BACKGROUND: Since the early 2000s, treatment options for multiple @entity1582 have rapidly expanded, adding significant complexity to the management of this disease. To our knowledge, no systematic qualitative research on clinical decision-making in multiple @entity1582 has been published. We sought to characterize how physicians view and implement guidelines and incorporate novel approaches into @entity1 care. METHODS: We designed a semi-structured qualitative interview guide informed by literature review and an expert advisory panel. We conducted 60-minute interviews with a diverse sample of oncology physicians in the southeast United States. We used a constant comparative method to code and analyze interview transcripts. The research team and advisory panel discussed and validated emergent themes. RESULTS: @entity1 were 13 oncologists representing 5 @entity4207 and 4 community practices. @entity4207 reported using formal risk-stratification schemas; community physicians typically did not. Physicians also described differences in eligibility criteria for transplantation; community physicians emphasized distance, social support, and psychosocial capacity in making decisions about transplantation referral; the @entity4207 physicians reported using more specific clinical criteria. All physicians reported using a maintenance strategy both for post-transplant and for transplant-ineligible @entity1 ; however, determining the timing of maintenance therapy initiation and the response were reported as challenging, as was recognition or definition of relapse, especially in terms of when treatment re-initiation is indicated. CONCLUSIONS: Practices reported by both @entity4207 and community physicians suggest opportunities for interventions to improve @entity1 care and outcomes through optimal multiple @entity1582 management and therapy selection. Community physicians in particular might benefit from targeted education interventions about risk stratification, transplant eligibility, and novel therapies.

Risk stratification, treatment selection, and transplant eligibility in multiple XXXX : a qualitative study of the perspectives and self-reported practices of oncologists.

@entity1582 :: ('MESH:D009101', 'Disease') :: ['myeloma'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'Participants'] @entity4207 :: ('MESH:D007859', 'Disease') :: ['academic', 'Academic physicians']
@entity1582 :: (MESH:D009101,Disease) :: ['myeloma']
