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

ABSTRACT: 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.

SUBMITTER: Garinis AC

PROVIDER: S-EPMC6557259 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature

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

Garinis Angela C AC Cornell Alexandra A Allada Gopal G Fennelly Kevin P KP Maggiore Ronald J RJ Konrad-Martin Dawn D

International journal of audiology 20171005 sup4

<h4>Objectives</h4>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 oto ...[more]

PMID: 28978238

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Project description:PurposeThe coronavirus disease 2019 (COVID-19) pandemic has propelled health care workers to the front lines against the pandemic. In addition to anxiety related to infection risks, trainees have the additional burden of learning and career planning while providing care in an uncertain and rapidly changing environment. We conducted a survey to evaluate the practical and psychosocial impact on radiation oncology fellows during the first month of the pandemic.Methods and materialsA 4-part survey was designed and distributed to the fellows in our program. The survey was designed to evaluate the impact of the pandemic on scope of activity and well-being ("Impact on You") and to identify key lessons learned and social factors ("About You") using Likert scales and open-ended response options. The survey included items from the Oldenburg Burnout questionnaire.ResultsA total of 17 participants (71%) responded to the survey. Although there was a significant reduction in the mean time spent on in-person clinics (13.5 h/wk [pre-COVID] vs 9.3 h/wk [3 weeks into the COVID emergency response]; P = .002), this was replaced by virtual consults and other COVID-related activities. The proportion of respondents demonstrating features of burnout in the domains of "disengagement" and "exhaustion" was 71% and 64%, respectively. However, there was also evidence of resilience, with 47% respondents "feeling energized." Top "concerns" and "negative changes" identified related to learning, infection risk and safety, patient care, coping, and concerns about their home country. Top "positive changes" highlighted include work culture, appreciation for leadership caring for the team, the insistence on evidence to guide change, and the implementation of virtual health care.ConclusionsNegative impact needs to be anticipated, acknowledged, and managed. We anticipate understanding the positives that have emerged under these extraordinary circumstances is the "silver lining" of the pandemic, giving us tools and the best leverage to plan for the future.

Dataset Information

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

Publications

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

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