Radiation treatment of lung cancer—Patterns of Practice in Canada
| Autor: | Jake Van Dyk, Edward Yu, Patricia Tai, Jerry J. Battista |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Male Questionnaires Oncology medicine.medical_specialty Lung Neoplasms Attitude of Health Personnel medicine.medical_treatment Physician's Practice Patterns Treatment of lung cancer Risk Assessment Surveys and Questionnaires Internal medicine medicine Humans Radiology Nuclear Medicine and imaging Medical physics Practice Patterns Physicians' Medical prescription Lung cancer Radiation treatment planning Quality of Health Care Ontario Lung Radiotherapy Conformal business.industry Cancer Radiotherapy Dosage Hematology Middle Aged medicine.disease respiratory tract diseases Radiation therapy medicine.anatomical_structure Health Care Surveys Radiation Oncology Medical Biophysics Female Radiotherapy Conformal Risk assessment business |
| Zdroj: | Oncology Publications Edward Yu |
| ISSN: | 0167-8140 |
| Popis: | Background and purpose To assess the patterns of practice among Canadian radiation oncologists who treat lung cancers. Patients and methods A questionnaire detailing different aspects of radiation treatment of lung cancer was mailed to all radiation oncologists treating lung cancer in Canada. Seventy-two percent (74/103) of radiation oncologists who treat lung cancer from all 34 Canadian cancer centres replied to the questionnaire. Results (a) Radiotherapy regimens in Canadian cancer centres are in accordance with several major randomised studies. There is still some variation in treatment practice that may be due to unresolved controversies or limited resources. The most frequently used prescription dose was 40 Gy/15 f/3 w (where f stands for fractions and w stands for weeks) for small cell lung cancer (SCLC) and 60 Gy/30 f/6 w for non-small cell lung cancer (NSCLC). If there were no resource constraints, 30% (22/74) and 20% (15/74) would prefer to use a different dose–fractionation scheme for SCLC and NSCLC, respectively; 95% (70/74) would prefer to use 3D-conformal or intensity-modulated radiotherapy. (b) Among the various modern technologies assessed by respondents, CT (computed tomography) simulator, multi-leaf collimator, on-line electronic portal imaging and PET (positron-emission tomography) scanning were rated the highest in terms of potential patient benefit. Discrepancy between demand and availability of technology was greatest for PET scanning. Conclusions Canadian practice in the treatment of lung cancers shows some variations although it is consistent with the trends in the literature. The lack of some modern technologies and human resources is an ongoing concern, especially the lack of PET imaging equipment. |
| Databáze: | OpenAIRE |
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