Hypofractionated Radiotherapy in African Cancer Centers.
Hypofractionated Radiotherapy in African Cancer Centers.
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DOI：
10.3389/fonc.2020.618641
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发表时间：
2020
影响因子：
4.7
通讯作者：
Ngwa W
中科院分区：
文献类型：
--
作者：
Swanson W;Kamwa F;Samba R;Ige T;Lasebikan N;Mallum A;Ngoma T;Sajo E;Elzawawy A;Incrocci L;Ngwa W
在冠状病毒病（COVID-19）大流行来临时，包括美国放射肿瘤学会和国家综合癌症网络在内的专业学会建议采用循证大分割放射治疗（HFRT）。HFRT的益处包括减少每位患者的临床就诊次数，最大限度地减少潜在暴露，并减轻有限劳动力的压力，特别是在资源有限的环境中，如中低收入国家（LMIC）。最近对非洲中低收入国家的研究也表明，采用高频放射疗法可以大幅降低成本，增加获得放射治疗的机会。我们评估了非洲中低收入国家18家诊所采用HFRT的准备情况。在8个非洲国家的18个RT诊所进行了IRB批准的调查。调查要求提供关于诊所现有设备和人力基础设施以及目前做法的信息。在接受调查的诊所中，所有诊所都报告已经实施HFRT，但只有44%的参与诊所报告采用HFRT作为常见做法。此外，大多数参与的临床工作人员报告说，他们已经接受了适合其角色的正式培训。然而，关于治疗计划的调查数据和轮廓勾画的其他经验强调了对放射肿瘤学家进行额外培训的必要性。尽管接受调查的非洲中低收入国家的诊所熟悉HFRT，但仍需要在基础设施和培训方面进行额外投资，并对肿瘤学领导者进行更好的教育，使其了解在COVID-19期间及之后更多地采用循证HFRT的好处。
In the advent of the coronavirus disease (COVID-19) pandemic, professional societies including the American Society for Radiation Oncology and the National Comprehensive Cancer Network recommended adopting evidence-based hypofractionated radiotherapy (HFRT). HFRT benefits include reduction in the number of clinical visits for each patient, minimizing potential exposure, and reducing stress on the limited workforce, especially in resource-limited settings as in Low-and-Middle-Income Countries (LMICs). Recent studies for LMICs in Africa have also shown that adopting HFRT can lead to significant cost reductions and increased access to radiotherapy. We assessed the readiness of 18 clinics in African LMICs to adopting HFRT. An IRB-approved survey was conducted at 18 RT clinics across 8 African countries. The survey requested information regarding the clinic’s existing equipment and human infrastructure and current practices. Amongst the surveyed clinics, all reported to already practicing HFRT, but only 44% of participating clinics reported adopting HFRT as a common practice. Additionally, most participating clinical staff reported to have received formal training appropriate for their role. However, the survey data on treatment planning and other experience with contouring highlighted need for additional training for radiation oncologists. Although the surveyed clinics in African LMICs are familiar with HFRT, there is need for additional investment in infrastructure and training as well as better education of oncology leaders on the benefits of increased adoption of evidence-based HFRT during and beyond the COVID-19 era.
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影响因子：
6.4
作者：
Ngoma, Twalib;Mandeli, John;Holland, James F.
通讯作者：
Holland, James F.
DOI：
10.1016/s1470-2045(16)30102-4
发表时间：
2016-08
期刊：
The Lancet. Oncology
影响因子：
--
作者：
Dearnaley D;Syndikus I;Mossop H;Khoo V;Birtle A;Bloomfield D;Graham J;Kirkbride P;Logue J;Malik Z;Money-Kyrle J;O'Sullivan JM;Panades M;Parker C;Patterson H;Scrase C;Staffurth J;Stockdale A;Tremlett J;Bidmead M;Mayles H;Naismith O;South C;Gao A;Cruickshank C;Hassan S;Pugh J;Griffin C;Hall E;CHHiP Investigators
通讯作者：
CHHiP Investigators
影响因子：
4.5
作者：
Irabor, Omoruyi Credit;Swanson, William;Ngwa, Wilfred
通讯作者：
Ngwa, Wilfred
影响因子：
51.1
作者：
Incrocci, Luca;Wortel, Ruud C.;Pos, Floris
通讯作者：
Pos, Floris
影响因子：
3.8
作者：
Benedict, Stanley H.;Yenice, Kamil M.;Yin, Fang-Fang
通讯作者：
Yin, Fang-Fang