Feasibility of implementing a rapid-learning methodology to inform radiotherapy treatments: key professional stakeholders’ views

Objective Pragmatic methodologies, often termed rapid-learning, are being pursued that can match the pace of innovation in radiotherapy and generate evidence from the real-world treatment setting. It is important to understand the feasibility of implementing such pragmatic approaches before their ap...

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Main Authors: Corinne Faivre-Finn, Kevin Franks, Fiona McDonald, David P French, Daniel Johnson, Arbaz Kapadi, Gareth Price, Rebecca Holley, Kate Wicks, Kathryn Banfill, Gareth Webster
Format: Article
Language:English
Published: BMJ Publishing Group 2024-07-01
Series:BMJ Oncology
Online Access:https://bmjoncology.bmj.com/content/3/1/e000226.full
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author Corinne Faivre-Finn
Kevin Franks
Fiona McDonald
David P French
Daniel Johnson
Arbaz Kapadi
Gareth Price
Rebecca Holley
Kate Wicks
Kathryn Banfill
Gareth Webster
author_facet Corinne Faivre-Finn
Kevin Franks
Fiona McDonald
David P French
Daniel Johnson
Arbaz Kapadi
Gareth Price
Rebecca Holley
Kate Wicks
Kathryn Banfill
Gareth Webster
author_sort Corinne Faivre-Finn
collection DOAJ
description Objective Pragmatic methodologies, often termed rapid-learning, are being pursued that can match the pace of innovation in radiotherapy and generate evidence from the real-world treatment setting. It is important to understand the feasibility of implementing such pragmatic approaches before their application in practice. This study investigated key professional stakeholders’ perceptions and opinions of rapid-learning and real-world data (RWD).Methods and analysis Twenty-three interviews were conducted with key professional stakeholders based across five UK radiotherapy cancer centres. Centres varied in size and reflected different healthcare environments. Data were collected between December 2022 and May 2023, and analysed using inductive thematic analysis.Results Four themes were generated: (1) the alignment of rapid-learning methodologies with the reality of practice, (2) concerns related to the variability of RWD, (3) the maturity of data infrastructures and capacity for rapid-learning and (4) further support, education and evidence needed to convince stakeholders to adopt rapid-learning approaches.Conclusion The potential of rapid-learning to help address evidence gaps in radiotherapy development was positively received by different professional stakeholders. However, the effectiveness of rapid-learning was viewed as being highly dependent on the collection of quality data in the routine setting, while the variable set-up at different cancer centres is also likely to be a key challenge for potential implementation. Developing data infrastructures to improve data interoperability was considered crucial for rapid-learning implementation, along with method clarity, educational support and training for radiotherapy teams.
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spelling doaj-art-42a8a5ac9a644c7e85aa8db0d545cdeb2025-01-30T07:05:09ZengBMJ Publishing GroupBMJ Oncology2752-79482024-07-013110.1136/bmjonc-2023-000226Feasibility of implementing a rapid-learning methodology to inform radiotherapy treatments: key professional stakeholders’ viewsCorinne Faivre-Finn0Kevin Franks1Fiona McDonald2David P French3Daniel Johnson4Arbaz Kapadi5Gareth Price6Rebecca Holley7Kate Wicks8Kathryn Banfill9Gareth Webster10The Christie NHS Foundation Trust, Manchester, UKLeeds Cancer Centre, St James`s Institute of Oncology, Leeds Teaching Hospitals NHS Trust, Leeds, UKThe Royal Marsden NHS Foundation Trust, London, UKManchester Centre for Health Psychology, Division of Psychology and Mental Health, School of Health Sciences, The University of Manchester, Manchester, UKJames Cook Cancer Institute, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UKManchester Centre for Health Psychology, Division of Psychology and Mental Health, School of Health Sciences, The University of Manchester, Manchester, UKDivision of Cancer Sciences, School of Medical Sciences, The University of Manchester, Manchester, UKDivision of Cancer Sciences, School of Medical Sciences, The University of Manchester, Manchester, UKDivision of Cancer Sciences, School of Medical Sciences, The University of Manchester, Manchester, UKDivision of Cancer Sciences, School of Medical Sciences, The University of Manchester, Manchester, UKWorcestershire Oncology Centre, Worcestershire Acute Hospitals NHS Trust, Worcester, UKObjective Pragmatic methodologies, often termed rapid-learning, are being pursued that can match the pace of innovation in radiotherapy and generate evidence from the real-world treatment setting. It is important to understand the feasibility of implementing such pragmatic approaches before their application in practice. This study investigated key professional stakeholders’ perceptions and opinions of rapid-learning and real-world data (RWD).Methods and analysis Twenty-three interviews were conducted with key professional stakeholders based across five UK radiotherapy cancer centres. Centres varied in size and reflected different healthcare environments. Data were collected between December 2022 and May 2023, and analysed using inductive thematic analysis.Results Four themes were generated: (1) the alignment of rapid-learning methodologies with the reality of practice, (2) concerns related to the variability of RWD, (3) the maturity of data infrastructures and capacity for rapid-learning and (4) further support, education and evidence needed to convince stakeholders to adopt rapid-learning approaches.Conclusion The potential of rapid-learning to help address evidence gaps in radiotherapy development was positively received by different professional stakeholders. However, the effectiveness of rapid-learning was viewed as being highly dependent on the collection of quality data in the routine setting, while the variable set-up at different cancer centres is also likely to be a key challenge for potential implementation. Developing data infrastructures to improve data interoperability was considered crucial for rapid-learning implementation, along with method clarity, educational support and training for radiotherapy teams.https://bmjoncology.bmj.com/content/3/1/e000226.full
spellingShingle Corinne Faivre-Finn
Kevin Franks
Fiona McDonald
David P French
Daniel Johnson
Arbaz Kapadi
Gareth Price
Rebecca Holley
Kate Wicks
Kathryn Banfill
Gareth Webster
Feasibility of implementing a rapid-learning methodology to inform radiotherapy treatments: key professional stakeholders’ views
BMJ Oncology
title Feasibility of implementing a rapid-learning methodology to inform radiotherapy treatments: key professional stakeholders’ views
title_full Feasibility of implementing a rapid-learning methodology to inform radiotherapy treatments: key professional stakeholders’ views
title_fullStr Feasibility of implementing a rapid-learning methodology to inform radiotherapy treatments: key professional stakeholders’ views
title_full_unstemmed Feasibility of implementing a rapid-learning methodology to inform radiotherapy treatments: key professional stakeholders’ views
title_short Feasibility of implementing a rapid-learning methodology to inform radiotherapy treatments: key professional stakeholders’ views
title_sort feasibility of implementing a rapid learning methodology to inform radiotherapy treatments key professional stakeholders views
url https://bmjoncology.bmj.com/content/3/1/e000226.full
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