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作者信息

Sellal Nabila, Sahraoui Souha, El Hfid Mohamed

机构信息

Department of Radiotherapy, Mohamed VI University Hospital of Tangier, Faculty of Medicine and Pharmacy of Tangier, Abdelmalek Essaadi University, Morocco.

Mohammed VI Center for Cancer Treatment, CHU Ibn Rochd, Faculty of Medicine and Pharmacy of Casablanca, Hassan II University, Morocco.

出版信息

Tunis Med. 2023 Nov 5;101(11):815-820.

Abstract

INTRODUCTION

Pediatric radiotherapy (PR) faces several issues in middle- and low-income countries.

AIM

Our study is a cross-sectional observation which aimed to describe the current situation of PR in Morocco in order to identify the needs and to propose an organizational shema for this discipline.

METHODS

The collection of data used two surveys, one of which was intended to the heads of the radiotherapy department of all university hospital centers (UHC) in Morocco concerning the hospital's infrastructure, human resources, technical and the course of radiotherapy. A second survey was intended for all radiation oncologists trained and working in Morocco with data related to the practice of PR.

RESULTS

In 2021, 295 children were treated in the radiotherapy departments of the seven university hospitals in Morocco. One hundred and two radiation oncologists responded to our survey. The multidisciplinary consultation board is held in five university hospitals, four of which have a complete multidisciplinary team. The children are sent to another structure by default of anesthesia according to 21% of the radiotherapists questioned. The three-dimensional technique is available in all university hospitals. Intensity modulated radiotherapy is available in 5 UHC. Additional training in radiotherapy after residency was necessary according to 60% of the radiotherapists questioned.

CONCLUSION

Despite the progress that Morocco has made in terms of infrastructure and radiotherapy equipment, this first national survey has identified some weaknesses and developed some recommendations for the organization of PR.

摘要

引言

在中低收入国家,儿科放射治疗面临若干问题。

目的

我们的研究是一项横断面观察研究,旨在描述摩洛哥儿科放射治疗的现状,以确定需求并为该学科提出一个组织架构方案。

方法

数据收集采用了两项调查,其中一项针对摩洛哥所有大学医院中心(UHC)放射治疗科主任,涉及医院基础设施、人力资源、技术以及放射治疗流程。第二项调查针对所有在摩洛哥接受培训并工作的放射肿瘤学家,收集与儿科放射治疗实践相关的数据。

结果

2021年,摩洛哥七所大学医院的放射治疗科共治疗了295名儿童。102名放射肿瘤学家回复了我们的调查。五所大学医院设有多学科会诊委员会,其中四所拥有完整的多学科团队。根据21%接受询问的放射治疗师的说法,由于麻醉条件欠缺,儿童会默认被转送至其他机构。所有大学医院都具备三维技术。五所大学医院中心可提供调强放射治疗。60%接受询问的放射治疗师认为住院医师培训后还需要额外的放射治疗培训。

结论

尽管摩洛哥在基础设施和放射治疗设备方面取得了进展,但这项首次全国性调查仍发现了一些不足之处,并为儿科放射治疗的组织架构提出了一些建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0185/11261481/92bb95d33bf3/capture1.jpg

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