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西班牙某大学附属医院的放射治疗模式:RENORT 项目。

Pattern of care in radiotherapy at a University Hospital in Spain: the RENORT project.

机构信息

Department of Radiation Oncology-ERESA, Hospital General Universitario de Valencia, Av. Tres Cruces, 2, 46014, Valencia, Spain.

Servicio Oncología Radioterápica-ERESA, Hospital General Valencia, Av. Tres Cruces, 2, 46014, Valencia, Spain.

出版信息

Clin Transl Oncol. 2021 Aug;23(8):1657-1665. doi: 10.1007/s12094-021-02564-2. Epub 2021 Feb 14.

DOI:10.1007/s12094-021-02564-2
PMID:33586123
Abstract

PURPOSE

RENORT is a novel data mining application developed to extract relevant clinical data from oncology information systems (OIS; ARIA and Mosaiq) used in radiation oncology (RO).

METHODS/PATIENTS: We used RENORT to extract demographic and clinical data from the OIS of all patients treated at the RO Department at the General Hospital of Valencia during the year 2019.

RESULTS

A total of 1158 treatments were performed. The female/male ratio was 39.3%/60.7%, with a mean age of 66 years. The mean waiting time between the treatment decision/proposal to the first visit was 10.1 days. Mean duration of the treatment preparation process was 21 days. Most patients (90.4%) completed treatment within the prescribed time ± 7 days. The most common sites/treatment types were: metastatic/palliative treatments (n = 300; 25.9%), breast (209; 18.0%), genitourinary (195; 16.8%), digestive (116; 10.0%), thoracic (104; 9.0%), head and neck (62; 5.4%), and skin cancer (51; 4.4%). The distribution according to treatment intent was as follows: palliative (n = 266; 23.0%), adjuvant curative (335; 28.9%), radical without adjuvant treatment (229; 19.8%), radical with concomitant treatment (188; 16.2%), curative neoadjuvant (70; 6.0%), salvage radiotherapy (61; 5.3%); and reirradiation (9; 0.8%). The most common treatment techniques were IMRT/VMAT with IGRT (n = 468; 40.4%), 3D-CRT with IGRT (421; 36.4%), SBRT (127; 11.0%), 2DRT (57; 4.9%), and SFRT (56; 4.8%). A mean of 15.9 fractions were administered per treatment. Hypofractionated schemes were used in 100% of radical intent breast and prostate cancer treatments.

CONCLUSIONS

The RENORT application facilitates data retrieval from oncology information systems to allow for a comprehensive determination of the real role of radiotherapy in the treatment of cancer patients. This application is valuable to identify patterns of care and to assess treatment efficacy.

摘要

目的

RENOR 是一种新的数据挖掘应用程序,用于从放射肿瘤学(RO)中使用的肿瘤学信息系统(ARIA 和 Mosaiq)中提取相关的临床数据。

方法/患者:我们使用 RENORT 从 2019 年 Valencia 总医院 RO 部门治疗的所有患者的 OIS 中提取人口统计学和临床数据。

结果

共进行了 1158 次治疗。女性/男性比例为 39.3%/60.7%,平均年龄为 66 岁。治疗决策/建议到首次就诊之间的平均等待时间为 10.1 天。治疗准备过程的平均持续时间为 21 天。大多数患者(90.4%)在规定时间内完成治疗±7 天。最常见的部位/治疗类型是:转移性/姑息性治疗(n=300;25.9%)、乳房(209;18.0%)、泌尿生殖系统(195;16.8%)、消化系统(116;10.0%)、胸(104;9.0%)、头颈部(62;5.4%)和皮肤癌(51;4.4%)。根据治疗意图的分布情况如下:姑息性(n=266;23.0%)、辅助治愈性(335;28.9%)、无辅助根治性(229;19.8%)、根治性伴同期治疗(188;16.2%)、新辅助治愈性(70;6.0%)、挽救性放疗(61;5.3%)和再放疗(9;0.8%)。最常见的治疗技术是 IGRT 下的 IMRT/VMAT(n=468;40.4%)、IGRT 下的 3D-CRT(421;36.4%)、SBRT(127;11.0%)、2DRT(57;4.9%)和 SFRT(56;4.8%)。每次治疗平均给予 15.9 个分数。根治性意向的乳腺癌和前列腺癌治疗中 100%采用了低分割方案。

