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Considerations and barriers to starting a new HAI pump program: an international survey of the HAI Consortium Research Network.

Publication ,  Journal Article
Cavnar, M; Ghalambor, T; Lidsky, ME; Dominguez-Rosado, I; Cho, M; Karanicolas, P; Merkow, R; Mayo, SC; Rocha, FG; Fields, RC; Koerkamp, BG ...
Published in: HPB (Oxford)
December 2022

BACKGROUND: Widespread implementation of HAI pump chemotherapy has been limited by logistic and feasibility concerns. Recent studies demonstrating excellent outcomes have fueled renewed enthusiasm and multiple new programs have emerged. This survey aims to identify barriers critical to establish a successful HAI program. METHODS: Using SurveyMonkey™, a 17-question survey assessing factors required for establishing a successful program was developed by 12 HAI Consortium Research Network (HCRN) surgical oncologists. Content analysis was used to code textual responses. Frequency of categories and average rank scores for each choice were calculated. RESULTS: Twenty-eight HCRN members responded to the survey. Implementation time varied, with 15 institutions requiring less than a year. Most programs (n = 17) became active in the past 5 years. Medical and surgical oncology were ranked most important for building a program (average ranking scores: 7.96 and 6.59/8). Administrative or regulatory approval was required at half of the institutions. The top 3 challenges faced when building a program were related to regulatory approval (6.65/9), device/equipment access (6.33/9), and drug (FUDR) access (6.25/9). CONCLUSION: Development of successful programs outside of historically established centers is feasible and requires a multidisciplinary team. Future collaborative efforts are critical for sustainability of safe/effective new programs.

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Published In

HPB (Oxford)

DOI

EISSN

1477-2574

Publication Date

December 2022

Volume

24

Issue

12

Start / End Page

2104 / 2111

Location

England

Related Subject Headings

  • Surveys and Questionnaires
  • Surgery
  • Humans
  • Drug Therapy
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

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Cavnar, M., Ghalambor, T., Lidsky, M. E., Dominguez-Rosado, I., Cho, M., Karanicolas, P., … Gholami, S. (2022). Considerations and barriers to starting a new HAI pump program: an international survey of the HAI Consortium Research Network. HPB (Oxford), 24(12), 2104–2111. https://doi.org/10.1016/j.hpb.2022.08.008
Cavnar, Michael, Tara Ghalambor, Michael E. Lidsky, Ismael Dominguez-Rosado, May Cho, Paul Karanicolas, Ryan Merkow, et al. “Considerations and barriers to starting a new HAI pump program: an international survey of the HAI Consortium Research Network.HPB (Oxford) 24, no. 12 (December 2022): 2104–11. https://doi.org/10.1016/j.hpb.2022.08.008.
Cavnar M, Ghalambor T, Lidsky ME, Dominguez-Rosado I, Cho M, Karanicolas P, et al. Considerations and barriers to starting a new HAI pump program: an international survey of the HAI Consortium Research Network. HPB (Oxford). 2022 Dec;24(12):2104–11.
Cavnar, Michael, et al. “Considerations and barriers to starting a new HAI pump program: an international survey of the HAI Consortium Research Network.HPB (Oxford), vol. 24, no. 12, Dec. 2022, pp. 2104–11. Pubmed, doi:10.1016/j.hpb.2022.08.008.
Cavnar M, Ghalambor T, Lidsky ME, Dominguez-Rosado I, Cho M, Karanicolas P, Merkow R, Mayo SC, Rocha FG, Fields RC, Koerkamp BG, Yopp A, Petrowsky H, Cercek A, Kemeny N, Kingham P, Jarnagin W, Allen P, D’Angelica M, Gholami S. Considerations and barriers to starting a new HAI pump program: an international survey of the HAI Consortium Research Network. HPB (Oxford). 2022 Dec;24(12):2104–2111.
Journal cover image

Published In

HPB (Oxford)

DOI

EISSN

1477-2574

Publication Date

December 2022

Volume

24

Issue

12

Start / End Page

2104 / 2111

Location

England

Related Subject Headings

  • Surveys and Questionnaires
  • Surgery
  • Humans
  • Drug Therapy
  • 3202 Clinical sciences
  • 1103 Clinical Sciences