Loading…
The Special Medical Physics Consult Process for Reirradiation Patients
AbstractPurposeTo present a systematic approach to the reirradiation special medical physics consult (ReRT-SMPC) process.Materials and MethodsAn in-house reirradiation committee of physicians and physicists was formed to develop a streamlined and well-documented approach to ReRT-SMPCs. Dosimetric go...
Saved in:
Published in: | Advances in radiation oncology 2019-10, Vol.4 (4), p.559-565 |
---|---|
Main Authors: | , , , , , , , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c642t-c97ddcc0fa7e3bed93e18bebba079b6182a3a48d64db1cefc6a7c266bb87ab093 |
---|---|
cites | cdi_FETCH-LOGICAL-c642t-c97ddcc0fa7e3bed93e18bebba079b6182a3a48d64db1cefc6a7c266bb87ab093 |
container_end_page | 565 |
container_issue | 4 |
container_start_page | 559 |
container_title | Advances in radiation oncology |
container_volume | 4 |
creator | Paradis, Kelly C., PhD Mayo, Charles, PhD Owen, Dawn, MD Spratt, Daniel E., MD Hearn, Jason, MD Rosen, Benjamin, PhD Kashani, Rojano, PhD Moran, Jean, PhD Tatro, Daniel S., CMD Beeler, Whitney, MD Vineberg, Karen, CMD Smith, Dylan C., MS Matuszak, Martha M., PhD |
description | AbstractPurposeTo present a systematic approach to the reirradiation special medical physics consult (ReRT-SMPC) process.Materials and MethodsAn in-house reirradiation committee of physicians and physicists was formed to develop a streamlined and well-documented approach to ReRT-SMPCs. Dosimetric goals and considerations for tissue repair were generated by the committee with input from the literature, clinical trial guidelines, and physician experience. Procedural workflow was also defined.ResultsThe total number of ReRT-SMPCs performed in our department in 2018 was 401, corresponding to 369 unique patients and 16% of the total number of patients receiving external beam radiation in our department that year. This constituted a large increase over the 183 ReRT-SMPCs performed in 2017. We have found that a standardized ReRT-SMPC workflow helps to safeguard patients, documents the clinical decision-making process for medical and legal purposes, and facilitates the peer-review process. The data being collected from each consult along with toxicity and outcomes data can be used to help inform future re-treatment guidelines.ConclusionsAs the number of patients returning for additional courses of radiation continues to increase, a uniform method for the ReRT-SMPC workflow and analysis is a powerful tool for ensuring patient safety, understanding and predicting treatment toxicity, and refining reirradiation dosimetric limits. |
doi_str_mv | 10.1016/j.adro.2019.05.007 |
format | article |
fullrecord | <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_3fd27c00b76b4c63b8a553d946e49f4d</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S2452109419300612</els_id><doaj_id>oai_doaj_org_article_3fd27c00b76b4c63b8a553d946e49f4d</doaj_id><sourcerecordid>2311924034</sourcerecordid><originalsourceid>FETCH-LOGICAL-c642t-c97ddcc0fa7e3bed93e18bebba079b6182a3a48d64db1cefc6a7c266bb87ab093</originalsourceid><addsrcrecordid>eNp9kk9vEzEQxVcIRKvSL8AB7ZFLwvhP7F0JVUJRC5WKiGg5W_Z4tnHYrIO9qdRvj5eUquXAaSz7vWd7flNVbxnMGTD1YTO3PsU5B9bOYTEH0C-qYy4XfMaglS-frI-q05w3AMUlNBPwujoSTDWsUfy4urhZU329Iwy2r7-SD1jqan2fA-Z6GYe878d6lSJSznUXU_2dQkrWBzuGONSrUmgY85vqVWf7TKcP9aT6cXF-s_wyu_r2-XL56WqGSvJxhq32HhE6q0k48q0g1jhyzoJunWINt8LKxivpHUPqUFmNXCnnGm0dtOKkujzk-mg3ZpfC1qZ7E20wfzZiujU2jQF7MqLzXCOA08pJVMI1drEQvpWKZNtJX7LODlm7vduSx_KPZPtnoc9PhrA2t_HOlN5pzUUJeP8QkOKvPeXRbENG6ns7UNxnwwVjLZcgZJHygxRTzDlR93gNAzPxNBsz8TQTTwMLU3gW07unD3y0_KVXBB8PAiotvwuUTMaCAwvGRDiWnoT_55_9Y8c-DNME_KR7ypu4T0OBaZjJ3IC5niZqGijWCgDFuPgNH3XHrA</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2311924034</pqid></control><display><type>article</type><title>The Special Medical Physics Consult Process for Reirradiation Patients</title><source>PubMed (Medline)</source><source>Elsevier ScienceDirect Journals</source><creator>Paradis, Kelly C., PhD ; Mayo, Charles, PhD ; Owen, Dawn, MD ; Spratt, Daniel E., MD ; Hearn, Jason, MD ; Rosen, Benjamin, PhD ; Kashani, Rojano, PhD ; Moran, Jean, PhD ; Tatro, Daniel S., CMD ; Beeler, Whitney, MD ; Vineberg, Karen, CMD ; Smith, Dylan C., MS ; Matuszak, Martha M., PhD</creator><creatorcontrib>Paradis, Kelly C., PhD ; Mayo, Charles, PhD ; Owen, Dawn, MD ; Spratt, Daniel E., MD ; Hearn, Jason, MD ; Rosen, Benjamin, PhD ; Kashani, Rojano, PhD ; Moran, Jean, PhD ; Tatro, Daniel S., CMD ; Beeler, Whitney, MD ; Vineberg, Karen, CMD ; Smith, Dylan C., MS ; Matuszak, Martha M., PhD</creatorcontrib><description>AbstractPurposeTo present a systematic approach to the reirradiation special medical physics consult (ReRT-SMPC) process.Materials and MethodsAn in-house reirradiation committee of physicians and physicists was formed to develop a streamlined and well-documented approach to ReRT-SMPCs. Dosimetric goals and considerations for tissue repair were generated by the committee with input from the literature, clinical trial guidelines, and physician experience. Procedural workflow was also defined.ResultsThe total number of ReRT-SMPCs performed in our department in 2018 was 401, corresponding to 369 unique patients and 16% of the total number of patients receiving external beam radiation in our department that year. This constituted a large increase over the 183 ReRT-SMPCs performed in 2017. We have found that a standardized ReRT-SMPC workflow helps to safeguard patients, documents the clinical decision-making process for medical and legal purposes, and facilitates the peer-review process. The data being collected from each consult along with toxicity and outcomes data can be used to help inform future re-treatment guidelines.ConclusionsAs the number of patients returning for additional courses of radiation continues to increase, a uniform method for the ReRT-SMPC workflow and analysis is a powerful tool for ensuring patient safety, understanding and predicting treatment toxicity, and refining reirradiation dosimetric limits.</description><identifier>ISSN: 2452-1094</identifier><identifier>EISSN: 2452-1094</identifier><identifier>DOI: 10.1016/j.adro.2019.05.007</identifier><identifier>PMID: 31681862</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Hematology, Oncology, and Palliative Medicine ; Special Collection: The Advancing Practice of Re-irradiation in Radiation Oncology: Challenges, Outcomes and Approach</subject><ispartof>Advances in radiation oncology, 2019-10, Vol.4 (4), p.559-565</ispartof><rights>The Author(s)</rights><rights>2019 The Author(s)</rights><rights>2019 The Author(s).</rights><rights>2019 The Author(s) 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c642t-c97ddcc0fa7e3bed93e18bebba079b6182a3a48d64db1cefc6a7c266bb87ab093</citedby><cites>FETCH-LOGICAL-c642t-c97ddcc0fa7e3bed93e18bebba079b6182a3a48d64db1cefc6a7c266bb87ab093</cites><orcidid>0000-0001-9668-7326 ; 0000-0002-8854-6555</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6817723/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S2452109419300612$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,3549,27924,27925,45780,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31681862$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Paradis, Kelly C., PhD</creatorcontrib><creatorcontrib>Mayo, Charles, PhD</creatorcontrib><creatorcontrib>Owen, Dawn, MD</creatorcontrib><creatorcontrib>Spratt, Daniel E., MD</creatorcontrib><creatorcontrib>Hearn, Jason, MD</creatorcontrib><creatorcontrib>Rosen, Benjamin, PhD</creatorcontrib><creatorcontrib>Kashani, Rojano, PhD</creatorcontrib><creatorcontrib>Moran, Jean, PhD</creatorcontrib><creatorcontrib>Tatro, Daniel S., CMD</creatorcontrib><creatorcontrib>Beeler, Whitney, MD</creatorcontrib><creatorcontrib>Vineberg, Karen, CMD</creatorcontrib><creatorcontrib>Smith, Dylan C., MS</creatorcontrib><creatorcontrib>Matuszak, Martha M., PhD</creatorcontrib><title>The Special Medical Physics Consult Process for Reirradiation Patients</title><title>Advances in radiation oncology</title><addtitle>Adv Radiat Oncol</addtitle><description>AbstractPurposeTo present a systematic approach to the reirradiation special medical physics consult (ReRT-SMPC) process.Materials