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Prospective evaluation of patient-reported anxiety and experiences with adaptive radiation therapy on an MR-linac.
Moreira, Amanda; Li, Winnie; Berlin, Alejandro; Carpino-Rocca, Cathy; Chung, Peter; Conroy, Leigh; Dang, Jennifer; Dawson, Laura A; Glicksman, Rachel M; Hosni, Ali; Keller, Harald; Kong, Vickie; Lindsay, Patricia; Shessel, Andrea; Stanescu, Teo; Taylor, Edward; Winter, Jeff; Yan, Michael; Letourneau, Daniel; Milosevic, Michael; Velec, Michael.
Afiliación
  • Moreira A; Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Canada.
  • Li W; Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Canada.
  • Berlin A; Department of Radiation Oncology, University of Toronto, Toronto, Canada.
  • Carpino-Rocca C; Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Canada.
  • Chung P; Department of Radiation Oncology, University of Toronto, Toronto, Canada.
  • Conroy L; Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Canada.
  • Dang J; Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Canada.
  • Dawson LA; Department of Radiation Oncology, University of Toronto, Toronto, Canada.
  • Glicksman RM; Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Canada.
  • Hosni A; Department of Radiation Oncology, University of Toronto, Toronto, Canada.
  • Keller H; Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Canada.
  • Kong V; Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Canada.
  • Lindsay P; Department of Radiation Oncology, University of Toronto, Toronto, Canada.
  • Shessel A; Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Canada.
  • Stanescu T; Department of Radiation Oncology, University of Toronto, Toronto, Canada.
  • Taylor E; Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Canada.
  • Winter J; Department of Radiation Oncology, University of Toronto, Toronto, Canada.
  • Yan M; Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Canada.
  • Letourneau D; Department of Radiation Oncology, University of Toronto, Toronto, Canada.
  • Milosevic M; Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Canada.
  • Velec M; Department of Radiation Oncology, University of Toronto, Toronto, Canada.
Tech Innov Patient Support Radiat Oncol ; 29: 100240, 2024 Mar.
Article en En | MEDLINE | ID: mdl-38445180
ABSTRACT

Purpose:

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.

Methods:

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.

Results:

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%.

Conclusion:

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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Tech Innov Patient Support Radiat Oncol Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Tech Innov Patient Support Radiat Oncol Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido