A proposed framework for the implementation of head and neck cancer treatment at a new cancer center from a radiation oncology perspective.

Autor: Chen HMN; Illawarra Cancer Care Centre, Wollongong Hospital, Wollongong, Australia., Anzela A; Central Coast Cancer Centre, Gosford Hospital, Gosford, Australia., Hetherington E; Adem Crosby Cancer Centre, Sunshine Coast University Hospital, Sunshine Coast, Australia., Buddle N; Adem Crosby Cancer Centre, Sunshine Coast University Hospital, Sunshine Coast, Australia.; School of Medicine, Griffith University, Brisbane, Australia., Vignarajah D; Adem Crosby Cancer Centre, Sunshine Coast University Hospital, Sunshine Coast, Australia.; School of Medicine, Griffith University, Brisbane, Australia., Hogan D; Adem Crosby Cancer Centre, Sunshine Coast University Hospital, Sunshine Coast, Australia., Fowler A; Liverpool Cancer Therapy Centre, Liverpool Hospital, Liverpool, Australia., Forstner D; GenesisCare, St Vincents Hospital, Sydney, Australia.; School of Clinical Medicine, University of New South Wales, Sydney, Australia., Chua B; Cancer Care Services, Royal Brisbane & Women's Hospital, Queensland, Australia.; Faculty of Medicine, University of Queensland, Brisbane, Australia., Gowda R; Department of Radiation Oncology, Royal Adelaide Hospital, Adelaide, Australia., Min M; Adem Crosby Cancer Centre, Sunshine Coast University Hospital, Sunshine Coast, Australia.; School of Medicine, Griffith University, Brisbane, Australia.; School of Health, University of Sunshine Coast, Sunshine Coast, Australia.
Jazyk: angličtina
Zdroj: Asia-Pacific journal of clinical oncology [Asia Pac J Clin Oncol] 2024 Apr; Vol. 20 (2), pp. 168-179. Date of Electronic Publication: 2023 Apr 26.
DOI: 10.1111/ajco.13963
Abstrakt: Background: Establishing a new head and neck cancer (HNC) treatment center requires multidisciplinary team management and expertise. To our knowledge, there are no clear recommendations or guidelines in the literature for the commencement of HNC radiation therapy (RT) at a new cancer center. We propose a novel framework outlining the necessary components required to set-up a new radiation therapy HNC treatment.
Methods: We reviewed the infrastructure and methodology in the commencement of HNC radiation therapy in our cancer care center and invited several external, experienced metropolitan head and neck radiation oncologists to develop a novel consensus guideline that may be used by new RT centers to treat HNC. Recommendations were presented to our internal and external staff specialists using a survey questionnaire with ratings utilized to determine consensus using pre-defined thresholds as per the American Society of Clinical Oncology Guidelines Methodology Manual.
Conclusion: This consensus recommendation aims to improve RT utilization whilst advocating for optimal patient outcomes by presenting a framework for new radiation therapy centers ready to step up and manage the treatment of head and neck cancer patients. We propose these evidence-based consensus guidelines endorsed by external HNC radiation oncologists.
(© 2023 John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
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