Quality of palliative radiotherapy assessed using quality indicators: a multicenter survey

被引：0

作者：

Saito, Tetsuo ^{[1
]}

Shikama, Naoto ^{[2
]}

Takahashi, Takeo ^{[3
]}

Nakamura, Naoki ^{[4
]}

Mori, Takashi ^{[5
]}

Nakajima, Kaori ^{[6
]}

Koizumi, Masahiko ^{[7
]}

Sekii, Shuhei ^{[8
]}

Ebara, Takeshi ^{[9
]}

Kiyohara, Hiroki ^{[10
]}

Higuchi, Keiko ^{[11
]}

Yorozu, Atsunori ^{[12
]}

Nishimura, Takeshi ^{[13
]}

Ejima, Yasuo ^{[14
]}

Harada, Hideyuki ^{[15
]}

Araki, Norio

Miwa, Misako ^{[16
,17
]}

Yamada, Kazunari ^{[18
]}

Kawamoto, Terufumi ^{[19
]}

Imano, Nobuki

Heianna, Joichi ^{[20
]}

Nozaki, Miwako ^{[21
]}

Wada, Yuki ^{[22
]}

Ohkubo, Yu ^{[23
]}

Uchida, Nobue ^{[24
]}

Watanabe, Miho ^{[25
]}

Kosugi, Takashi ^{[26
]}

Miyazawa, Kazunari ^{[27
]}

Yasuda, Shigeo ^{[28
]}

Onishi, Hiroshi ^{[29
]}

机构：

[1] Saiseikai Kumamoto Hosp, Div Integrat Med Oncol, 5-3-1 Chikami,Minami-Ku, Kumamoto, Kumamoto 8614193, Japan

[2] Juntendo Univ, Grad Sch Med, Dept Radiat Oncol, 2-1-1 Hongo,Bunkyo Ku, Tokyo 1138421, Japan

[3] Saitama Med Univ, Saitama Med Ctr, Dept Radiat Oncol, 1981 Kamoda, Kawagoe, Saitama 3508550, Japan

[4] St Marianna Univ Hosp, Dept Radiat Oncol, 2-16-1 Sugao, Kawasaki, Kanagawa 2168511, Japan

[5] Hokkaido Univ Hosp, Dept Radiat Oncol, Kita 14 Nishi 5,Kita Ku, Sapporo, Hokkaido 0608638, Japan

[6] Asahikawa Med Univ, Dept Radiol, 2-1 Midorigaoka Higashi, Asahikawa, Hokkaido 0788510, Japan

[7] Osaka Univ, Radiat Oncol Lab, 1-7 Yamadaoka, Suita, Osaka 5650871, Japan

[8] Dept Radiat Oncol, 926-250 Ichibacho, Ono, Hyogo 6751392, Japan

[9] Kyorin Univ, Dept Radiat Oncol, 6-20-2 Shinkawa, Mitaka, Tokyo 1818611, Japan

[10] Japanese Red Cross Maebashi Hosp, Dept Radiat Oncol, 389-1 Asakura Machi, Maebashi, Gumma 3710811, Japan

[11] Isesaki City Hosp, Dept Radiat Oncol, 12-1 Tsunatorihon Machi, Isesaki, Gunma 3720817, Japan

[12] NHO Tokyo Med Ctr, Dept Radiat Oncol, 2-5-1 Higashigaoka,Meguro Ku, Tokyo 1528902, Japan

[13] Japanese Red Cross Soc Kyoto Daiichi Hosp, Dept Radiat Oncol, 15-749 Honmachi,Higashiyama Ku, Kyoto, Kyoto 6050981, Japan

[14] Dokkyo Med Univ, Dept Radiol, 880 Kitakobayashi,Mibu Machi, Mibu, Tochigi 3210293, Japan

[15] Shizuoka Canc Ctr, Radiat & Proton Therapy Ctr, 1007 Shimonagakubo,Nagaizumi Cho, Nagaizumi, Shizuoka 4118777, Japan

[16] NHO Kyoto Med Ctr, Dept Radiat Oncol, 1-1 Mukaihata Cho,Fushimi Ku, Kyoto, Kyoto 6128555, Japan