结论

RENOR 应用程序从肿瘤学信息系统中方便地检索数据,以全面确定放射治疗在癌症患者治疗中的实际作用。该应用程序有助于确定护理模式并评估治疗效果。

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Pattern of care in radiotherapy at a University Hospital in Spain: the RENORT project.西班牙某大学附属医院的放射治疗模式:RENORT 项目。
Clin Transl Oncol. 2021 Aug;23(8):1657-1665. doi: 10.1007/s12094-021-02564-2. Epub 2021 Feb 14.
2
RENORT: a project to analyze patterns of care in radiation oncology in Spain.RENORT:一个分析西班牙放射肿瘤学治疗模式的项目。
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本文引用的文献

1
Patient safety in radiation oncology in Spain: a need to change.西班牙放射肿瘤学中的患者安全:需要改变。
Clin Transl Oncol. 2020 May;22(5):751-758. doi: 10.1007/s12094-019-02184-x. Epub 2019 Jul 19.
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5-Year Results of a Prospective Phase 2 Trial Evaluating 3-Week Hypofractionated Whole Breast Radiation Therapy Inclusive of a Sequential Boost.5 年前瞻性 2 期试验结果评估了包括序贯推量的 3 周短程全乳腺放射治疗。
Int J Radiat Oncol Biol Phys. 2019 Oct 1;105(2):267-274. doi: 10.1016/j.ijrobp.2019.05.063. Epub 2019 Jun 5.
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Radiation therapy for the whole breast: Executive summary of an American Society for Radiation Oncology (ASTRO) evidence-based guideline.
全乳放射治疗:美国放射肿瘤学会(ASTRO)基于证据的指南执行摘要。
Pract Radiat Oncol. 2018 May-Jun;8(3):145-152. doi: 10.1016/j.prro.2018.01.012. Epub 2018 Mar 12.
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The population benefit of evidence-based radiotherapy: 5-Year local control and overall survival benefits.基于证据的放疗的人群获益:5 年局部控制和总生存获益。
Radiother Oncol. 2018 Feb;126(2):191-197. doi: 10.1016/j.radonc.2017.11.004. Epub 2017 Dec 8.
5
Radiation Treatment Time and Overall Survival in Locally Advanced Non-small Cell Lung Cancer.局部晚期非小细胞肺癌的放射治疗时间与总生存期
Int J Radiat Oncol Biol Phys. 2017 Aug 1;98(5):1142-1152. doi: 10.1016/j.ijrobp.2017.04.004. Epub 2017 Apr 11.
6
Hypofractionated radiotherapy versus conventionally fractionated radiotherapy for patients with intermediate-risk localised prostate cancer: 2-year patient-reported outcomes of the randomised, non-inferiority, phase 3 CHHiP trial.大分割放疗与常规分割放疗用于中危局限性前列腺癌患者的比较:随机、非劣效性3期CHHiP试验的2年患者报告结局
Lancet Oncol. 2015 Dec;16(16):1605-16. doi: 10.1016/S1470-2045(15)00280-6. Epub 2015 Oct 28.
7
The optimal utilization proportion of external beam radiotherapy in European countries: An ESTRO-HERO analysis.欧洲国家体外放射治疗的最佳使用比例:一项欧洲放射肿瘤学会-卫生经济与结果研究分析。
Radiother Oncol. 2015 Jul;116(1):38-44. doi: 10.1016/j.radonc.2015.04.018. Epub 2015 May 14.
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Characterization and adequacy of the use of radiotherapy and its trend in time.放射治疗的特征和充分性及其随时间的变化趋势。
Radiother Oncol. 2013 Feb;106(2):260-5. doi: 10.1016/j.radonc.2012.10.008. Epub 2012 Nov 28.
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Effect of radiotherapy interruptions on survival in medicare enrollees with local and regional head-and-neck cancer.放疗中断对 Medicare 登记局部和区域头颈部癌症患者生存的影响。
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Evidence-based estimation and radiotherapy utilisation rate in Andalusia.安达卢西亚基于证据的估计与放射治疗利用率
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