Ototoxicity monitoring through the eyes of the treating physician : Perspectives from pulmonology and medical oncology

OBJECTIVES: Integrating audiological management into the care pathways of clinical specialties that prescribe ototoxic medications for essential, often life-preserving medical care that is critical for early hearing loss identification and remediation. Research shows that successful implementation of a new health service or intervention requires alignment of goals among provider groups, institutional leadership and patients. Thoughtful consideration of the physician's viewpoints about ototoxicity and its implications for treatment planning is, therefore, important for the implementation and enduring success of an ototoxicity monitoring programme (OMP).

DESIGN: This discussion paper uses qualitative methods to explore the perspectives of four physicians on OMP provision in their patient populations.

STUDY SAMPLE: Three pulmonologists and one oncologist completed the written survey or survey-based interview described in this report.

RESULTS: Each physician indicated that (i) ototoxicity is a potential problem for their patients; (ii) monitoring hearing is important to ensure good quality of life among their patients and (iii) treatment modification would be considered if an alternative treatment option were available. The physicians differed in their approaches to ototoxicity monitoring, from routine referrals to audiology, to relying on patient self-referral.

CONCLUSION: Physician provider input is needed to optimise monitoring schedules and OMP care coordination with audiology.

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:57

Enthalten in:

International journal of audiology - 57(2018), sup4 vom: 10. Sept., Seite S19-S24

Sprache:

Englisch

Beteiligte Personen:

Garinis, Angela C [VerfasserIn]
Cornell, Alexandra [VerfasserIn]
Allada, Gopal [VerfasserIn]
Fennelly, Kevin P [VerfasserIn]
Maggiore, Ronald J [VerfasserIn]
Konrad-Martin, Dawn [VerfasserIn]

Links:

Volltext

Themen:

Adult or general hearing screening
Aminoglycoside
Antineoplastic Agents
Chemotherapy
Cisplatin
Journal Article
Medical audiology
Oncology
Ototoxicity monitoring
Pulmonology
Research Support, N.I.H., Intramural
Research Support, U.S. Gov't, Non-P.H.S.
Respiratory System Agents

Anmerkungen:

Date Completed 17.09.2019

Date Revised 25.02.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/14992027.2017.1381769

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM276477766