肿瘤委员会是癌症患者护理中不可或缺的一部分。然而，调查肿瘤委员会对医生负担的数据是有限的。为了调查哪些与医生相关和肿瘤委员会相关的因素与肿瘤医生中较高的肿瘤委员会负担相关。肿瘤委员会负担是通过发布的横断面便利性调查进行评估的2022 年 3 月 3 日至 4 月 3 日期间，通过社交媒体和电子邮件发送给 Cedars-Sinai 医疗中心的癌症医生。肿瘤委员会的开始时间是通过电子邮件从 22 个顶级癌症中心独立收集的。肿瘤委员会的负担按照 4 分制进行测量（ 1，完全不造成负担；2，稍有负担；3，中等负担；4，非常负担）。进行了单变量和多变量概率指数 (PI) 模型。调查由 111 名医生完成（中位年龄 42 岁 [IQR，36-50 岁]；58 名女性 [52.3%]；60 名非西班牙裔白人 [54.1%]） 。在多变量分析中，与肿瘤委员会负担较高概率相关的因素包括放射学或病理学专业（PI，0.68；95% CI，0.54-0.79；P = .02）、每周参加肿瘤委员会 3 小时或以上（PI， 0.68；95% CI，0.58-0.76；P < .001），并且有 2 个或更多孩子（PI，0.65；95% CI，0.52-0.77；P = .03）。 33 名受访者 (29.7%) 认为早期或晚期肿瘤板（上午 8 点之前或下午 5 点或之后）非常繁重。父母经常报告在儿童保育（77 名中的 43 名 [55.8%]）和家庭动态（77 名中的 49 名 [63.6%]）方面存在负面负担。在多变量分析中，早期或晚期肿瘤板的较高负担水平与女性身份（PI，0.69；95% CI，0.57-0.78；P = .003）和生育子女（PI，0.75；95）独立相关。 % CI，0.62-0.84；P < .001）。对 22 个机构的 358 个肿瘤委员会的独立评估显示，最常见的开始时间是上午 8 点之前 (88 [24.6%])。这项肿瘤委员会负担的调查研究表明，女性或父母的身份与较高水平的独立相关。来自早期或晚期肿瘤板的负担。父母通常报告早期或晚期肿瘤委员会对儿童保育和家庭动态的负担。有 2 个或更多孩子、每周参加肿瘤委员会 3 小时或以上的时间以及放射学或病理学专业与总体上显着较高的肿瘤委员会负担相关。未来的战略应旨在减轻父母和妇女的不同负担。

Tumor boards are integral to the care of patients with cancer. However, data investigating the burden of tumor boards on physicians are limited.To investigate what physician-related and tumor board-related factors are associated with higher tumor board burden among oncology physicians.Tumor board burden was assessed by a cross-sectional convenience survey posted on social media and by email to Cedars-Sinai Medical Center cancer physicians between March 3 and April 3, 2022. Tumor board start times were independently collected by email from 22 top cancer centers.Tumor board burden was measured on a 4-point scale (1, not at all burdensome; 2, slightly burdensome; 3, moderately burdensome; and 4, very burdensome). Univariable and multivariable probabilistic index (PI) models were performed.Surveys were completed by 111 physicians (median age, 42 years [IQR, 36-50 years]; 58 women [52.3%]; 60 non-Hispanic White [54.1%]). On multivariable analysis, factors associated with higher probability of tumor board burden included radiology or pathology specialty (PI, 0.68; 95% CI, 0.54-0.79; P = .02), attending 3 or more hours per week of tumor boards (PI, 0.68; 95% CI, 0.58-0.76; P < .001), and having 2 or more children (PI, 0.65; 95% CI, 0.52-0.77; P = .03). Early or late tumor boards (before 8 am or at 5 pm or after) were considered very burdensome by 33 respondents (29.7%). Parents frequently reported a negative burden on childcare (43 of 77 [55.8%]) and family dynamics (49 of 77 [63.6%]). On multivariable analysis, a higher level of burden from early or late tumor boards was independently associated with identifying as a woman (PI, 0.69; 95% CI, 0.57-0.78; P = .003) and having children (PI, 0.75; 95% CI, 0.62-0.84; P < .001). Independent assessment of 358 tumor boards from 22 institutions revealed the most common start time was before 8 am (88 [24.6%]).This survey study of tumor board burden suggests that identifying as a woman or parent was independently associated with a higher level of burden from early or late tumor boards. The burden of early or late tumor boards on childcare and family dynamics was commonly reported by parents. Having 2 or more children, attending 3 or more hours per week of tumor boards, and radiology or pathology specialty were associated with a significantly higher tumor board burden overall. Future strategies should aim to decrease the disparate burden on parents and women.