S Sabater1, A Montero2, T López Fernández3, J J González Ferrer4, M Arenas5. 1. Oncología Radioterápica, Complejo Hospitalario Universitario de Albacete (CHUA), C/Hnos Falcó 37, 02006, Albacete, Spain. ssabaterm@gmail.com. 2. Oncología Radioterápica, H. Universitario HM Sanchinarro, Madrid, Spain. 3. Cardiología, Hospital Universitario La Paz, Instituto de Investigación La Paz-IdiPaz, Madrid, Spain. 4. Cardiología, Hospital Clinico San Carlos, Universidad Complutense de Madrid, IDISSC, Madrid, Spain. 5. Oncología Radioterápica, Hospital Universitari Sant Joan, Reus, Spain.
Abstract
BACKGROUND: There is an increasing number of patients with cardiac implantable electronic devices (CIED), either pacemakers or defibrillators, who are receiving a course of radiotherapy. Several guidelines have been published by national societies, but no Spanish national guidelines for management of these patients have been published. More importantly, national clinical practice regarding these patients is not standardised. MATERIALS AND METHODS: Members of the Spanish Breast Cancer Radiation Oncology Group (GEORM in Spanish) were surveyed through an online questionnaire on behalf of the Spanish radiation oncology departments. RESULTS: Only 39.3% of the Spanish radiation oncology departments have policies aimed at CIED carrier patients. Regardless of that, 96.4% of those who responded to the survey refer these patients to their Cardiology department before the start of the course of radiotherapy, and 17.8% of respondents said to manipulate the CIED without any cardiology department direction. A wide range of responses was obtained related to concepts such as "distance from the irradiation field to the CIED" or "safe accumulated doses". CONCLUSIONS: Our results demonstrate the need for national guidelines for CIED patients and the need to promote educational activities addressed to standardise clinical management of these patients in the radiation oncology departments.
BACKGROUND: There is an increasing number of patients with cardiac implantable electronic devices (CIED), either pacemakers or defibrillators, who are receiving a course of radiotherapy. Several guidelines have been published by national societies, but no Spanish national guidelines for management of these patients have been published. More importantly, national clinical practice regarding these patients is not standardised. MATERIALS AND METHODS: Members of the Spanish Breast Cancer Radiation Oncology Group (GEORM in Spanish) were surveyed through an online questionnaire on behalf of the Spanish radiation oncology departments. RESULTS: Only 39.3% of the Spanish radiation oncology departments have policies aimed at CIED carrier patients. Regardless of that, 96.4% of those who responded to the survey refer these patients to their Cardiology department before the start of the course of radiotherapy, and 17.8% of respondents said to manipulate the CIED without any cardiology department direction. A wide range of responses was obtained related to concepts such as "distance from the irradiation field to the CIED" or "safe accumulated doses". CONCLUSIONS: Our results demonstrate the need for national guidelines for CIED patients and the need to promote educational activities addressed to standardise clinical management of these patients in the radiation oncology departments.
Authors: Coen W Hurkmans; Joost L Knegjens; Bing S Oei; Ad J J Maas; G J Uiterwaal; Arnoud J van der Borden; Marleen M J Ploegmakers; Lieselot van Erven Journal: Radiat Oncol Date: 2012-11-24 Impact factor: 3.481
Authors: Amin Zagzoog; Matt Wronski; David H Birnie; Cynthia Yeung; Adrian Baranchuk; Jeffrey S Healey; Mehrdad Golian; Usama Boles; Aldo G Carrizo; Suzette Turner; Ahmed Hassan; Elsayed Ali; Sharath K Kumar; Steve Russell; Mohammed Shurrab; Eugene Crystal Journal: CJC Open Date: 2021-07-11