Please use this identifier to cite or link to this item: https://repository.monashhealth.org/monashhealthjspui/handle/1/28716
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dc.contributor.authorLeong T.en
dc.contributor.authorMerrett N.D.en
dc.contributor.authorNeale R.E.en
dc.contributor.authorWhite K.en
dc.contributor.authorEvans P.en
dc.contributor.authorGreen S.E.en
dc.contributor.authorMaharaj A.D.en
dc.contributor.authorEvans S.M.en
dc.contributor.authorZalcberg J.R.en
dc.contributor.authorIoannou L.J.en
dc.contributor.authorGraco M.en
dc.contributor.authorCroagh D.en
dc.contributor.authorPilgrim C.H.C.en
dc.contributor.authorDodson T.en
dc.contributor.authorGoldstein D.en
dc.contributor.authorPhilip J.en
dc.contributor.authorKench J.G.en
dc.date.accessioned2021-05-14T09:40:21Zen
dc.date.available2021-05-14T09:40:21Zen
dc.date.copyright2020en
dc.date.created20210107en
dc.date.issued2021-01-07en
dc.identifier.citationPLoS ONE. 15 (12 December) (no pagination), 2020. Article Number: e0243312. Date of Publication: December 2020.en
dc.identifier.issn1932-6203 (electronic)en
dc.identifier.urihttps://repository.monashhealth.org/monashhealthjspui/handle/1/28716en
dc.description.abstractBackground Accurate pre-operative imaging plays a vital role in patient selection for surgery and in allocating stage-appropriate therapies to patients diagnosed with pancreatic cancer (PC). This study aims to: (1) understand the current diagnosis and staging practices for PC; and (2) explore the factors (barriers and enablers) that influence the use of a pancreatic protocol computed tomography (PPCT) or magnetic resonance imaging (MRI) to confirm diagnosis and/or accurately stage PC. Methods Semi-structured interviews were conducted with radiologists, surgeons, gastroenterologists, medical and radiation oncologists from the states of New South Wales (NSW) and Victoria, Australia. Interviews were conducted either in person or via video conferencing. All interviews were recorded, transcribed verbatim, de-identified and data were thematically coded according to the 12 domains explored within the Theoretical Domains Framework (TDF). Common belief statements were generated to compare the variation between participant responses. Findings In total, 21 clinicians (5 radiologists, 10 surgeons, 2 gastroenterologists, 4 medical and radiation oncologists) were interviewed over a four-month-period. Belief statements relevant to the TDF domains were generated. Across the 11 relevant domains, 20 themes and 30 specific beliefs were identified. All TDF domains, with the exception of social influences were identified by participants as relevant to protocol-based imaging using either a PPCT or MRI, with the domains of knowledge, skills and environmental context and resources being offered by most participants as being relevant in influencing their decisions. Conclusions To maximise outcomes and personalise therapy it is imperative that diagnosis and staging investigations using the most appropriate imaging modalities are conducted in a timely, efficient and effective manner. The results provide an understanding of specialists' opinion and behaviour in relation to a PPCT or MRI and should be used to inform the design of future interventions to improve compliance with this practice. Copyright:Copyright © 2020 Maharaj et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.en
dc.languageEnglishen
dc.languageenen
dc.publisherPublic Library of Scienceen
dc.relation.ispartofPLoS ONEen
dc.titleBarriers and enablers to the implementation of protocol-based imaging in pancreatic cancer: A qualitative study using the theoretical domains framework.en
dc.typeArticleen
dc.type.studyortrialQualitative study-
dc.identifier.doihttp://monash.idm.oclc.org/login?url=-
dc.identifier.doihttp://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1371/journal.pone.0243312en
dc.publisher.placeUnited Statesen
dc.identifier.pubmedid33332372 [http://www.ncbi.nlm.nih.gov/pubmed/?term=33332372]en
dc.identifier.source2010476177en
dc.identifier.institution(Maharaj, Evans, Zalcberg, Ioannou, Green) School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia (Evans) Cancer Council Victoria, Melbourne, VIC, Australia (Zalcberg, Graco, Pilgrim) Alfred Health, Melbourne, VIC, Australia (Croagh, Dodson) Monash Health, Clayton, VIC, Australia (Goldstein) Prince of Wales Clinical School, University of New South Wales, Randwick, NSW, Australia (Philip) St Vincent's Hospital Melbourne, Melbourne, VIC, Australia (Philip, Leong) University of Melbourne, Melbourne, VIC, Australia (Kench) Royal Prince Alfred Hospital, Camperdown, NSW, Australia (Merrett) School of Medicine, Western Sydney University, Penrith South, NSW, Australia (Neale) QIMR Berghofer Medical Research Institute, Herston, QLD, Australia (White) Sydney Nursing School, University of Sydney, Sydney, NSW, Australia (Evans) Peninsula Health, Frankston, VIC, Australia (Leong) Peter MacCallum Cancer Centre, Melbourne, VIC, Australiaen
dc.description.addressS.E. Green, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia. E-mail: sally.green@monash.eduen
dc.description.publicationstatusEmbaseen
dc.rights.statementCopyright 2020 Elsevier B.V., All rights reserved.en
dc.identifier.authoremailGreen S.E.; sally.green@monash.eduen
dc.identifier.affiliationext(Maharaj, Evans, Zalcberg, Ioannou, Green) School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia-
dc.identifier.affiliationext(Evans) Cancer Council Victoria, Melbourne, VIC, Australia-
dc.identifier.affiliationext(Zalcberg, Graco, Pilgrim) Alfred Health, Melbourne, VIC, Australia-
dc.identifier.affiliationext(Goldstein) Prince of Wales Clinical School, University of New South Wales, Randwick, NSW, Australia-
dc.identifier.affiliationext(Philip) St Vincent's Hospital Melbourne, Melbourne, VIC, Australia-
dc.identifier.affiliationext(Philip, Leong) University of Melbourne, Melbourne, VIC, Australia-
dc.identifier.affiliationext(Kench) Royal Prince Alfred Hospital, Camperdown, NSW, Australia-
dc.identifier.affiliationext(Merrett) School of Medicine, Western Sydney University, Penrith South, NSW, Australia-
dc.identifier.affiliationext(Neale) QIMR Berghofer Medical Research Institute, Herston, QLD, Australia-
dc.identifier.affiliationext(White) Sydney Nursing School, University of Sydney, Sydney, NSW, Australia-
dc.identifier.affiliationext(Evans) Peninsula Health, Frankston, VIC, Australia-
dc.identifier.affiliationext(Leong) Peter MacCallum Cancer Centre, Melbourne, VIC, Australia-
dc.identifier.affiliationmh(Croagh, Dodson) Monash Health, Clayton, VIC, Australia-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.cerifentitytypePublications-
item.openairetypeArticle-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
crisitem.author.deptUpper Gastrointestinal and Hepatobiliary Surgery-
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