Perspectives and practices of ototoxicity monitoring

South African Journal of Communication Disorders

Field Value
Title Perspectives and practices of ototoxicity monitoring
Creator Paken, Jessica Govender, Cyril D. Pillay, Mershen Sewram, Vikash
Subject Health Sciences; Audiology; Health Education awareness; cisplatin; South Africa; ototoxicity; cervical cancer; healthcare personnel.
Description Background: Treatment of cancer with cisplatin can result in hearing loss. Given the increasing burden of cancer in Africa, appropriate and timely identification, intervention and management of hearing loss in affected patients is of paramount importance.Objectives: This study describes the perspectives and practices of healthcare professionals in relation to cisplatin-associated ototoxicity at an institution treating patients diagnosed with cancer.Method: A concurrent triangulation study design was used to collect quantitative data from seven oncologists, nine nurses and 13 pharmacists using self-administered questionnaires, and qualitative data from four audiologists through semi-structured interviews for this hospital-based study, conducted in South Africa.Results: Levels of awareness of cisplatin-associated ototoxicity varied with only 33% of the nursing personnel being aware in comparison to the oncologists and pharmacists. Oncologists were identified as the main custodians for providing information to patients. Whilst 82% of the participants considered the audiologist to be part of the oncology team, there was no provision for ototoxicity monitoring in the chemotherapy protocols, nor any ototoxicity-monitoring programme in place. There was no evidence that knowledge of cisplatin-associated ototoxicity translated into an appropriate management strategy for such patients.Conclusion: Healthcare personnel overseeing the care and management of cancer patients need to improve their awareness of ototoxicity and refer timeously for audiological evaluation. Audiologists require greater awareness of monitoring programmes to appropriately implement and manage such programmes within a cancer platform and be part of a multidisciplinary team.
Publisher AOSIS
Contributor South African Medical Research Council The Oticon Foundation
Date 2020-05-19
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Survey/Interview
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajcd.v67i1.685
Source South African Journal of Communication Disorders; Vol 67, No 1 (2020); 10 pages 2225-4765 0379-8046
Language eng
Coverage KwaZulu-Natal — Female
Rights Copyright (c) 2020 Jessica Paken, Cyril D. Govender, Mershen Pillay, Vikash Sewram