Radiation therapists' knowledge and attitudes regarding specialized clinics for geriatric assessment of older women with early stage breast cancer: A cross sectional study

INTRODUCTION:Older patients with breast cancer have specialized needs compared to younger patients. Currently, there is disparity of care, with comprehensive cancer centres unable to adequately respond to the needs of this population. Specialized geriatric oncology clinics in Europe focus on care for older patients and are increasingly of interest in Canada due to the aging population. This study examines radiation therapist (RT) views on the need for specialized geriatric oncology clinics for women over age 70 with early stage breast cancer. METHODS:The study utilized a cross sectional survey design, with Likert scale, multiple choice and open ended questions. Surveys were sent out via email to all RTs registered with the Canadian Association of Medical Radiation Technologists. Demographic information was collected. Descriptive statistics were used to analyze quantitative data. Responses to open ended questions were compiled for thematic analysis. RESULTS:240 therapists completed the survey (17% response rate). 90% of RTs were unaware of specialized geriatric oncology clinics but 66% felt these clinics could be useful. Similarly, 80% of RTs were not familiar with assessment tools geared toward older patients but 86% felt these tools would be useful. Therapists identified both benefits and drawbacks of both geriatric oncology clinics and the use of specialized assessment tools. DISCUSSION:Canadian RTs report that older women with breast cancer could benefit from specialized geriatric oncology clinics and assessment tools geared toward this population. However, most RTs were not familiar with these assessment tools indicating a need for education regarding their application within the clinic environment. Regardless, many RTs felt knowledgeable and confident in recognizing and helping with the special needs of their older patients.