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.
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 cancerpatients with better management of gaps in treatment. Waiting times for radical radiotherapy have shortened, but remain unacceptable.
Authors: Horia Vulpe; Janet Ellis; Shao Hui Huang; Eshetu G Atenafu; Raymond W Jang; Gary Rodin; Jolie Ringash Journal: Support Care Cancer Date: 2016-11-04 Impact factor: 3.603
Authors: Miguel Martínez Carrillo; Isabel Tovar Martín; Ildefonso Martínez Lara; José Mariano Ruiz de Almodóvar Rivera; Rosario Del Moral Ávila Journal: Radiat Oncol Date: 2013-04-28 Impact factor: 3.481
Authors: Jung Julie Kang; Richard J Wong; Eric J Sherman; Alisa Rybkin; Sean M McBride; Nadeem Riaz; C Jillian Tsai; Yao Yu; Linda Chen; Kaveh Zakeri; Daphna Y Gelblum; Erin F Gillespie; Marc A Cohen; Jennifer R Cracchiolo; Ian Ganly; Snehal Patel; Bhuvanesh Singh; Jay O Boyle; Benjamin R Roman; Luc G Morris; Ashok R Shaha; Lara A Dunn; Alan L Ho; James V Fetten; Jatin P Shah; David G Pfister; Nancy Y Lee Journal: Cancer Date: 2020-07-08 Impact factor: 6.921