open access

Vol 24, No 2 (2019)
Reviews
Published online: 2019-03-01
Submitted: 2018-08-08
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Management of interruptions in radiotherapy treatments: Adaptive implementation in high workload sites

Gustavo Pozo, Maria Angeles Pérez-Escutia, Ana Ruíz, Alejandro Ferrando, Ana Milanés, Eduardo Cabello, Raul Díaz, Alejandro Prado, Jose Fermin Pérez-Regadera
DOI: 10.1016/j.rpor.2019.02.003
·
Rep Pract Oncol Radiother 2019;24(2):239-244.

open access

Vol 24, No 2 (2019)
Reviews
Published online: 2019-03-01
Submitted: 2018-08-08

Abstract

Owing to predictable or unpredictable causes, interruptions may arise during therapy. On average, the extension of fractionated radiotherapy treatments is prone to be delayed by several weeks and interruptions can come up extending overall treatment time (OTT). Clonogenic cells of aggressive tumors might benefit from this situation, modifying local control (LC).

Preserving treatment quality in radiotherapy is an essential issue for the treatment outcome, and our institution is increasingly concerned about this line of work.

Establishing some objective criteria to schedule patients that have suffered interruptions along their treatments is of capital importance and not a trivial issue. Publications strongly encourage departments to minimize the effect of lag periods during treatments. Therefore, in July 2017, our facility implemented the so called ‘Protocol to Manage Interruptions in Radiotherapy’, based on a scoring system for patient categorization that considers not only histology but also associated comorbidity and sequence of the therapy.

Abstract

Owing to predictable or unpredictable causes, interruptions may arise during therapy. On average, the extension of fractionated radiotherapy treatments is prone to be delayed by several weeks and interruptions can come up extending overall treatment time (OTT). Clonogenic cells of aggressive tumors might benefit from this situation, modifying local control (LC).

Preserving treatment quality in radiotherapy is an essential issue for the treatment outcome, and our institution is increasingly concerned about this line of work.

Establishing some objective criteria to schedule patients that have suffered interruptions along their treatments is of capital importance and not a trivial issue. Publications strongly encourage departments to minimize the effect of lag periods during treatments. Therefore, in July 2017, our facility implemented the so called ‘Protocol to Manage Interruptions in Radiotherapy’, based on a scoring system for patient categorization that considers not only histology but also associated comorbidity and sequence of the therapy.

Get Citation

Keywords

Treatment interruption; OTT; Workload; Dose compensation; Treatment quality

About this article
Title

Management of interruptions in radiotherapy treatments: Adaptive implementation in high workload sites

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 24, No 2 (2019)

Pages

239-244

Published online

2019-03-01

DOI

10.1016/j.rpor.2019.02.003

Bibliographic record

Rep Pract Oncol Radiother 2019;24(2):239-244.

Keywords

Treatment interruption
OTT
Workload
Dose compensation
Treatment quality

Authors

Gustavo Pozo
Maria Angeles Pérez-Escutia
Ana Ruíz
Alejandro Ferrando
Ana Milanés
Eduardo Cabello
Raul Díaz
Alejandro Prado
Jose Fermin Pérez-Regadera

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