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Resende H, Rebelatto TF, Werutsky G, Gossling G, Aguiar VQ, Lopes GMC, de Assis BR, Arruda L, Barrios CH. Current scenario and future perspectives of clinical research in Brazil: a national survey. Ecancermedicalscience 2023; 17:1640. [PMID: 38414936 PMCID: PMC10898894 DOI: 10.3332/ecancer.2023.1640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Indexed: 02/29/2024] Open
Abstract
Background Epidemiological and clinical cancer research is essential to understanding tumour behaviour and developing new therapies in oncology. However, several countries including Brazil as well as many other regions of the world have limited participation in cancer research. Despite 625,000 new cancer cases recorded in Brazil in 2022, only 2.2% of ongoing cancer clinical trials are available in the country. We conducted an online survey to describe physician engagement with research and to identify the main barriers precluding participation in and conduct of clinical cancer research in the country. Methods An anonymous online survey of 23 objective questions was sent by e-mail to Brazilian members of the Latin American Cooperative Oncology Group and the Brazilian Society of Clinical Oncology. The first 13 questions addressed demographic information, medical training and previous research participation. In the second part, the main barriers to engagement and participation in clinical trials in Brazil were addressed. Continuous variables were measured by median and range. Analyses were performed using SAS statistical software (version 9.4; SAS Institute, Inc. Cary, NC). Results 109 physicians answered the survey. Most participants were oncologists (N = 98, 89.9%), living in capital cities (N = 84, 77.1%), were from the Southeast region of Brazil (N = 63, 57.8%) and worked at institutions providing exclusively private healthcare (N = 59, 54.1%). Of the 109 respondents, 83 (76.1%) reported working in research centres (as investigators or sub-investigators). Surprisingly, 31.2% of physicians recognised they invite less than 1% of their patients to participate in clinical trials, even though 98 (89.9%) considered the participation of patients in clinical trials extremely relevant. The main barriers compromising the conduct of research in the country were the low number of available trials (48.2%) and the lack of qualified human resources to staff research sites (22.9%). Other reported barriers were the lengthy regulatory approval process (42.2%), followed by a lack of awareness of clinical research by patients resulting in low recruitment rates (24.1%). Of the 26 (23.8%) respondents not working with research, 25 (96.1%) reported interest in being involved, 31.8% have tried participating in research and 62.4% reported limited knowledge of trial procedures. Conclusion These results suggest a clear need to further engage physicians in clinical research activities in Brazil. Patient education strategies should improve the low recruitment rates and secondarily increase the number of proposed trials in the country.
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Affiliation(s)
- Heloisa Resende
- Associação Instituto Projeto Cura, São Paulo 05507-020, Brazil
- https://orcid.org/0000-0003-4692-3743
| | - Taiane F Rebelatto
- Latin American Cooperative Oncology Group, Porto Alegre 90619-900, Brazil
- https://orcid.org/0000-0001-7306-5428
| | - Gustavo Werutsky
- Latin American Cooperative Oncology Group, Porto Alegre 90619-900, Brazil
- https://orcid.org/0000-0001-6271-105X
| | - Gustavo Gossling
- Latin American Cooperative Oncology Group, Porto Alegre 90619-900, Brazil
- https://orcid.org/0000-0002-4361-2889
