Radiation Oncology Quality and Safety Considerations in Low-Resource Settings: A Medical Physics Perspective

The past few years have seen a significant growth of interest in the global radiation therapy (RT) crisis. Various organizations have quantified the need and are providing aid in support of addressing the shortfalls existing in many low-to-middle income countries. With the tremendous demand for new facilities, equipment, and personnel, it is very important to recognize the quality and safety challenges and to address them directly. An examination of publications on quality and safety in RT indicates a consistency in a number of the recommendations; however, these authoritative reports were generally based on input from high-resourced contexts.
Source: Seminars in Radiation Oncology - Category: Cancer & Oncology Authors: Source Type: research

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Publication date: Available online 10 December 2019Source: Practical Radiation OncologyAuthor(s): Stephanie M. Ntoukas, Tatiana Ritchie, Susan Awrey, David C. Hodgson, Normand Laperriere, Ryan Yee, Vijay Ramaswamy, Barbara-Ann Millar, Nathan Becker, Derek S. TsangAbstractPurposeAt our institution, a multifaceted approach is used to reduce general anesthetic (GA) use for children receiving photon radiation therapy (RT) as standard-of-care treatment. The purpose of this study was to evaluate the effectiveness of our methods.Methods and MaterialsPatients treated as part of the pediatric radiation therapy program from 2010 to ...
Source: Practical Radiation Oncology - Category: Cancer & Oncology Source Type: research
Publication date: Available online 16 January 2020Source: Journal of Clinical NeuroscienceAuthor(s): Frances Anne McHugh, Chien Yew Kow, Anthony Falkov, Peter Heppner, Andrew Law, Ari Bok, Patrick SchwederAbstractNew Zealand has one of the highest rates of melanoma in the world. In up to 10% of cases, the disease is metastatic at diagnosis. Cerebral metastatic involvement carries a particularly poor prognosis. 110 patients were included in the analysis. A retrospective consecutive series of patients treated surgically at Auckland City Hospital were studied, with parameters of demographics, tumour characteristics, surgery, ...
Source: Journal of Clinical Neuroscience - Category: Neuroscience Source Type: research
Thermoplastic medical devices used during patient therapy have been shown to harbor microbes, including those causing healthcare –associated infections (HAI). This issue has not been previously evaluated for immobilization forms used during radiation therapy. The present study addresses this matter by sampling immobilization forms used during patient treatment to see if any microbes could be similarly recovered.
Source: Journal of Medical Imaging and Radiation Sciences - Category: Radiology Authors: Tags: Research Article Source Type: research
ConclusionThe autologous fascial wrap technique is efficient and easy to harvest, with comparable clinical outcomes to other techniques. The medium-term results have been encouraging, but longer-term follow up is needed.
Source: International Urology and Nephrology - Category: Urology & Nephrology Source Type: research
Interview with Trevor J. Royce, MD MS MPH, author of Analysis of Price Transparency via National Cancer Institute–Designated Cancer Centers’ Chargemasters for Prostate Cancer Radiation Therapy
Source: JAMA Specialty Journals Author Interviews - Category: General Medicine Authors: Source Type: podcasts
Authors: Chen CS, Ou YC, Lin H, Wang CJ, Chen HC, Fang FM, Hsu HC, Huang YJ, Wang YM, Huang CC, Chou SY, Cheng JY, Huang EY Abstract To evaluate clinical outcomes and to identify prognostic factors in isolated para-aortic lymph node (PALN) recurrence, we retrospectively reviewed 65 patients who developed PALN recurrence as the first site of tumor progression from a total of 1521 patients who were treated with curative pelvic radiation therapy (RT) for uterine cervical carcinoma between May 1993 and January 2017. Forty-five of the 65 patients received salvage therapy. The median salvage PALN radiation dose was 54 Gy...
Source: American Journal of Translational Research - Category: Research Tags: Am J Transl Res Source Type: research
Authors: Anatone AJ, Danford NC, Jang ES, Smartt A, Konigsberg M, Tyler WK Abstract INTRODUCTION: Surgical site infections (SSIs) are common complications after surgeries involving musculoskeletal tumors, but we know little about SSI risk factors unique to orthopaedic oncology. A greater understanding of these factors will help risk-stratify patients and guide surgical decision-making. METHODS: A retrospective review at a single-institution identified 757 procedures done on 624 over 6 years. The patients had a preoperative diagnosis of a malignant or potentially malignant neoplasm of the bone or soft tissues. P...
Source: The Journal of the American Academy of Orthopaedic Surgeons - Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research
Over the past decade, several strides have been made to improve the management of breast cancer in developing countries; however, there are still obstacles present. In the area of radiation therapy, these hurdles include limited access to radiotherapy treatment and scarcity of oncology specialists. In an effort to reduce inequities in cancer care while improving patient outcomes, our research is focused on developing automated postmastectomy radiation therapy (PMRT) plans for breast cancer patients in these underserved communities that can be further improved upon through treatment planning system (TPS) specific optimization guidelines.
Source: Medical Dosimetry - Category: Radiology Authors: Tags: 2019 Student Writing Competition —1st Place Source Type: research
Stage I Non-Small Cell Lung Cancer (NSCLC) has a relatively good prognosis of 81% (stage IA) or 73% (stage IB) 5-year survival following curative treatments[1]. The most commonly used procedures follow current guidelines, which suggest operable patients should preferably be treated with the appropriate thoracoscopic resection technique with Video Assisted Thoracic Surgery (VATS), while Stereotactic Body Radiation Therapy (SBRT) is preferred in inoperable patients.[2 –4] These guidelines are based on current evidence, although there is disagreement whether there is equipoise for operable patients between SBRT and VATS resection.
Source: Lung Cancer - Category: Cancer & Oncology Authors: Source Type: research
AbstractPurpose of ReviewWith advances in radiation therapy (RT) techniques for rectal and anal cancers allowing for the modulation of critical normal tissues, there has been an increased emphasis on improving the quality of life (QOL) for cancer survivors. Herein, we review the literature to examine the impact of RT on QOL and patient-reported outcomes (PROs) to better inform providers about the challenges of survivorship.Recent FindingsLarge systematic reviews, recent studies, and long-term follow-up of pivotal clinical trials have shown that RT impacts QOL, particularly fecal continence and sexual function. Modern preop...
Source: Current Colorectal Cancer Reports - Category: Cancer & Oncology Source Type: research
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