title: Oncologists' Experience with Patients with Second Primary Cancer and the Attitudes toward Second Primary Cancer Screening: A Nationwide Survey.
abstract: OBJECTIVE
  Screening for second primary cancer (SPC) is one of the key components to survivorship care. We aim to evaluate the oncologists' experience with SPCs and assess the current practice, perceived barriers, and recommendations related to SPC screening.
  
  
  METHODS
  A nationwide survey was conducted with a representative sample of 496 Korean oncologists. A questionnaire based on the findings from our previous qualitative study was administered.
  
  
  RESULTS
  More than three-fourths of oncologists (76.3%), who participated in the study, had experience with SPC patients. Over half of them (51.9%) stated that it was an embarrassing experience. While the current management practice for SPC varies, most oncologists (80.2%) agreed on the necessity in proactively providing information on SPC screening. A short consultation time (52.3%), lack of guidelines and evidence on SPC screening (47.7%), and patients' lack of knowledge about SPCs (45.1%) or SPC screening (41.4%) were most frequently reported as barriers to providing appropriate care for managing SPC. Oncologists recommended the development of specific screening programs or guidelines in accordance to the type of primary cancer (65.9%), the development of an internal system for SPC screening within the hospital (59.7%) or systematic connection with the national cancer screening program (44.3%), and education of oncologists (41.4%) as well as patients (48.9%) regarding SPC screening.
  
  
  CONCLUSIONS
  Many oncologists reported the occurrence of SPC as an embarrassing experience. Given the variations in current practice and the lack of consensus, further studies are warranted to develop the optimal clinical strategy to provide SPC screening for cancer survivors.
authors: Department of Family Medicine and Health Promotion Center, Seoul National University Hospital, Seoul, Korea.|Cancer Survivorship Clinic, Seoul National University Cancer Hospital, Seoul, Korea.|Laboratory of Health Promotion and Health Behavior, Biomedical Research Institute, Seoul National University Hospital, Seoul, Korea.
authors: Dong Wook
authors: DW
authors: Shin
authors: Department of Health, Behavior and Society and Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.|Cancer Education Center, Samsung Comprehensive Cancer Center, SAHIST, Sunkyungkwan University School of Medicine, Seoul, Korea.
authors: Juhee
authors: J
authors: Cho
authors: Division of Cancer Policy and Management, National Cancer Control Institute, National Cancer Center, Goyang, Korea.
authors: Hyung Kook
authors: HK
authors: Yang
authors: Division of Cancer Policy and Management, National Cancer Control Institute, National Cancer Center, Goyang, Korea.|College of Medicine/Graduate School of Health Science Business Convergence, Chungbuk National University, Cheongju, Korea.
authors: So Young
authors: SY
authors: Kim
authors: Division of Cancer Policy and Management, National Cancer Control Institute, National Cancer Center, Goyang, Korea.
authors: Boram
authors: B
authors: Park
authors: Department of Family Medicine and Health Promotion Center, Seoul National University Hospital, Seoul, Korea.|Cancer Survivorship Clinic, Seoul National University Cancer Hospital, Seoul, Korea.|Laboratory of Health Promotion and Health Behavior, Biomedical Research Institute, Seoul National University Hospital, Seoul, Korea.
authors: BeLong
authors: B
authors: Cho
authors: Department of Urology, Chonbuk National University Medical School and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.
authors: Hyung Jin
authors: HJ
authors: Kim
authors: Department of Surgery, Postgraduate School of Medicine, Gyeongnam Regional Cancer Center, Gyeongsang National University, Jinju, Korea.
authors: Young Jun
authors: YJ
authors: Lee
authors: Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea.
authors: Deog-Yeon
authors: DY
authors: Jo
authors: Division of Cancer Policy and Management, National Cancer Control Institute, National Cancer Center, Goyang, Korea ; College of Medicine/Graduate School of Health Science Business Convergence, Chungbuk National University, Cheongju, Korea.
authors: Jong Hyock
authors: JH
authors: Park
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000523:psychology*; D016609:Neoplasms, Second Primary / Q000175:diagnosis*; D000072103:Oncologists / Q000523:psychology*; D056910:Republic of Korea; D011795:Surveys and Questionnaires
keywords: Attitude; Early detection of cancer; Experience; Oncologists; Second primary neoplasms