| | - Vinícius Q Aguiar
- Centro Universitário de Volta Redonda, UniFOA, Volta Redonda 27240-560, Brazil
- https://orcid.org/0000-0002-6257-0119
| | - Guilherme M C Lopes
- Centro Universitário de Volta Redonda, UniFOA, Volta Redonda 27240-560, Brazil
- https://orcid.org/0000-0002-5654-3579
| | - Biazi R de Assis
- Hospital Hinja, Volta Redonda 27251-260, Brazil
- https://orcid.org/0000-0002-2727-5472
| | - Lilian Arruda
- Hospital São Camilo, São Paulo 17580-000, Brazil
- https://orcid.org/0000-0002-7101-4325
| | - Carlos H Barrios
- Latin American Cooperative Oncology Group, Porto Alegre 90619-900, Brazil
- Grupo Oncoclínicas, São Paulo 04543-906, Brazil
- https://orcid.org/0000-0001-6021-667X
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Gehrke P, Binnie A, Chan SPT, Cook DJ, Burns KEA, Rewa OG, Herridge M, Tsang JLY. Fostering community hospital research. CMAJ 2020; 191:E962-E966. [PMID: 31481424 DOI: 10.1503/cmaj.190055] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Affiliation(s)
- Paige Gehrke
- Niagara Health (Gehrke, Tsang), St. Catharines, Ont.; Niagara Regional Campus (Chan, Tsang), Michael G. DeGroote School of Medicine, McMaster University, St. Catharines, Ont.; William Osler Health System (Binnie), Brampton, Ont.; Sturgeon Community Hospital (Rewa), St. Albert, Alta.; University of Alberta Hospital (Rewa), Edmonton, Alta.; Department of Critical Care Medicine (Rewa), University of Alberta, Edmonton, Alta.; University Health Network (Herridge); Department of Medicine (Herridge, Burns), University of Toronto, Toronto, Ont.; St. Joseph's Health Care (Cook), Hamilton, Ont.; Departments of Medicine (Cook, Tsang), and Clinical Epidemiology & Biostatistics (Cook), McMaster University, Hamilton, Ont.; St. Michael's Hospital (Burns), Toronto, Ont
| | - Alexandra Binnie
- Niagara Health (Gehrke, Tsang), St. Catharines, Ont.; Niagara Regional Campus (Chan, Tsang), Michael G. DeGroote School of Medicine, McMaster University, St. Catharines, Ont.; William Osler Health System (Binnie), Brampton, Ont.; Sturgeon Community Hospital (Rewa), St. Albert, Alta.; University of Alberta Hospital (Rewa), Edmonton, Alta.; Department of Critical Care Medicine (Rewa), University of Alberta, Edmonton, Alta.; University Health Network (Herridge); Department of Medicine (Herridge, Burns), University of Toronto, Toronto, Ont.; St. Joseph's Health Care (Cook), Hamilton, Ont.; Departments of Medicine (Cook, Tsang), and Clinical Epidemiology & Biostatistics (Cook), McMaster University, Hamilton, Ont.; St. Michael's Hospital (Burns), Toronto, Ont
| | - Stephanie P T Chan
- Niagara Health (Gehrke, Tsang), St. Catharines, Ont.; Niagara Regional Campus (Chan, Tsang), Michael G. DeGroote School of Medicine, McMaster University, St. Catharines, Ont.; William Osler Health System (Binnie), Brampton, Ont.; Sturgeon Community Hospital (Rewa), St. Albert, Alta.; University of Alberta Hospital (Rewa), Edmonton, Alta.; Department of Critical Care Medicine (Rewa), University of Alberta, Edmonton, Alta.; University Health Network (Herridge); Department of Medicine (Herridge, Burns), University of Toronto, Toronto, Ont.; St. Joseph's Health Care (Cook), Hamilton, Ont.; Departments of Medicine (Cook, Tsang), and Clinical Epidemiology & Biostatistics (Cook), McMaster University, Hamilton, Ont.; St. Michael's Hospital (Burns), Toronto, Ont
| | - Deborah J Cook
