多学科癌症委员会中的放射治疗状况
Status of radiotherapy in a multidisciplinary cancer board.
作者信息
Ichikawa Mayumi, Nemoto Kenji, Miwa Misako, Ohta Ibuki, Nomiya Takuma, Yamakawa Mayumi, Itho Yuriko, Fukui Tadahisa, Yoshioka Takashi
机构信息
Department of Radiation Oncology, Yamagata University School of Medicine, 2-2-2, Iida-nishi, Yamagata 990-9585, Japan.
出版信息
J Radiat Res. 2014 Mar 1;55(2):305-8. doi: 10.1093/jrr/rrt104. Epub 2013 Aug 26.
Multidisciplinary cancer boards (CBs) for making cancer treatment decisions have become popular in many countries; however, the status of radiotherapy in CBs and the influence of CBs on radiotherapy decisions have not been studied. To clarify these issues, we reviewed the minutes of our CBs from February 2010 to March 2012, and we classified planned treatments discussed at the CBs into five categories and analyzed decisions concerning radiotherapy in each category. The fraction of cases for which radiotherapy was recommended was 536/757 (71%). These cases included 478 cases (63%) for which radiation therapy was planned and four cases (0.5%) for which radiation therapy was unexpectedly recommended. On the other hand, radiation therapy was canceled in 21 cases (4%) for which radiation therapy had been planned. This study showed that radiotherapy was discussed in many cases at CBs and that CBs have a great influence on decisions concerning radiotherapy.
用于做出癌症治疗决策的多学科癌症委员会（CBs）在许多国家已变得很普遍；然而，放疗在癌症委员会中的地位以及癌症委员会对放疗决策的影响尚未得到研究。为了阐明这些问题，我们回顾了2010年2月至2012年3月我们癌症委员会的会议记录，并将癌症委员会讨论的计划治疗分为五类，并分析了每类中有关放疗的决策。建议进行放疗的病例比例为536/757（71%）。这些病例包括计划进行放射治疗的478例（63%）和意外建议进行放射治疗的4例（0.5%）。另一方面，在已计划进行放射治疗的21例（4%）中，放射治疗被取消。这项研究表明，癌症委员会在许多病例中讨论了放疗，并且癌症委员会对放疗决策有很大影响。
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