Table 3.
Table of characteristics of included quantitative studies of health professionals’ perceptions of lung cancer
| Study | Design (Level of evidence) | Health professionals | Study factors/Patient groups | Outcomes | Comments and quality |
|---|---|---|---|---|---|
| Jennens 2004, Australia |
Cross sectional |
All Australian general, pulmonary and palliative care physicians, medical and radiation oncologists and thoracic surgeons (N = 1325) who saw at least one patient a year with metastatic lung cancer |
Pessimism regarding the use of platinum based chemotherapy for stage IV NSCLC |
Referrals for chemotherapy for stage IV NSCLC |
Referrals to chemotherapy is included as part of the measure of pessimism |
| Mailed self report survey (Level IV) |
N = 544 |
Study quality |
|||
| Response rate = 51% |
Subject selection 2 |
||||
| Group comparability NA | |||||
| Participation rate 0 | |||||
| Schroen 2000, USA |
Cross sectional |
Members of American College of Chest Physicians self reportedly practising either pulmonary medicine or thoracic surgery and treating adult lung cancer patients |
Nihilism – underestimation of survival rate for resected stage I NSCLC |
Beliefs re survival benefit for chemotherapy for various stages of NSCLC and radiotherapy for resected disease |
Considered gender, treatment volumes, date of medical training completion |
| Mailed self report survey (Level IV) |
Randomly selected |
Thoracic surgeons and pulmonologists see patients early in their diagnosis and refer patients to medical and radiation oncologists |
|||
| Pulmonologists N = 594 (response rate = 50%) |
Study quality |
||||
| Thoracic surgeons N = 416 (response rate = 52%) |
Subject selection 0 |
||||
| Group comparability 0 | |||||
| Participation rate 0 | |||||
| Wassenaar 2007, Wisconsin USA | Cross sectional |
All 1132 members of the American college of Physicians- Internal Medicine or the American College of Family Physicians in Wisconsin |
Lung (NSCLC) vs breast cancer | Referrals to clinical oncologist |
Physicians answering lung cancer questionnaire saw average 4.12 lung cancer patients/year. |
| Mailed self report survey (Level IV) | Randomly allocated scenarios with lung or breast cancer patients, smokers or non smokers at stage 1B, M1 and end of life |
Beliefs re survival benefits of chemotherapy for various cancer stages | Anticipated response rate at least 30% |
||
| N = 672 |
Sample size chosen to detect differences of at least 25% in the response patterns between disease groups with 80% power for a two-sided significance level of 5% |
||||
| Response rate = 59.4% |
Study quality |
||||
| Subject selection 1 | |||||
| Group comparability 2 | |||||
| Participation rate 0 |
NSCLC = Non small cell lung cancer: NA = Not applicable (only within individual correlations were reported so comparability of groups was not assessed).