The management of interruptions to radiotherapy in head and neck cancer: an audit of the effectiveness of national guidelines
| Autor: | M. V. Williams, B. Cottier, K. Jones, E. T. Summers, Nicholas D. James |
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| Rok vydání: | 2007 |
| Předmět: |
Waiting time
medicine.medical_specialty Time Factors medicine.medical_treatment MEDLINE Guidelines as Topic Audit medicine Humans Radiology Nuclear Medicine and imaging Prospective Studies Prospective cohort study Medical Audit business.industry Head and neck cancer Outcome measures Radical radiotherapy medicine.disease Radiation therapy Oncology Head and Neck Neoplasms Emergency medicine Physical therapy Radiation Oncology Dose Fractionation Radiation Guideline Adherence business |
| Zdroj: | Clinical oncology (Royal College of Radiologists (Great Britain)). 20(8) |
| ISSN: | 0936-6555 |
| Popis: | Aims To re-audit national radiotherapy practice in head and neck cancer to assess the effect of new guidelines. Materials and methods A two-part electronic audit assessing departmental policies and the management of interruptions was carried out from April to June 2005. All patients commencing treatment within this audit period were eligible for assessment. The outcome measures were: frequency and causes of interruptions to therapy; policy and compliance with policy for managing interruptions; prolongation; time between first visit to clinic and start of treatment. Results Forty-eight out of 57 centres returned data on 631 patients. Overall, 397/631 (63%) patients had one or more treatment interruptions. The causes of interruptions were generally the same as the 2002 audit. Of interrupted cases, 88% completed treatment within 1 day of the target. This is a major improvement on 62% within 1 day in the 2002 audit. Overall, 92% of all cases completed treatment within 1 day of the target and 95% within 2 days in the 2005 audit. There was also an improvement in waiting times; 52% of patients started treatment within the target of 4 weeks compared with 41% from the 2002 data. Conclusions There has been an improvement in the radiotherapy service for head and neck cancer patients with better management of gaps in treatment. Waiting times for radical radiotherapy have shortened, but remain unacceptable. |
| Databáze: | OpenAIRE |
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