Evaluating the effectiveness of the clinical research radiographer undertaking the on-treatment review of clinical trial patients receiving radiotherapy for prostate cancer

Abstract

BackgroundRadiotherapy clinical trials are at the forefront of modern-day prostate cancer patient management. Patients are reviewed during treatment by clinical oncologists or competent on-treatment review radiographers to minimise treatment toxicities. Clinical Research Radiographers (CRRs) routinely monitor and gather research data from patients participating in clinical trials.PurposeThe aim of this article is to evaluate the effectiveness of the CRR undertaking the on-treatment review of clinical trial patients.MethodAn experienced CRR within the Northern Ireland Cancer Trials Network was supervised by a clinical oncologist to undertake the role of the on-treatment review of patients receiving radiotherapy for prostate cancer. The CRR explored published literature and compiled this written evaluation as part of their advanced practice learning.ResultsThe supervising clinical oncologist verified, following the planned period of supervised practice and academic study, that the CRR was competent to fulfil the role. Evidence of the beneficial synergistic impact of co-joining the roles was experienced at first hand during the undertaking of supervised practice.ConclusionCo-joining the roles and responsibilities of the CRR and the on-treatment review radiographer enhanced the quality of care offered to the patients participating in clinical trials.

A narrative review exploring the professional practice training requirement of therapeutic radiographers undertaking effective remote/telephone review clinics in place of face-to-face radiographer-led review clinics during the COVID-19 pandemic

“…Therapeutic radiographers undertaking on-treatment review clinics provide continuity of care for radiotherapy patients and reduce workloads for clinical oncologists and registrars. 1 Radiographer-led review clinics help the patient fully understand the written information regarding their treatment and assure them that their radiotherapy is integrated correctly into their overall treatment plan. Radiographers monitor patients' radiotherapy tolerance, reactions and manage treatment-related toxicity including providing advice and treatment regarding radiation reactions.…”

“…Radiographers monitor patients' radiotherapy tolerance, reactions and manage treatment-related toxicity including providing advice and treatment regarding radiation reactions. 1 They co-ordinate the multidisciplinary team and make appropriate referrals to the Clinical Research Radiographer, Information and Support Radiographer, Macmillan Support and Information Service and a variety of allied health professionals. Since the existence of COVID-19, these beneficial clinics have had to adapt to ensure patients continue to receive information and support during their treatment while limiting their potential exposure to COVID-19.…”