Evidence map›Paper›PMID 38634814›Full record

ArticleJournal of applied clinical medical physics2024

The impact of advancing the standard of care in radiotherapy on operational treatment resources.

Michael Roumeliotis, Kundan Thind, Hali Morrison, Ben Burke, Kevin Martell, Lukas van Dyke, Lisa Barbera, Sarah Quirk

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of applied clinical medical physics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 2 countries.

Michael RoumeliotisDepartment of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Baltimore, Maryland, USA.
Kundan ThindHenry Ford Cancer Institute, Detroit, Michigan, USA.ORCID https://orcid.org/0000-0002-8261-6655
Hali MorrisonDepartment of Oncology, University of Calgary, Calgary, Alberta, Canada.
Ben BurkeUniversity of Alberta, Edmonton, Alberta, Canada.ORCID https://orcid.org/0000-0002-3950-8579
Kevin MartellDepartment of Oncology, University of Calgary, Calgary, Alberta, Canada.
Lukas van DykeTom Baker Cancer Centre, Calgary, Alberta, Canada.
Lisa BarberaDepartment of Oncology, University of Calgary, Calgary, Alberta, Canada.
Sarah QuirkDepartment of Radiation Oncology, Brigham and Women's Hospital, Dana-Farber Cancer Institute, and Harvard Medical School, Boston, Massachusetts, USA.
University of Calgary · CABaker Hughes (Canada) · CABrigham and Women's Hospital · USHenry Ford Hospital · USJohns Hopkins University · USUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo demonstrate the impact of implementing hypofractionated prescription regimens and advanced treatment techniques on institutional operational hours and radiotherapy personnel resources in a multi-institutional setting. The study may be used to describe the impact of advancing the standard of care with modern radiotherapy techniques on patient and staff resources.

methodsThis study uses radiation therapy data extracted from the radiotherapy information system from two tertiary care, university-affiliated cancer centers from 2012 to 2021. Across all patients in the analysis, the average fraction number for curative and palliative patients was reported each year in the decade. Also, the institutional operational treatment hours are reported for both centers. A sub-analysis for curative intent breast and lung radiotherapy patients was performed to contextualize the impact of changes to imaging, motion management, and treatment technique.

resultsFrom 2012 to 2021, Center 1 had 42 214 patient plans and Center 2 had 43 252 patient plans included in the analysis. Averaged over both centers across the decade, the average fraction number per patient decreased from 6.9 to 5.2 (25%) and 21.8 to 17.2 (21%) for palliative and curative patients, respectively. The operational treatment hours for both institutions increased from 8 h 15 min to 9 h 45 min (18%), despite a patient population increase of 45%.

conclusionThe clinical implementation of hypofractionated treatment regimens has successfully reduced the radiotherapy workload and operational treatment hours required to treat patients. This analysis describes the impact of changes to the standard of care on institutional resources.

Indexed as

NeoplasmsRadiotherapy Planning, Computer-AssistedStandard of CareFemaleHealth ResourcesHumansPalliative CareRadiotherapy DosageRadiotherapy, Intensity-ModulatedExternal beamHypofractionationOperational resources

Identifiers

PMID38634814
PMCPMC11244663
OpenAlexW4394917960

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.