clinical trials
•  Improvement of physician and patients’ awareness are potential
solutions to the current scenario
•  Improve communication between patient and physician
Obrigada!
Thank you!
Muchas Gracias!
lucianaholtz@oncoguia.org.br
guilherme.julian@evidencias.com.br
Barriers to Participation in Cancer Trials

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Barriers to Participation in Cancer Trials

  • 1. BARRIERS TO PARTICIPATION IN CANCER TRIALS: A SURVEY ON CLINICAL RESEARCH PERCEPTION Holtz, L1; Cecilio, L1; Minowa, E2; Julian, GS2 1Instituto Oncoguia, São Paulo, Brazil; 2Evidências Credibilidade Científica - Kantar Health, São Paulo, Brazil A Kantar Health Company
  • 2. Patient group importance •  Advocacy groups are considered very important by patients regarding disease-related information, quality of life and unmet needs on patient´s perspective 1,2 •  In oncology, patient´s groups are important to provide emotional support, information and solidarity to patients 3 1- Lipscomb J et al. Med Care. 2002 Jun;40(6 Suppl):III3-10. 2- Till JE. Health Qual Life Outcomes. 2003;1:16. 3- Ahlberg K. et al. Oncol Nurs Forum. 2006 Jul;33(4):E53-61.
  • 3. Oncoguia Institute •  Created in 2009 •  An independent non-profit institution •  Mission: to help cancer patients live better
  • 4. Channels of Communication •  Oncoguia Web Portal: www.oncoguia.org.br •  Program Of Support And Counseling For Cancer Patients (PAP) •  Advocacy •  Patient Space •  Social Media (Facebook, Instagram, Twitter, YouTube) •  Educational Events •  Public Policy National Forum •  Educational Campaigns •  Strategic meetings
  • 5. Barriers in Clinical Trials Recruitment  
  • 6. Barriers in Clinical Trials Recruitment  
  • 7. Patients Awareness on Clinical Research •  Lack of patients’ awareness is one of the major barriers on clinical trials recruitment 4 •  Physician-patient miscommunication and clarifications regarding clinical research impairs clinical trials recruitment 4 4- Comis RL et al. J Clin Oncol. 2003 Mar 1;21(5):830-5. 5- Tanner A et al. Contemp Clin Trials. 2015 Mar;41:39-44.
  • 8. Rationale / Objectives •  Clinical research brings benefits to scientific development and saves money to public system 6 •  In Brazil, lack of information on clinical research may impair patients participation in clinical trials •  For these reasons, the present study aimed to identify level of knowledge on clinical research by the Oncoguia Web Portal users – cancer patients and relatives 6- Johnston SC etal. Lancet. 2006 Apr 22;367(9519):1319-27.
  • 9. Methodology •  Online survey applied to Oncoguia Web Portal users •  Questionnaire applied covered: •  Clinical research definition •  Source of information on clinical research •  Clinical research contribution to cancer treatment development •  Would you participate on a clinical trial? •  Do you know anyone who has ever participated on a clinical trial?
  • 10. Results •  April 2012 to October 2014 •  Internet-based survey from Oncoguia Institute to access their knowledge regarding clinical research •  “What is clinical research?” •  254 respondents •  Mainly described as “New Treatment to diseases”
  • 11. Sources of Information on Clinical Research
  • 12. Do you believe clinical research can bring advances to cancer treatment?
  • 14. Par$cipa$on  in  an  oncologic     clinical  trial   Reasons  given  to  par.cipate  in  a  clinical  trial  
  • 15. Previous  par$cipa$on  in  clinical  trials  
  • 16. Conclusions •  Survey respondents associate clinical research with an option in cancer treatment •  The main source of information was internet , which can give some misleading information on the topic •  Lack of awareness affect patients’ availability in participating in clinical trials •  Improvement of physician and patients’ awareness are potential solutions to the current scenario •  Improve communication between patient and physician