Re-audit of radiotherapy waiting times 2003
Re-audit of radiotherapy waiting times 2003
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DOI：
10.1016/j.clon.2004.06.006
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发表时间：
2004-09-01
影响因子：
3.4
通讯作者：
Squire, C
中科院分区：
文献类型：
--
作者：
Ash, D;Barrett, A;Squire, C
目的：在英国，临床肿瘤学家越来越关注放射治疗的持续长时间等待。对2003年1周内开始治疗的患者进行审核，以确定等待时间，并将当前结果与1998年类似审核中获得的结果进行比较。材料和方法：英国所有中心完成了审核，记录了1周内开始的所有新治疗的等待名单状态和治疗意图，预订表格完成日期和使用的分割方案。在大多数中心，所有类别病人的等候时间都延长了，尽管与上次审计相比，姑息治疗的中位等候时间没有增加。所有类别的患者都在肿瘤学联合大学理事会（JCCO）指南范围内接受治疗。单次治疗现在是常见的姑息治疗。大多数辅助治疗使用三种处方之一。在每一个战略卫生局，接受放射治疗的癌症患者占总人数的比例似乎相同。有没有明显的简单的相关性，放射技师，物理学家或治疗机的数量与等待times.Conclusion：这项调查的结果表明，持续的能力和需求之间的不匹配。根治性治疗的复杂性增加，以及可能有更多的患者被转诊接受治疗，可能已经部分被缓解的分级减少所抵消。(C)2004年皇家放射科医师学院。由爱思唯尔有限公司出版。保留所有权利。
Aims: There has been increasing concern, by clinical oncologists in the UK, about the continuing long waiting times for radiotherapy treatment. An audit of patients starting treatment in 1 week in 2003 was carried out to determine waiting times and to compare current results with those obtained from a similar audit in 1998.Materials and methods: All centres in the UK completed the audit, which recorded waiting-list status and treatment intent for all new treatments started in 1 week, date of booking form completion and fractionation scheme used.Results: Waiting times have lengthened in most centres for all categories of patients although, for palliative treatments, there was no additional increase in median waiting time compared with the last audit. Fewer patients in all categories are being treated within the Joint Collegiate Council for Oncology (JCCO) guidelines. Single-fraction treatments are now common for palliation. Most adjuvant treatment uses one of three prescriptions. In each Strategic Health Authority (StHA), the same proportion of the total number of patients with cancer seemed to be given radiotherapy. There was no obvious simple correlation of radiographer, physicist or treatment machine numbers with waiting times.Conclusion: The results of this survey suggest a continuing mismatch between capacity and demand. Increased complexity of radical treatments, and possibly more patients being referred for treatment, may have been offset in part by reduced fractionation for palliation. (C) 2004 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.