Physicians' perspectives on medication adherence and health promotion among cancer survivors
Cancer Sep 02, 2019
Stump TK, Robinson JK, Yanez B, et al. - Given that a healthy lifestyle may attenuate an increased risk of cardiovascular events in cancer survivors, and guidelines also support health-promotion counseling for cancer survivors, researchers performed this mixed-method study to determine the extent of physician adherence. They assessed 91 physicians via a survey (30 primary care physicians, 30 oncologists, and 31 specialists). Suggesting health promotion (eg, weight loss, smoking cessation) to at least some cancer survivors was reported by most primary care physicians (90%) but "having ever done so" was reported by few oncologists (26.7%) and specialists (9.7%). As stated by most physicians, adherence to medication regimens that prevent cancer recurrence would be seen in at least 50% of cancer survivors, but if patients were trying to lose weight, they would not continue to be medication-adherent. Fear that providing health-promotion advice would distress or overwhelm patients was expressed by oncologists. For addressing health promotion with cancer survivors, physicians often lack the time, expertise, or resources, as concluded based on the findings. Research is required to assess if health-promotion attempts compromise medical regimen adherence, as physicians' responses suggested.
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