Evaluation of time, attendance of medical staff and resources for radiotherapy in pediatric and adolescent patients

Bois, A. Zabel-du; Milker-Zabel, Stefanie; Bruns, Frank; Christiansen, Hans; Ernst, Iris; Willich, Normann; Popp, Wolfgang; Debus, Jürgen; Sack, H.

doi:10.1007/s00066-014-0619-z

Cited by 10 publications

(4 citation statements)

References 16 publications

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“…The only Australian data to support this opinion at least in part come from the NSW RMIS where a paediatric case under sedation is allocated treatment time equivalent to three adult patients . The German Society of Radiation Oncology (DEGRO) has recently published the results of the QUIRO study to document the resource requirements for delivery of high‐quality RT to paediatric and adolescent patients . Across three radiotherapy centres, the consultant time required to manage children undergoing RT without general anaesthesia was 42 minutes for first consultation, 87 minutes attending multidisciplinary meetings, 38 minutes defining organs at risk and target volumes, 27 minutes obtaining consent, and 366 minutes for all activities combined.…”

Section: Discussionmentioning

confidence: 99%

“…7 The German Society of Radiation Oncology (DEGRO) has recently published the results of the QUIRO study to document the resource requirements for delivery of high-quality RT to paediatric and adolescent patients. 15 Across three radiotherapy centres, the consultant time required to manage children undergoing RT without general anaesthesia was 42 minutes for first consultation, 87 minutes attending multidisciplinary meetings, 38 minutes defining organs at risk and target volumes, 27 minutes obtaining consent, and 366 minutes for all activities combined. This compares, allowing for some differences in resources examined, to 144 minutes consultant time for a breast cancer patient who will receive 25-fraction course of breast RT and 244 minutes consultant time for patients undergoing hypofractionated intracranial stereotactic radiotherapy (19% of 21.43 hours).…”

Section: How the Registry Could Be Usedmentioning

confidence: 99%

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Utility of an Australasian registry for children undergoing radiation treatment

Ahern

2014

J Med Imag Rad Onc

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Introduction: The aim of this study was to evaluate the utility of an Australasian registry ('the Registry') for children undergoing radiation treatment (RT). Methods: Children under the age of 16 years who received a course of radiation between January 1997 and December 2010 and were enrolled on the Registry form the subjects of this study. Results: A total of 2232 courses of RT were delivered, predominantly with radical intent (87%). Registrations fluctuated over time, but around one-half of children diagnosed with cancer undergo a course of RT. The most prevalent age range at time of RT was 10-15 years, and the most common diagnoses were central nervous system tumours (34%) and acute lymphoblastic leukaemia (20%). Conclusions:The Registry provides a reflection of the patterns of care of children undergoing RT in Australia and a mechanism for determining the resources necessary to manage children by RT (human, facilities and emerging technologies, such as proton therapy). It lacks the detail to provide information on radiotherapy quality and disease outcomes which should be the subject of separate audit studies. The utility of the Registry has been hampered by its voluntary nature and varying needs for consent. Completion of registry forms is a logical requirement for inclusion in the definition of a subspecialist in paediatric radiation oncology.

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Section: Discussionmentioning

confidence: 99%

Section: How the Registry Could Be Usedmentioning

confidence: 99%

Utility of an Australasian registry for children undergoing radiation treatment

Ahern

2014

J Med Imag Rad Onc

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“…4 With the advancement of radiotherapy qequipment and irradiation technology, the time that daily treatment takes has largely increased. [5][6][7] In high-precision radiotherapy, the daily position of the target needs to be confirmed before irradiation by using a reliable imaging modality. Approaches to setup correction using cone beam computed tomography (CBCT) have been reported.…”

Section: Journal Of Radiotherapy In Practicementioning

confidence: 99%

An infrared interactive patient position guidance and acquisition control system for use during radiotherapy treatment

et al. 2017

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BackgroundThe control of patient position, posture and respiratory movements during radiotherapy is important for effective and specific treatment of malignancy. We have developed an infrared (IR) interactive patient position guidance and acquisition control system for clinical use, comprising IR cameras, IR markers and dedicated software.Materials and methodsWe evaluated the system with ten healthy volunteers and ten experienced operators. IR markers were placed on the body surface. Their positions were calculated using vectors of three translational and three rotational parameters, and the intrafractional error for each marker was acquired with and without respiratory motion. The inclusion of multiple positioning markers allowed for real-time visualisation of the patient posture, with feedback on misalignment and required postural adjustments.ResultsThe positioning time was 73 seconds (with a minimum period of 39 seconds), which was significantly shorter than for conventional line alignment. A comparison of positioning reproducibility between conventional line alignment and this system was <3·5 mm and was not patient dependent or operator dependent. An intrafractional error of displacement of up to 10·0 mm was found in the right iliac crest.ConclusionsThis IR interactive system was shown to be high utility and suitable for monitoring patient position, posture and respiratory movements during radiotherapy.

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“…Nevertheless, only a few studies focused on analyzing data based on real‐time statistics. A series of studies published in recent years by the German Society of Radiation Oncology (DEGRO) 8,16–24 might be the most systematic, comprehensive reports in the relevant literature. The DEGRO trials yielded eligible time measurement data for several core radiotherapy modules — for example, preparation for RT; RT planning; performance of RT; completion/follow‐up appointment — which served as reference guides for actual radiotherapy.…”

Section: Introductionmentioning

confidence: 99%

Accurate method for evaluating the duration of the entire radiotherapy process

Guo

Huang

et al. 2020

J Applied Clin Med Phys

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Background and purpose Along with the increasing demand for high‐quality radiotherapy and the growing number of high‐precision radiotherapy devices, precise radiotherapy workflow management and accurate time evaluation of the entire radiotherapy process are crucial to providing appropriate, timely treatment for cancer patients. This study therefore aimed to establish an accurate, reliable method for evaluating the duration of the radiotherapy process, from beginning to end, based on real‐time measurement data. These data are vital for improving the quality and efficiency of radiotherapy delivery. Materials and methods Altogether, 17 620 cancer patients’ radiotherapy experiences were measured in real time in our radiation oncology department. The process was divided into five sequential core modules, with the start and stop times of each module automatically recorded using MOSAIQ software, an automated radiotherapy management system. The duration for each module and the total duration of the entire process were then automatically calculated and qualitatively analyzed. Results The analysis showed significant treatment–time differences depending on the tumor site, which provided a practical reference for improvement of previous treatment modules and appointments management. In all, >60% of the cancer patients’ total treatment time could be shortened. Conclusions We established a reliable method for evaluating the overall duration of radiotherapy protocols. The results pointed out a clear pathway by which we could improve future radiotherapy workflow management and appointment systems.

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Evaluation of time, attendance of medical staff and resources for radiotherapy in pediatric and adolescent patients

Abstract: For the first time, the personnel time requirements of a radiotherapy department for the maintenance, protection, and optimization of operational readiness for radiotherapy in pediatric and adolescent patients with and without general anesthesia were determined methodically.

Cited by 10 publications

References 16 publications

Utility of an Australasian registry for children undergoing radiation treatment

Utility of an Australasian registry for children undergoing radiation treatment

An infrared interactive patient position guidance and acquisition control system for use during radiotherapy treatment

Accurate method for evaluating the duration of the entire radiotherapy process

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