and MethodsAn in-house reirradiation committee of physicians and physicists was formed to develop a streamlined and well-documented approach to ReRT-SMPCs. Dosimetric goals and considerations for tissue repair were generated by the committee with input from the literature, clinical trial guidelines, and physician experience. Procedural workflow was also defined.ResultsThe total number of ReRT-SMPCs performed in our department in 2018 was 401, corresponding to 369 unique patients and 16% of the total number of patients receiving external beam radiation in our department that year. This constituted a large increase over the 183 ReRT-SMPCs performed in 2017. We have found that a standardized ReRT-SMPC workflow helps to safeguard patients, documents the clinical decision-making process for medical and legal purposes, and facilitates the peer-review process. The data being collected from each consult along with toxicity and outcomes data can be used to help inform future re-treatment guidelines.ConclusionsAs the number of patients returning for additional courses of radiation continues to increase, a uniform method for the ReRT-SMPC workflow and analysis is a powerful tool for ensuring patient safety, understanding and predicting treatment toxicity, and refining reirradiation dosimetric limits.</description><subject>Hematology, Oncology, and Palliative Medicine</subject><subject>Special Collection: The Advancing Practice of Re-irradiation in Radiation Oncology: Challenges, Outcomes and Approach</subject><issn>2452-1094</issn><issn>2452-1094</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNp9kk9vEzEQxVcIRKvSL8AB7ZFLwvhP7F0JVUJRC5WKiGg5W_Z4tnHYrIO9qdRvj5eUquXAaSz7vWd7flNVbxnMGTD1YTO3PsU5B9bOYTEH0C-qYy4XfMaglS-frI-q05w3AMUlNBPwujoSTDWsUfy4urhZU329Iwy2r7-SD1jqan2fA-Z6GYe878d6lSJSznUXU_2dQkrWBzuGONSrUmgY85vqVWf7TKcP9aT6cXF-s_wyu_r2-XL56WqGSvJxhq32HhE6q0k48q0g1jhyzoJunWINt8LKxivpHUPqUFmNXCnnGm0dtOKkujzk-mg3ZpfC1qZ7E20wfzZiujU2jQF7MqLzXCOA08pJVMI1drEQvpWKZNtJX7LODlm7vduSx_KPZPtnoc9PhrA2t_HOlN5pzUUJeP8QkOKvPeXRbENG6ns7UNxnwwVjLZcgZJHygxRTzDlR93gNAzPxNBsz8TQTTwMLU3gW07unD3y0_KVXBB8PAiotvwuUTMaCAwvGRDiWnoT_55_9Y8c-DNME_KR7ypu4T0OBaZjJ3IC5niZqGijWCgDFuPgNH3XHrA</recordid><startdate>20191001</startdate><enddate>20191001</enddate><creator>Paradis, Kelly C., PhD</creator><creator>Mayo, Charles, PhD</creator><creator>Owen, Dawn, MD</creator><creator>Spratt, Daniel E., MD</creator><creator>Hearn, Jason, MD</creator><creator>Rosen, Benjamin, PhD</creator><creator>Kashani, Rojano, PhD</creator><creator>Moran, Jean, PhD</creator><creator>Tatro, Daniel S., CMD</creator><creator>Beeler, Whitney, MD</creator><creator>Vineberg, Karen, CMD</creator><creator>Smith, Dylan C., MS</creator><creator>Matuszak, Martha M., PhD</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-9668-7326</orcidid><orcidid>https://orcid.org/0000-0002-8854-6555</orcidid></search><sort><creationdate>20191001</creationdate><title>The Special Medical Physics Consult Process for Reirradiation Patients</title><author>Paradis, Kelly C., PhD ; Mayo, Charles, PhD ; Owen, Dawn, MD ; Spratt, Daniel E., MD ; Hearn, Jason, MD ; Rosen, Benjamin, PhD ; Kashani, Rojano, PhD ; Moran, Jean, PhD ; Tatro, Daniel S., CMD ; Beeler, Whitney, MD ; Vineberg, Karen, CMD ; Smith, Dylan C., MS ; Matuszak, Martha M., PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c642t-c97ddcc0fa7e3bed93e18bebba079b6182a3a48d64db1cefc6a7c266bb87ab093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Hematology, Oncology, and Palliative Medicine</topic><topic>Special Collection: The Advancing Practice of Re-irradiation in Radiation Oncology: Challenges, Outcomes and Approach</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Paradis, Kelly C., PhD</creatorcontrib><creatorcontrib>Mayo, Charles, PhD</creatorcontrib><creatorcontrib>Owen, Dawn, MD</creatorcontrib><creatorcontrib>Spratt, Daniel E., MD</creatorcontrib><creatorcontrib>Hearn, Jason, MD</creatorcontrib><creatorcontrib>Rosen, Benjamin, PhD</creatorcontrib><creatorcontrib>Kashani, Rojano, PhD</creatorcontrib><creatorcontrib>Moran, Jean, PhD</creatorcontrib><creatorcontrib>Tatro, Daniel