乳腺癌间质近距离放射治疗后导管拔除：任务委托的可行性研究
Catheter removal after interstitial brachytherapy for breast cancer: Feasibility study for task delegation.
作者信息
Pignier M, Rene L, Carenco J, Dubosc M, Moreau M, Rizzi Y, Gauthier M, Secchi-Cippoloni S, Hannoun-Levi J M
机构信息
Department of Radiotherapy, Antoine Lacassagne Cancer Center, University of Cote d'Azur, Nice, France.
出版信息
Tech Innov Patient Support Radiat Oncol. 2024 Jul 10;32:100261. doi: 10.1016/j.tipsro.2024.100261. eCollection 2024 Dec.
PURPOSE
This study aims to assess the impact of delegating brachytherapy device removal to radiation therapists (RTTs) in the treatment of breast cancer, in terms of safety and efficacy of treatment.
MATERIAL AND METHODS
A retrospective, observational study was conducted to analyze breast cancer brachytherapy patients. Standardized protocols were drawn up and the RTTs were gradually trained to remove brachytherapy devices under medical supervision.
RESULTS
423 patients were included in the study over a period of 15 years. The move to involve RTTs in device removal did not lead to a significant increase in complications. Efficient management of complications was observed, with a stable rate of complications whatever the indication for treatment.
CONCLUSION
Delegating removal of brachytherapy devices to RTTs is a move towards the optimization of breast cancer care. This inter-professional approach guarantees diligent, safe care for patients while offering RTTs new opportunities for career development.
目的
本研究旨在评估在乳腺癌治疗中，将近距离放射治疗设备移除工作委托给放射治疗师（RTTs）对治疗安全性和有效性的影响。
材料与方法
开展一项回顾性观察研究，以分析乳腺癌近距离放射治疗患者。制定了标准化方案，并在医学监督下逐步培训RTTs移除近距离放射治疗设备。
结果
在15年期间，共有423例患者纳入研究。让RTTs参与设备移除工作并未导致并发症显著增加。观察到并发症得到有效管理，无论治疗指征如何，并发症发生率稳定。
结论
将近距离放射治疗设备移除工作委托给RTTs是朝着优化乳腺癌护理迈出的一步。这种跨专业方法可为患者提供勤勉、安全的护理，同时为RTTs提供新的职业发展机会。
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