TY - JOUR A1 - Rogge, Alize A. A1 - Baur, Isabel A1 - Blettner, Gabriele A1 - Holtkamp, Ulrike A1 - Horneber, Markus A1 - Jahn, Patrick A1 - Joos, Stefanie A1 - Keberle, Silva A1 - Kettelgerdes, Anita A1 - Klemperer, David A1 - Laengler, Alfred A1 - Voiss, Petra A1 - Weis, Joachim A1 - Witt, Claudia M. T1 - Defining Criteria for Guiding Cancer Patients to Find a Reputable Complementary Medicine Provider BT - Results of a Literature Review and a Consensus Procedure JF - Patient Preference and Adherence N2 - Purpose: Even in cases of positive evidence for complementary medicine (CM) therapies, it is still difficult for cancer patients to identify reputable providers. The aim of this study was to develop and evaluate a criteria list to provide guidance to cancer patients seeking a reputable CM provider. Methods: The design combined a literature review, an expert consensus procedure (n=15) and an assessment from three stakeholder perspectives (patients (n=18), CM providers (n=26) and oncology physicians (n=20)). Results: A total of 30 existing CM criteria were extracted from the literature, and 12 more were added by the experts. The main challenge was to define criteria that could easily be applied by the patients. A final comprehensive list of 8 criteria guiding cancer patients to find a reputable CM provider was developed. Conclusion: Health professionals and cancer information services might find the criteria list helpful when aiming to strengthen patients' awareness of quality-related factors associated with CM providers. The criteria developed might be helpful when standards are established for quality assurance in CM in oncology. KW - complementary medicine KW - healthcare quality assurance KW - neoplasms KW - patient-centered care KW - standards Y1 - 2020 U6 - https://doi.org/10.2147/PPA.S230705 VL - 14 SP - 747 EP - 755 PB - DOVE MEDICAL PRESS ER - TY - JOUR A1 - Grabitz, Peter A1 - Friedmann, Zoe A1 - Gepp, Sophie A1 - Hess, Leonard U. A1 - Specht, Lisa A1 - Struck, Maja A1 - Tragert, Sophie Kira A1 - Walther, Tobias A1 - Klemperer, David T1 - Quantity and quality of conflict of interest policies at German medical schools BT - a cross-sectional study and survey JF - BMJ open N2 - OBJECTIVES: To assess the quantity and evaluate the quality of policies and curricula focusing on conflicts of interests (COI) at medical schools across Germany. DESIGN: Cross-sectional study, survey of medical schools, standardised web search. SETTING: Medical schools, Germany. PARTICIPANTS: 38 German medical schools. - INTERVENTIONS: We collected relevant COI policies, including teaching activities, by conducting a search of the websites of all 38 German medical schools using standardised keywords for COI policies and teaching. Further, we surveyed all medical schools' dean's offices. Finally, we adapted a scoring system for results we obtained with 13 categories based on prior similar studies. MAIN OUTCOMES AND MEASURES: Presence or absence of COI-related policies, including teaching activities at medical school. The secondary outcome was the achieved score on a scale from 0 to 26, with high scores representing restrictive policies and sufficient teaching activities. RESULTS: We identified relevant policies for one medical school via the web search. The response rate of the deans' survey was 16 of 38 (42.1%). In total, we identified COI-related policies for 2 of 38 (5.3%) German medical schools, yet no policy was sufficient to address all COI-related categories that were assessed in this study. The maximum score achieved was 12 of 26. 36 (94.7%) schools scored 0. No medical school reported curricular teaching on COI. CONCLUSIONS: Our results indicate a low level of action by medical schools to protect students from undue commercial influence. No participating dean was aware of any curriculum or instruction on COI at the respective school and only two schools had policies in place. The German Medical Students Association and international counterparts have called for a stronger focus on COI in the classroom. We conclude that for German medical schools, there is still a long way to go. KW - Conflict of Interest KW - Cross-Sectional Studies KW - Curriculum KW - Germany KW - Humans KW - Policy KW - Schools, Medical Y1 - 2020 U6 - https://doi.org/10.1136/bmjopen-2020-039782 VL - 10 IS - 9 SP - 1 EP - 8 PB - BMJ Publishing Group ER -