Department of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania; Elekta, Inc, Atlanta, Georgia.
Department of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
Pract Radiat Oncol. 2020 Nov-Dec;10(6):389-401. doi: 10.1016/j.prro.2020.01.002. Epub 2020 Jan 24.
The radiation treatment summary provides a clinical and technical overview of a patient's full course of radiation therapy. Despite its importance to multiple stakeholders, there is no widely followed radiation treatment summary template.
The Commission on Cancer convened a multistakeholder workgroup to develop a synoptic radiation treatment summary template. The workgroup included individuals with expertise in radiation, medical and surgical oncology, medical physics, oncology informatics, cancer registry, electronic medical record systems, treatment planning systems, and registry information systems. The workgroup iterated a template until consensus was achieved.
The consensus radiation treatment summary template is divided into 3 sections that allows for a mix of structured and free text. The first section, "Radiation Course Summary," is meant to provide information that is of broad interest and in a manner that is potentially accessible to patients, their families, and nononcology-trained care team members. The second section, "Anatomic Target Summary," provides information that is potentially useful to oncology-trained care team members who will be primarily interested in which anatomies were irradiated, by what modality, and to what cumulative dose. The third section, "Delivered Prescriptions," summarizes technical information that is primarily of interest and accessible to radiation oncology-trained clinicians, registrars, and researchers.
We have proposed a consensus template with 3 sections to meet the needs of a diverse set of consumers. We recommend that providers, professional societies, and accreditation bodies with interest in the radiation treatment summary continue collaborative efforts to test, iterate, and drive adoption of a synoptic template.
放射治疗总结为患者的全程放射治疗提供了临床和技术概述。尽管它对多个利益相关者都很重要，但目前还没有广泛遵循的放射治疗总结模板。
美国癌症协会召集了一个多利益相关者工作组，以开发一个综合的放射治疗总结模板。该工作组包括在放射、医学和外科肿瘤学、医学物理学、肿瘤信息学、癌症登记、电子病历系统、治疗计划系统和登记信息系统方面具有专业知识的人员。工作组对模板进行了反复修改，直到达成共识。
共识性放射治疗总结模板分为 3 个部分，允许使用结构化和自由文本的混合形式。第一部分“放射治疗过程总结”旨在提供广泛关注的信息，并且以潜在的方式提供给患者、他们的家人和非肿瘤学专业护理团队成员。第二部分“解剖靶区总结”提供了对肿瘤学专业护理团队成员可能有用的信息，他们主要关注哪些解剖结构被照射、使用了哪种方式以及累积剂量是多少。第三部分“所给予的处方”总结了主要对放射肿瘤学专业临床医生、登记员和研究人员有兴趣且可访问的技术信息。
我们提出了一个具有 3 个部分的共识模板，以满足不同利益相关者的需求。我们建议对放射治疗总结感兴趣的提供者、专业协会和认证机构继续开展合作努力，以测试、迭代和推动综合模板的采用。
