McClelland Shearwood, Mitin Timur, Jaboin Jerry J, Ciporen Jeremy N
Department of Radiation Oncology, Indiana University School of Medicine, Indianapolis, Indiana, USA; Department of Radiation Medicine, Oregon Health and Science University, Portland, Oregon, USA.
Department of Radiation Medicine, Oregon Health and Science University, Portland, Oregon, USA.
World Neurosurg. 2019 Feb;122:8-10. doi: 10.1016/j.wneu.2018.10.083. Epub 2018 Oct 24.
Radiation therapy for central nervous system disease commonly involves collaboration between Radiation Oncology and Neurosurgery. We describe our early experience with a multidisciplinary clinic model.
In 2016, the novel RADIANS (RADIation oncology And NeuroSurgery) clinic model was initiated at a community hospital. Disease and treatment demographics were collected and analyzed. Patient satisfaction was assessed via a blinded survey questionnaire.
Forty-two patients have been seen since the inception of RADIANS. The median age was 65; and the median patient distance from RADIANS was 42.7 miles (mean = 62.6; range = 0.7-285). Half of the patients traveled >50 miles to receive care, and >80% were seen for central nervous system metastases. Of the patients receiving radiation, 75% received stereotactic radiosurgery/stereotactic body radiation therapy. The mean overall satisfaction from 0 (not satisfied) to 5 (very satisfied) was 4.8.
The RADIANS clinic model has proved viable and well-liked by patients in a community setting, with the majority of radiation therapy administered being stereotactic radiosurgery/stereotactic body radiation therapy rather than conventional fractionation.
中枢神经系统疾病的放射治疗通常需要放射肿瘤学和神经外科之间的合作。我们描述了我们在多学科诊所模式方面的早期经验。
2016年，一种新型的RADIANS（放射肿瘤学与神经外科）诊所模式在一家社区医院启动。收集并分析了疾病和治疗人口统计学数据。通过一份盲法调查问卷评估患者满意度。
自RADIANS成立以来，已诊治42例患者。中位年龄为65岁；患者到RADIANS的中位距离为42.7英里（平均=62.6；范围=0.7-285）。一半的患者行程超过50英里接受治疗，超过80%的患者因中枢神经系统转移瘤前来就诊。在接受放疗的患者中，75%接受了立体定向放射外科/立体定向体部放射治疗。从0（不满意）到5（非常满意）的平均总体满意度为4.8。
RADIANS诊所模式已被证明在社区环境中可行且受患者欢迎，大多数放疗采用立体定向放射外科/立体定向体部放射治疗而非传统分割放疗。
