Concepts of lines of therapy in cancer treatment: findings from an expert interview-based study.


Journal

BMC research notes
ISSN: 1756-0500
Titre abrégé: BMC Res Notes
Pays: England
ID NLM: 101462768

Informations de publication

Date de publication:
15 May 2024
Historique:
received: 28 07 2023
accepted: 25 04 2024
medline: 16 5 2024
pubmed: 16 5 2024
entrez: 15 5 2024
Statut: epublish

Résumé

The concept of lines of therapy (LOT) in cancer treatment is often considered for decision making in tumor boards and clinical management, but lacks a common definition across medical specialties. The complexity and heterogeneity of malignancies and treatment modalities contribute to an inconsistent understanding of LOT among physicians. This study assesses the heterogeneity of understandings of the LOT concept, its major dimensions, and criteria from the perspective of physicians of different specialties with an oncological focus in Germany. Semi-structured expert interviews with nine physicians were conducted and evaluated using qualitative content analysis. Most interviewees agreed that there is no single definition for LOT and found it difficult to explicate their understanding. A majority of experts stated that they had already encountered misunderstandings with colleagues regarding LOT and that they had problems with deciphering LOT from the medical records of their patients. Disagreement emerged about the roles of the following within the LOT concept: maintenance therapy, treatment intention, different therapy modalities, changing pharmaceutical agents, and therapy breaks. Respondents predominantly considered the same criteria as decisive for the definition of LOT as for a change in LOT (e.g., the occurrence of a progression event or tumor recurrence).

Identifiants

pubmed: 38750530
doi: 10.1186/s13104-024-06789-6
pii: 10.1186/s13104-024-06789-6
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

137

Informations de copyright

© 2024. The Author(s).

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Auteurs

Lisa Falchetto (L)

Institute for Digital Medicine and Clinical Data Science, Goethe University Frankfurt, Faculty of Medicine, Frankfurt, Germany.

Bernd Bender (B)

Institute for Digital Medicine and Clinical Data Science, Goethe University Frankfurt, Faculty of Medicine, Frankfurt, Germany. B.Bender@med.uni-frankfurt.de.
German Cancer Consortium (DKTK), partner site Frankfurt/Mainz and German Cancer Research Center (DKFZ), Heidelberg, Germany. B.Bender@med.uni-frankfurt.de.

Ian Erhard (I)

Institute for Digital Medicine and Clinical Data Science, Goethe University Frankfurt, Faculty of Medicine, Frankfurt, Germany.
German Cancer Consortium (DKTK), partner site Frankfurt/Mainz and German Cancer Research Center (DKFZ), Heidelberg, Germany.

Kim N Zeiner (KN)

Department for Dermatology, Venerology and Allergology, University Hospital Frankfurt, Frankfurt, Germany.

Jan A Stratmann (JA)

Medical Department 2 (Hematology/Oncology), Center for Internal Medicine, University Hospital Frankfurt, Goethe University Frankfurt, Frankfurt, Germany.

Florestan J Koll (FJ)

Department of Urology, University Hospital Frankfurt, Frankfurt, Germany.

Sebastian Wagner (S)

Medical Department 2 (Hematology/Oncology), Center for Internal Medicine, University Hospital Frankfurt, Goethe University Frankfurt, Frankfurt, Germany.

Marcel Reiser (M)

PIOH Praxis Internistischer Onkologie und Hämatologie, Cologne, Germany.

Khayal Gasimli (K)

Clinic for Gynecology and Obstetrics, University Hospital Frankfurt, Frankfurt, Germany.

Angelika Stehle (A)

Department for Internal Medicine 1, University Hospital Frankfurt, Frankfurt, Germany.

Martin Voss (M)

Department Neuro-Oncology, University Hospital Frankfurt, Frankfurt, Germany.

Olivier Ballo (O)

Medical Department 2 (Hematology/Oncology), Center for Internal Medicine, University Hospital Frankfurt, Goethe University Frankfurt, Frankfurt, Germany.

Jörg Janne Vehreschild (JJ)

Institute for Digital Medicine and Clinical Data Science, Goethe University Frankfurt, Faculty of Medicine, Frankfurt, Germany.
Department I of Internal Medicine, University Hospital of Cologne, Cologne, Germany.
German Center for Infection Research (DZIF) partner site Bonn Cologne, Cologne, Germany.

Daniel Maier (D)

Institute for Digital Medicine and Clinical Data Science, Goethe University Frankfurt, Faculty of Medicine, Frankfurt, Germany.
German Cancer Consortium (DKTK), partner site Frankfurt/Mainz and German Cancer Research Center (DKFZ), Heidelberg, Germany.

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