{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T04:40:45Z","timestamp":1791348045435,"version":"4.3.1"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,11,28]],"date-time":"2023-11-28T00:00:00Z","timestamp":1701129600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004319","name":"Pfizer","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004319","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009619","name":"Japan Agency for Medical Research and Development","doi-asserted-by":"publisher","award":["22ck0106673h0002"],"award-info":[{"award-number":["22ck0106673h0002"]}],"id":[{"id":"10.13039\/100009619","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J cachexia sarcopenia muscle"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Cancer cachexia is a severe complication of advanced malignancy, with few therapeutic options. To promote interprofessional care for cancer cachexia, healthcare providers' needs should be addressed in detail. This pre\u2010planned subgroup analysis of the Global Educational Needs Evaluation: a systemic interprofessional study in cancer cachexia (GENESIS\u2010CC) survey aimed to identify barriers to interprofessional care of cancer cachexia in Japan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A nationwide survey was electronically conducted for healthcare providers in oncological or general healthcare facilities from January to March 2021 in Japan. The Japanese Regional Advisory Board developed a barrier scoring system with 33 from the 58 original survey items to quantify six domains of barriers: (1) lack of confidence, (2) lack of knowledge, (3) barriers in personal practice, (4) barriers in perception, (5) barriers in team practice and (6) barriers in education. The largest possible barrier score was set at 100 points. We compared the scores by profession.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 1227 valid responses were obtained from 302 (24.6%) physicians, 252 (20.5%) pharmacists, 236 (19.2%) nurses, 218 (17.8%) dietitians, 193 (15.7%) rehabilitation therapists and 26 (2.0%) other professionals. Overall, 460 (37.5%) were not very or at all confident about cancer cachexia care, 791 (84.1%) agreed or strongly agreed that care was influenced by reimbursement availability and 774 (81.9%) did not have cancer cachexia as a mandatory curriculum. The largest mean barrier score (\u00b1\u00a0standard deviation) was 63.7\u00a0\u00b1\u00a031.3 for education, followed by 55.6\u00a0\u00b1\u00a021.8 for team practice, 43.7\u00a0\u00b1\u00a032.5 for knowledge, 42.8\u00a0\u00b1\u00a017.7 for perception and 36.5\u00a0\u00b1\u00a016.7 for personal practice. There were statistically significant interprofessional differences in all domains (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05), especially for pharmacists and nurses with the highest or second highest scores in most domains.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There is a need to improve the educational system and team practices of cancer cachexia for most Japanese healthcare providers, especially pharmacists and nurses. Our study suggests the need to reform the mandatory educational curriculum and reimbursement system on cancer cachexia to promote interprofessional care for cancer cachexia in Japan.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jcsm.13384","type":"journal-article","created":{"date-parts":[[2023,11,29]],"date-time":"2023-11-29T06:39:25Z","timestamp":1701239965000},"page":"387-400","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["The barriers to interprofessional care for cancer cachexia among Japanese healthcare providers: A nationwide survey"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4047-2929","authenticated-orcid":false,"given":"Tateaki","family":"Naito","sequence":"first","affiliation":[{"name":"Division of Thoracic Oncology Shizuoka Cancer Center  1007, Shimonagakubo, Nagaizumi\u2010cho, Sunto\u2010gun Shizuoka 411\u20108777 Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidetaka","family":"Wakabayashi","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine Tokyo Women's Medical University Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sakiko","family":"Aso","sequence":"additional","affiliation":[{"name":"Division of Nursing Shizuoka Cancer Center  Shizuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaaki","family":"Konishi","sequence":"additional","affiliation":[{"name":"Department of Cardiology Yokohama City University School of Medicine  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masakazu","family":"Saitoh","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Health Science Juntendo University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vickie E.","family":"Baracos","sequence":"additional","affiliation":[{"name":"Division of Palliative Care Medicine, Department of Oncology University of Alberta  Edmonton AB Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J.","family":"Coats","sequence":"additional","affiliation":[{"name":"Scientific Director Heart Research Institute  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan D.","family":"Anker","sequence":"additional","affiliation":[{"name":"Division of Cardiology and Metabolism, Department of Cardiology and Berlin\u2010Brandenburg Centre for Regenerative Therapies (BCRT), DZHK (German Centre for Cardiovascular Research), Partner Site Berlin Charit\u00e9\u2010Universit\u00e4tsmedizin Berlin (CVK)  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence","family":"Sherman","sequence":"additional","affiliation":[{"name":"Meducate Global, LLC  Tierra Verde FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatiana","family":"Klompenhouwer","sequence":"additional","affiliation":[{"name":"Society on Sarcopenia, Cachexia and Wasting Disorders  Duluth GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noriyasu","family":"Shirotani","sequence":"additional","affiliation":[{"name":"Shin\u2010Yokohama Home Care Clinic  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akio","family":"Inui","sequence":"additional","affiliation":[{"name":"Pharmacological Department of Herbal Medicine Kagoshima University Graduate School of Medical and Dental Sciences  Kagoshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidenori","family":"Arai","sequence":"additional","affiliation":[{"name":"National Center for Geriatrics and Gerontology  Obu 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