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Ruffier A, Pointreau Y, Sacier V, Balavoine M, Lamrani-Ghaouti A, Guihard S, Rivera S. [Clinical research in private sector: Which strategic analysis?]. Cancer Radiother 2023; 27:469-473. [PMID: 37596122 DOI: 10.1016/j.canrad.2023.06.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2023] [Revised: 06/22/2023] [Accepted: 06/23/2023] [Indexed: 08/20/2023]
Abstract
Clinical research in private practice has significantly increased in recent years and has become crucial for the attractiveness of centres both for patients who can access innovative treatments and molecules and for participating physicians. The responsiveness, the size and reduced number of interlocutors, flexibility, and decision-making autonomy of private practitioners are strengths in the strategic analysis of clinical research in the private sector. However, the varied medical activity allowing for broader recruitment, location of practice, and administrative time related leadership roles can become weakness in terms of quality and time dedicated to this research activity, which still relies heavily on strong individual involvement. Collaborations, which develop when clinical research in private centres is dynamic, are sources of opportunities, growth, and progress, allowing participation in various ambitious projects that can benefit patients in these facilities. Recent administrative and legislative complexities for trial integration and competition with academic structures can threaten this important clinical research activity for private practices, requiring reflection on its valorisation and promotion to ensure its sustainability.
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Affiliation(s)
- A Ruffier
- Centre Jean-Bernard, institut inter-régional de cancérologie (ILC), CCS, 64, rue de Degré, 72000 Le Mans, France; Sorecoh, centre Jean-Bernard, 64, rue de Degré, 72000 Le Mans, France; WeProm, centre Jean-Bernard, 64, rue de Degré, 72000 Le Mans, France.
| | - Y Pointreau
- Centre Jean-Bernard, institut inter-régional de cancérologie (ILC), CCS, 64, rue de Degré, 72000 Le Mans, France; Sorecoh, centre Jean-Bernard, 64, rue de Degré, 72000 Le Mans, France; WeProm, centre Jean-Bernard, 64, rue de Degré, 72000 Le Mans, France
| | - V Sacier
- Centre Jean-Bernard, institut inter-régional de cancérologie (ILC), CCS, 64, rue de Degré, 72000 Le Mans, France; Sorecoh, centre Jean-Bernard, 64, rue de Degré, 72000 Le Mans, France
| | - M Balavoine
- Centre Jean-Bernard, institut inter-régional de cancérologie (ILC), CCS, 64, rue de Degré, 72000 Le Mans, France; WeProm, centre Jean-Bernard, 64, rue de Degré, 72000 Le Mans, France
| | | | - S Guihard
- Institut de cancérologie de Strasbourg (ICANS), 17, rue Albert-Calmette, BP 2305, 67033 Strasbourg, France
| | - S Rivera
- Gustave-Roussy, 114, rue Édouard-Vaillant, 94805 Villejuif, France
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Pointreau Y, Sacier V, Gilard F, Balavoine M, Latorzeff I, Monpetit E. [Clinical research in radiotherapy oncology in private sector: A reality with a possible future?]. Cancer Radiother 2022; 26:818-822. [PMID: 35987810 DOI: 10.1016/j.canrad.2022.06.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2022] [Accepted: 06/14/2022] [Indexed: 11/29/2022]
Abstract
Clinical research is one of the activities of medical practice, particularly in oncology including radiotherapy. It was developed in the public sector and then in the liberal sector, in compliance with regulatory institutions, resulting in a doubling of inclusions over the last decade. Setting up and developing clinical research in the liberal sector are major axes in terms of interests: improving the proposition of care, access to innovation, to keep patients, intellectual stimulation, encouraging recruitment, activity of scientific publications, financial valorisation, quality of visibility… An inventory on French national territory via the national union of iadiotherapists oncologists (SNRO) and the club of liberal oncologists (Colib) is reported in this article, as well as examples of structuring and organization.
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Affiliation(s)
- Y Pointreau
- Institut interrégionaL de cancérologie (ILC), centre Jean-Bernard, 9, rue Beauverger, 72000 Le Mans, France; Club des oncologues libéraux (Colib), 72000 Le Mans, France; SNRO, 168 A, rue de Grenelle, 75007 Paris, France; Société de recherche clinique en oncologie et hématologie (Sorecoh), centre Jean-Bernard, 9, rue Beauverger, 72000 Le Mans, France; WeProm, centre Jean-Bernard, 9, rue Beauverger, 72000 Le Mans, France; Oracle, ILC-centre d'oncologie de Gentilly, 2, rue Marie-Marvingt, 54100 Nancy, France.
| | - V Sacier
- Institut interrégionaL de cancérologie (ILC), centre Jean-Bernard, 9, rue Beauverger, 72000 Le Mans, France; Société de recherche clinique en oncologie et hématologie (Sorecoh), centre Jean-Bernard, 9, rue Beauverger, 72000 Le Mans, France
| | - F Gilard
- Institut interrégionaL de cancérologie (ILC), centre Jean-Bernard, 9, rue Beauverger, 72000 Le Mans, France; Société de recherche clinique en oncologie et hématologie (Sorecoh), centre Jean-Bernard, 9, rue Beauverger, 72000 Le Mans, France; WeProm, centre Jean-Bernard, 9, rue Beauverger, 72000 Le Mans, France; Oracle, ILC-centre d'oncologie de Gentilly, 2, rue Marie-Marvingt, 54100 Nancy, France
| | - M Balavoine
- Institut interrégionaL de cancérologie (ILC), centre Jean-Bernard, 9, rue Beauverger, 72000 Le Mans, France; WeProm, centre Jean-Bernard, 9, rue Beauverger, 72000 Le Mans, France
| | - I Latorzeff
- SNRO, 168 A, rue de Grenelle, 75007 Paris, France; Service de radiothérapie, groupe Oncorad Garonne, clinique Pasteur, l'« Atrium », 1, rue de la Petite-Vitesse, 31300 Toulouse, France; Centre régional de radiochirurgie stéréotaxique, CHU Rangueil, avenue Jean-Poulhès, 31052 Toulouse cedex, France
| | - E Monpetit
- SNRO, 168 A, rue de Grenelle, 75007 Paris, France; Centre d'oncologie Saint-Yves, 11, rue du Docteur-Joseph-Audic, 56001 Vannes, France
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