Review of Current Status of Radiotherapy Facilities and Assessment of Required Time for Radiotherapy Delivery Workflow in Turkey: On Behalf of Turkish Society for Radiation Oncology
Yükleniyor...
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Türkiye'deki Radyoterapi Donanımının Mevcut Durumu ve Radyoterapi Uygulaması için Gereken Sürenin İncelenmesi: Türk Radyasyon Onkolojisi Derneği ÇalışmasıBu çalışmanın amacı, Türkiye'deki radyoterapi (RT) merkezlerinin güncel durumu ve iş yükü değerlendirmesi, farklı tümörlü hastaların tedavi sırasında ekibin harcadığı süreler analiz ederek değerlendirmektir. Farklı tümörlerin tedavisi sırasında kullanılan teknikleri ve farklı teknikler için tedavi planlaması ve uygulam sırasında harcanan zamanı değerlendirmek amacı ile, aktif olarak RT uygulaması yapan tüm hastanelere e-mail yolu ile anket yollanmıştır. Sonuçlar, merkez türü (üniversite hastanesi veya devlet hastanesi) ve yıllık tedavi edilen hasta sayısına (yıllık tedavi edilen hasta sayısı 1000 veya yıllık tedavi edilen hasta sayısı 1000) göre değerlendirilmiştir. Anket 48 merkeze gönderilmiş olup ankete yanıt oranı %71 (34 merkez) olarak bulunmuştur. Bir hekimin yıllık tedavi seansı 192 olarak bulunmuştur. Hekimin yıllık tedavi edilen ortalama hasta sayısı üniversite hastanesinde 210 ve devlet hastanesinde ise 101 olarak bulunmuştur. Bir hastayı 3-boyutlu konformal RT (3BKRT) ile tedavi etmek için harcanan ortalama süre 4 saat iken, yoğunluk ayarlıklı RT (YART) için harcanan süre ise 5 saat 45 dakika olarak bulunmuştur. Devlet hastanalerinde tüm hasta grubunda 3BKRT ve YART için harcanan süre üniversite hastanelerine göre daha yüksek bulunmuştur. Yeni RT tekniklerinin artan kullanımına paralel olarak, hastaların tedavisi için harcanan süre de de artmaktadır. Yeni RT tekniklerinin hastaların yararı için uygulamak için, yeterli ekipman ile birlikte, uygun ve eğitimli ekip gerekmektedir.
The aim this study is to evaluate current status and workload of radiotherapy (RT) centers in Turkey, by assessing time and staff required during core treatment procedures in patients with different tumor sites. A survey sent via e-mail to all hospitals that are actively treating patients with RT, that aimed expose the details on type of the techniques being used and the time spent for treatment planning and delivery for the different techniques according to different tumor sites. The results were evaluated by several variables, the type of the center (university hospitals or state-run hospitals) and the number of patients treated per year per center (>1000 patients/year treated vs. <1000 patients/year treated). The survey was sent to 48 centers and the return rate was 71% (34 centers). Average daily treatment course performed by one physician was 192 per year . Median number of patients treated by a specialist per year was 210 in the university hospitals and 101 in the state-run hospitals. Median time spent for treating a patient with 3-dimensional conformal RT (3DCRT) was 4 h, and it was 5 h 45 min for intensity-modulated RT (IMRT). The time spent for all cancer types treated with 3DCRT and IMRT was higher in state-run hospitals compared to university hospitals. With increasing use of newer RT techniques, the time spent for treating patients increases. Besides adequate equipment, sufficient and well-trained staff is required to achieve these newer RT technique benefits for the patients.
The aim this study is to evaluate current status and workload of radiotherapy (RT) centers in Turkey, by assessing time and staff required during core treatment procedures in patients with different tumor sites. A survey sent via e-mail to all hospitals that are actively treating patients with RT, that aimed expose the details on type of the techniques being used and the time spent for treatment planning and delivery for the different techniques according to different tumor sites. The results were evaluated by several variables, the type of the center (university hospitals or state-run hospitals) and the number of patients treated per year per center (>1000 patients/year treated vs. <1000 patients/year treated). The survey was sent to 48 centers and the return rate was 71% (34 centers). Average daily treatment course performed by one physician was 192 per year . Median number of patients treated by a specialist per year was 210 in the university hospitals and 101 in the state-run hospitals. Median time spent for treating a patient with 3-dimensional conformal RT (3DCRT) was 4 h, and it was 5 h 45 min for intensity-modulated RT (IMRT). The time spent for all cancer types treated with 3DCRT and IMRT was higher in state-run hospitals compared to university hospitals. With increasing use of newer RT techniques, the time spent for treating patients increases. Besides adequate equipment, sufficient and well-trained staff is required to achieve these newer RT technique benefits for the patients.
Açıklama
Anahtar Kelimeler
Human resources, Radiotherapy facilities, Staffing, Time required, İnsan gücü, Radyoterapi donanımı, Personel, Harcanan süre
Kaynak
Uluslararası Hematoloji-Onkoloji Dergisi
WoS Q Değeri
Q4
Scopus Q Değeri
Q4
Cilt
25
Sayı
4
Künye
Koç, M. Akman, F., Onal, C., Kamer, E. S., Ağaoğlu, F., Güney, Y., Hiçsönmez, A., Çolpan Öksüz, D., Özyiğit, G., Özkök, S. (2015). Review of current status of radiotherapy facilities and assessment of required time for radiotherapy delivery workflow in Turkey: On behalf of Turkish Society for Radiation Oncology. Uluslararası Hematoloji-Onkoloji Dergisi, 25, 4, 245-253.