S., CMD</creatorcontrib><creatorcontrib>Beeler, Whitney, MD</creatorcontrib><creatorcontrib>Vineberg, Karen, CMD</creatorcontrib><creatorcontrib>Smith, Dylan C., MS</creatorcontrib><creatorcontrib>Matuszak, Martha M., PhD</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Advances in radiation oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Paradis, Kelly C., PhD</au><au>Mayo, Charles, PhD</au><au>Owen, Dawn, MD</au><au>Spratt, Daniel E., MD</au><au>Hearn, Jason, MD</au><au>Rosen, Benjamin, PhD</au><au>Kashani, Rojano, PhD</au><au>Moran, Jean, PhD</au><au>Tatro, Daniel S., CMD</au><au>Beeler, Whitney, MD</au><au>Vineberg, Karen, CMD</au><au>Smith, Dylan C., MS</au><au>Matuszak, Martha M., PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Special Medical Physics Consult Process for Reirradiation Patients</atitle><jtitle>Advances in radiation oncology</jtitle><addtitle>Adv Radiat Oncol</addtitle><date>2019-10-01</date><risdate>2019</risdate><volume>4</volume><issue>4</issue><spage>559</spage><epage>565</epage><pages>559-565</pages><issn>2452-1094</issn><eissn>2452-1094</eissn><abstract>AbstractPurposeTo present a systematic approach to the reirradiation special medical physics consult (ReRT-SMPC) process.Materials and MethodsAn in-house reirradiation committee of physicians and physicists was formed to develop a streamlined and well-documented approach to ReRT-SMPCs. Dosimetric goals and considerations for tissue repair were generated by the committee with input from the literature, clinical trial guidelines, and physician experience. Procedural workflow was also defined.ResultsThe total number of ReRT-SMPCs performed in our department in 2018 was 401, corresponding to 369 unique patients and 16% of the total number of patients receiving external beam radiation in our department that year. This constituted a large increase over the 183 ReRT-SMPCs performed in 2017. We have found that a standardized ReRT-SMPC workflow helps to safeguard patients, documents the clinical decision-making process for medical and legal purposes, and facilitates the peer-review process. The data being collected from each consult along with toxicity and outcomes data can be used to help inform future re-treatment guidelines.ConclusionsAs the number of patients returning for additional courses of radiation continues to increase, a uniform method for the ReRT-SMPC workflow and analysis is a powerful tool for ensuring patient safety, understanding and predicting treatment toxicity, and refining reirradiation dosimetric limits.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>31681862</pmid><doi>10.1016/j.adro.2019.05.007</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-9668-7326</orcidid><orcidid>https://orcid.org/0000-0002-8854-6555</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 2452-1094 |
ispartof | Advances in radiation oncology, 2019-10, Vol.4 (4), p.559-565 |
issn | 2452-1094 2452-1094 |
language | eng |
recordid | cdi_doaj_primary_oai_doaj_org_article_3fd27c00b76b4c63b8a553d946e49f4d |
source | PubMed (Medline); Elsevier ScienceDirect Journals |
subjects | Hematology, Oncology, and Palliative Medicine Special Collection: The Advancing Practice of Re-irradiation in Radiation Oncology: Challenges, Outcomes and Approach |
title | The Special Medical Physics Consult Process for Reirradiation Patients |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T13%3A59%3A35IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Special%20Medical%20Physics%20Consult%20Process%20for%20Reirradiation%20Patients&rft.jtitle=Advances%20in%20radiation%20oncology&rft.au=Paradis,%20Kelly%20C.,%20PhD&rft.date=2019-10-01&rft.volume=4&rft.issue=4&rft.spage=559&rft.epage=565&rft.pages=559-565&rft.issn=2452-1094&rft.eissn=2452-1094&rft_id=info:doi/10.1016/j.adro.2019.05.007&rft_dat=%3Cproquest_doaj_%3E2311924034%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c642t-c97ddcc0fa7e3bed93e18bebba079b6182a3a48d64db1cefc6a7c266bb87ab093%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2311924034&rft_id=info:pmid/31681862&rfr_iscdi=true |