Ototoxicity monitoring in South African cancer facilities: A national survey

South African Journal of Communication Disorders

Field Value
Title Ototoxicity monitoring in South African cancer facilities: A national survey
Creator Ehlert, Katerina Heinze, Barbara Swanepoel, De Wet
Subject Audiology; Oncology ototoxicity; ototoxicity monitoring; ototoxicity monitoring protocols; cancer; oncology; hearing loss; chemotherapy; platinum-based compounds
Description Background: National information regarding ototoxicity monitoring practices are limited for patients undergoing chemotherapy in South Africa.Objectives: To determine (1) the national status of ototoxicity monitoring implemented in private and public cancer facilities, (2) the knowledge and ototoxicity monitoring approaches implemented, and (3) reported challenges.Method: A descriptive quantitative survey was conducted in public and private oncology units and audiology referral clinics. Private (60%) and public (43%) oncology units that provide platinum-based chemotherapy in South Africa and audiology referral units (54%) were: (1) surveyed telephonically to determine if ototoxicity monitoring takes place; and (2) a self-administered survey was sent to qualifying oncology units and audiology referral clinics.Results: All public oncology units reported that ototoxicity monitoring only occurs on referral and is not standard practice. All private oncology units indicated that monitoring is on a patient self-referral basis when symptoms occur. Poor awareness of ototoxicity monitoring best practice guidelines was reported by all oncology units and 14% of audiology referral clinics. Audiology referral clinics reported adequate knowledge of ototoxicity protocols although they are not widely used with only 43% following best practice guidelines. The most prominent challenges reported by participants was referral system (67% oncology units; 57% audiology referral clinics), environmental noise (83% oncology units; 86% audiology referral clinics) and the compromised status of cancer patients (67% oncology units; 57% audiology referral clinics).Conclusion: Ototoxicity monitoring is not routinely implemented across oncology units in South Africa. Multidisciplinary teamwork and a simplified national ototoxicity monitoring protocol may improve hearing outcomes for patients.
Publisher AOSIS
Contributor Sefako Makgatho Health Sciences University Research Development Grant
Date 2022-01-19
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Survey
Format text/html application/epub+zip text/xml application/pdf application/pdf
Identifier 10.4102/sajcd.v69i1.846
Source South African Journal of Communication Disorders; Vol 69, No 1 (2022); 10 pages 2225-4765 0379-8046
Language eng
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https://sajcd.org.za/index.php/sajcd/article/view/846/1622 https://sajcd.org.za/index.php/sajcd/article/view/846/1623 https://sajcd.org.za/index.php/sajcd/article/view/846/1624 https://sajcd.org.za/index.php/sajcd/article/view/846/1626 https://sajcd.org.za/index.php/sajcd/article/view/846/1625
Coverage South Africa 2018-2021 Oncology units, Audiology referral clinics
Rights Copyright (c) 2022 Katerina Ehlert, Barbara Heinze, De Wet Swanepoel https://creativecommons.org/licenses/by/4.0