To refer or not to refer: Factors that affect primary care provider referral of patients with cancer to clinical treatment trials.

Abstract

Despite breakthroughs in experimental cancer treatment, relatively few patients participate in cancer clinical treatment trials (CCTTs). Primary care providers (PCPs) have a strong influence on patients' decisions to participate in a CCTT. To determine factors that influence PCP referral of patients to CCTTs, we conducted a descriptive survey of 571 Michigan PCPs. Attendance at CCTT educational sessions consistently predicted referral. Provider attitudes regarding CCTT perceived knowledge, access, and comfort with responsibilities when patients were in a CCTT also predicted referral. Findings support allocating funds to provide CCTT education to PCPs to increase numbers of patients willing to participate in CCTTs.