[17] Sendai Kousei Hosp, Dept Radiat Oncol, 1-20 Sutsumidori,Amemiya,Aoba Ku, Sendai, Miyagi 9810914, Japan

[18] Seirei Mikatahara Gen Hosp, Dept Radiat Oncol, 3453 Mikatahara,Chuo Ku, Hamamatsu, Shizuoka 4338558, Japan

[19] Hiroshima Univ, Grad Sch Biomed & Hlth Sci, Dept Radiat Oncol, 1-2-3 Kasumi,Minami Ku, Hiroshima, Hiroshima 7348551, Japan

[20] Nanbu Tokushukai Hosp, Dept Radiat Oncol, 171-1 Hokama, Yaese, Okinawa 9010493, Japan

[21] Dokkyo Med Univ, Saitama Med Ctr, Dept Radiat Oncol, 2-1-50 Minamikoshigaya, Koshigaya, Saitama 3438555, Japan

[22] Akita Univ, Grad Sch Med, Dept Radiol, 1-1-1 Hondo, Akita, Akita 0108543, Japan

[23] Saku Cent Hosp Adv Care Ctr, Dept Radiat Oncol, 3400-28 Nakagomi, Saku, Nagano 3850051, Japan

[24] Kawasaki Municipal Ida Hosp, Dept Dermatol, Ida 2-27-1,Nakahara Ku, Kawasaki, Kanagawa 2110035, Japan

[25] Chiba Univ, Grad Sch Med, Diagnost Radiol & Radiat Oncol, 1-8-1 Inohana,Chuo Ku, Chiba, Chiba 2608670, Japan

[26] Fujieda Municipal Gen Hosp, Dept Radiat Oncol, 4-1-11 Surugadai, Fujieda, Shizuoka 4268677, Japan

[27] Showa Gen Hosp, Dept Radiolgy, 8-1-1 Hanakoganei, Kodaira, Tokyo 1878510, Japan

[28] Chiba Rosai Hosp, Dept Radiol, 2-16 Tatsumidai-Higashi, Ichihara, Chiba 2900003, Japan

[29] Univ Yamanashi, Dept Radiol, 1110 Shimokato, Chuo, Yamanashi 4093898, Japan

来源：

JOURNAL OF RADIATION RESEARCH | 2024年 / 65卷 / 04期

关键词：

quality indicator; evidence-practice gap; palliative radiotherapy; bone metastases; brain metastases; malignant spinal cord compression; SPINAL-CORD COMPRESSION; HIGH-DOSE DEXAMETHASONE; BONE METASTASES; RADIATION-THERAPY; CLINICAL-PRACTICE; MANAGEMENT; GUIDELINE; ONTARIO; CARE;

D O I：

10.1093/jrr/rrae048

中图分类号：

Q [生物科学];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

We sought to identify potential evidence-practice gaps in palliative radiotherapy using quality indicators (QIs), previously developed using a modified Delphi method. Seven QIs were used to assess the quality of radiotherapy for bone metastases (BoM) and brain metastases (BrM). Compliance rate was calculated as the percentage of patients for whom recommended medical care was conducted. Random effects models were used to estimate the pooled compliance rates. Of the 39 invited radiation oncologists, 29 (74%) from 29 centers participated in the survey; 13 (45%) were academic and 16 (55%) were non-academic hospitals. For the QIs, except for BoM-4, the pooled compliance rates were higher than 80%; however, for at least some of the centers, the compliance rate was lower than these pooled rates. For BoM-4 regarding steroid use concurrent with radiotherapy for malignant spinal cord compression, the pooled compliance rate was as low as 32%. For BoM-1 regarding the choice of radiation schedule, the compliance rate was higher in academic hospitals than in non-academic hospitals (P = 0.021). For BrM-3 regarding the initiation of radiotherapy without delay, the compliance rate was lower in academic hospitals than in non-academic hospitals (P = 0.016). In conclusion, overall, compliance rates were high; however, for many QIs, practice remains to be improved in at least some centers. Steroids are infrequently used concurrently with radiotherapy for malignant spinal cord compression.

引用

页码：532 / 539

页数：8

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