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Technical Innovations & Patient Support in Radiation Oncology
Article . 2024 . Peer-reviewed
License: CC BY NC ND
Data sources: Crossref
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PubMed Central
Other literature type . 2024
License: CC BY NC ND
Data sources: PubMed Central
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https://doi.org/10.2139/ssrn.4...
Article . 2023 . Peer-reviewed
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Prospective Evaluation of Patient-Reported Anxiety and Experienceswith Adaptive Radiation Therapy on an Mr-Linac

Authors: Amanda Moreira; Winnie Li; Alejandro Berlin; Cathy Carpino-Rocca; Peter Chung; Leigh Conroy; Jennifer Dang; +14 Authors

Prospective Evaluation of Patient-Reported Anxiety and Experienceswith Adaptive Radiation Therapy on an Mr-Linac

Abstract

An integrated magnetic resonance scanner and linear accelerator (MR-linac) was implemented with daily online adaptive radiation therapy (ART). This study evaluated patient-reported experiences with their overall hospital care as well as treatment in the MR-linac environment.Patients pre-screened for MR eligibility and claustrophobia were referred to simulation on a 1.5 T MR-linac. Patient-reported experience measures were captured using two validated surveys. The 15-item MR-anxiety questionnaire (MR-AQ) was administered immediately after the first treatment to rate MR-related anxiety and relaxation. The 40-item satisfaction with cancer care questionnaire rating doctors, radiation therapists, the services and care organization and their outpatient experience was administered immediately after the last treatment using five-point Likert responses. Results were analyzed using descriptive statistics.205 patients were included in this analysis. Multiple sites were treated across the pelvis and abdomen with a median treatment time per fraction of 46 and 66 min respectively. Patients rated MR-related anxiety as "not at all" (87%), "somewhat" (11%), "moderately" (1%) and "very much so" (1%). Positive satisfaction responses ranged from 78 to 100% (median 93%) across all items. All radiation therapist-specific items were rated positively as 96-100%. The five lowest rated items (range 78-85%) were related to general provision of information, coordination, and communication. Overall hospital care was rated positively at 99%.In this large, single-institution prospective cohort, all patients had low MR-related anxiety and completed treatment as planned despite lengthy ART treatments with the MR-linac. Patients overall were highly satisfied with their cancer care involving ART using an MR-linac.

Keywords

Patient experience, Medical physics. Medical radiology. Nuclear medicine, Adaptive radiotherapy, Research article, R895-920, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, Anxiety, MR-linac, RC254-282

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    popularity
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    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
3
Top 10%
Average
Average
Green
gold
Related to Research communities
Cancer Research