- Niagara Health (Gehrke, Tsang), St. Catharines, Ont.; Niagara Regional Campus (Chan, Tsang), Michael G. DeGroote School of Medicine, McMaster University, St. Catharines, Ont.; William Osler Health System (Binnie), Brampton, Ont.; Sturgeon Community Hospital (Rewa), St. Albert, Alta.; University of Alberta Hospital (Rewa), Edmonton, Alta.; Department of Critical Care Medicine (Rewa), University of Alberta, Edmonton, Alta.; University Health Network (Herridge); Department of Medicine (Herridge, Burns), University of Toronto, Toronto, Ont.; St. Joseph's Health Care (Cook), Hamilton, Ont.; Departments of Medicine (Cook, Tsang), and Clinical Epidemiology & Biostatistics (Cook), McMaster University, Hamilton, Ont.; St. Michael's Hospital (Burns), Toronto, Ont
| | - Karen E A Burns
- Niagara Health (Gehrke, Tsang), St. Catharines, Ont.; Niagara Regional Campus (Chan, Tsang), Michael G. DeGroote School of Medicine, McMaster University, St. Catharines, Ont.; William Osler Health System (Binnie), Brampton, Ont.; Sturgeon Community Hospital (Rewa), St. Albert, Alta.; University of Alberta Hospital (Rewa), Edmonton, Alta.; Department of Critical Care Medicine (Rewa), University of Alberta, Edmonton, Alta.; University Health Network (Herridge); Department of Medicine (Herridge, Burns), University of Toronto, Toronto, Ont.; St. Joseph's Health Care (Cook), Hamilton, Ont.; Departments of Medicine (Cook, Tsang), and Clinical Epidemiology & Biostatistics (Cook), McMaster University, Hamilton, Ont.; St. Michael's Hospital (Burns), Toronto, Ont
| | - Oleksa G Rewa
- Niagara Health (Gehrke, Tsang), St. Catharines, Ont.; Niagara Regional Campus (Chan, Tsang), Michael G. DeGroote School of Medicine, McMaster University, St. Catharines, Ont.; William Osler Health System (Binnie), Brampton, Ont.; Sturgeon Community Hospital (Rewa), St. Albert, Alta.; University of Alberta Hospital (Rewa), Edmonton, Alta.; Department of Critical Care Medicine (Rewa), University of Alberta, Edmonton, Alta.; University Health Network (Herridge); Department of Medicine (Herridge, Burns), University of Toronto, Toronto, Ont.; St. Joseph's Health Care (Cook), Hamilton, Ont.; Departments of Medicine (Cook, Tsang), and Clinical Epidemiology & Biostatistics (Cook), McMaster University, Hamilton, Ont.; St. Michael's Hospital (Burns), Toronto, Ont
| | - Margaret Herridge
- Niagara Health (Gehrke, Tsang), St. Catharines, Ont.; Niagara Regional Campus (Chan, Tsang), Michael G. DeGroote School of Medicine, McMaster University, St. Catharines, Ont.; William Osler Health System (Binnie), Brampton, Ont.; Sturgeon Community Hospital (Rewa), St. Albert, Alta.; University of Alberta Hospital (Rewa), Edmonton, Alta.; Department of Critical Care Medicine (Rewa), University of Alberta, Edmonton, Alta.; University Health Network (Herridge); Department of Medicine (Herridge, Burns), University of Toronto, Toronto, Ont.; St. Joseph's Health Care (Cook), Hamilton, Ont.; Departments of Medicine (Cook, Tsang), and Clinical Epidemiology & Biostatistics (Cook), McMaster University, Hamilton, Ont.; St. Michael's Hospital (Burns), Toronto, Ont
| | - Jennifer L Y Tsang
- Niagara Health (Gehrke, Tsang), St. Catharines, Ont.; Niagara Regional Campus (Chan, Tsang), Michael G. DeGroote School of Medicine, McMaster University, St. Catharines, Ont.; William Osler Health System (Binnie), Brampton, Ont.; Sturgeon Community Hospital (Rewa), St. Albert, Alta.; University of Alberta Hospital (Rewa), Edmonton, Alta.; Department of Critical Care Medicine (Rewa), University of Alberta, Edmonton, Alta.; University Health Network (Herridge); Department of Medicine (Herridge, Burns), University of Toronto, Toronto, Ont.; St. Joseph's Health Care (Cook), Hamilton, Ont.; Departments of Medicine (Cook, Tsang), and Clinical Epidemiology & Biostatistics (Cook), McMaster University, Hamilton, Ont.; St. Michael's Hospital (Burns), Toronto, Ont.
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