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dc.contributor.authorFitzgerald, Rhys
dc.contributor.authorPryor, David
dc.contributor.authorAland, Trent
dc.contributor.authorAnderson, Lee
dc.contributor.authorKnesl, Marcel
dc.contributor.authorFong, Andrew
dc.contributor.authorLunn, Dominic
dc.contributor.authorOar, Andrew
dc.contributor.authorJackson, James
dc.contributor.authorFoote, Matthew
dc.date.accessioned2020-09-16T06:39:02Z
dc.date.available2020-09-16T06:39:02Z
dc.date.issued2020
dc.identifier.issn1754-9477
dc.identifier.doi10.1111/1754-9485.13031
dc.identifier.urihttp://hdl.handle.net/10072/397582
dc.description.abstractINTRODUCTION: Stereotactic radiation therapy is a highly specialised technique which requires careful and structured implementation. As part of a national stereotactic programme implementation, protocols were developed and a national stereotactic chart round was formed, which strongly recommended attendance and presentation of all cases before treatment. Herein, we describe our experiences launching a national chart round and its importance in a stereotactic programme. METHOD: Stereotactic chart rounds were held via videoconference between July 2018 and July 2019. Data collected included attendances, patient-related information including, diagnosis, clinical background, treatment intent, prescribed dose and fractionation and technical approach. Consensus recommendations regarding changes to treatment approaches were also recorded. RESULTS: For the 12 months recorded, there were 1126 attendances, from 144 individual attendees, across 21 locations. In total, 285 cases (237 new cases, and 48 re-presentations) were presented by 27 radiation oncologists (ROs) from 13 different locations. From the cases presented, 65 changes were recommended from 53 patients (22.3%), including 27 (11.4%) changes to contours, 18 (7.6%) changes to dose prescription/fractionation, 9 (3.8%) changes to plan dosimetry, 1 (0.4%) changes to treatment technique and 10 (4.2%) recommendations for which stereotactic radiation therapy was not advised. A significant inverse relationship was found between frequency of recommended changes and the individual RO's stereotactic case load (P < 0.002). CONCLUSION: The implementation of a national stereotactic chart held via videoconference has ensured national protocol compliance across the network of locations. Furthermore, the chart rounds have allowed the entire multidisciplinary team to be provided with mentorship and guidance. Increasing number of cases presented was associated with lower rates of recommended changes highlighting the impact of experience and the need for continued mentorship.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherWILEY
dc.relation.ispartofpagefrom422
dc.relation.ispartofpageto426
dc.relation.ispartofissue3
dc.relation.ispartofjournalJournal of Medical Imaging and Radiation Oncology
dc.relation.ispartofvolume64
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchOncology and Carcinogenesis
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1110
dc.subject.fieldofresearchcode1112
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsRadiology, Nuclear Medicine & Medical Imaging
dc.subject.keywordschart round
dc.subject.keywordsdosimetry
dc.titleQuality and access - Early experience of implementing a virtual stereotactic chart round across a national network
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationFitzgerald, R; Pryor, D; Aland, T; Anderson, L; Knesl, M; Fong, A; Lunn, D; Oar, A; Jackson, J; Foote, M, Quality and access - Early experience of implementing a virtual stereotactic chart round across a national network, Journal of Medical Imaging and Radiation Oncology, 2020, 64 (3), pp. 422-426
dcterms.dateAccepted2020-03-09
dc.date.updated2020-09-16T06:37:47Z
gro.hasfulltextNo Full Text
gro.griffith.authorKnesl, Marcel


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