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Title: | Results of the IROCA international clinical audit in prostate cancer radiotherapy at six comprehensive cancer centres |
Author: | Lopes de Castro, Carla Fundowicz, Magdalena Roselló, Alvar Jové, Josep Deantonio, Letizia Aguiar, Artur Pisani, Carla Villà, Salvador Boladeras, Anna Konstanty, Ewelina Kruszyna-Mochalska, Marta Milecki, Piotr Jurado-Bruggeman, Diego Lencart, Joana Modolell, Ignasi Muñoz-Montplet, Carlos Aliste, Luisa Torras, Maria Gloria Puigdemont, Montserrat Carvalho, Luisa Krengli, Marco Guedea Edo, Ferran Malicki, Julian |
Keywords: | Càncer de pròstata Radioteràpia Auditoria Avaluació de l'assistència mèdica Prostate cancer Radiotherapy Auditing Medical care evaluation |
Issue Date: | 10-Jun-2021 |
Publisher: | Nature Publishing Group |
Abstract: | To assess adherence to standard clinical practice for the diagnosis and treatment of patients undergoing prostate cancer (PCa) radiotherapy in four European countries using clinical audits as part of the international IROCA project. Multi-institutional, retrospective cohort study of 240 randomly-selected patients treated for PCa (n = 40/centre) in the year 2015 at six European hospitals. Clinical indicators applicable to general and PCa-specific radiotherapy processes were evaluated. All data were obtained directly from medical records. The audits were performed in the year 2017. Adherence to clinical protocols and practices was satisfactory, but with substantial inter-centre variability in numerous variables, as follows: staging MRI (range 27.5-87.5% of cases); presentation to multidisciplinary tumour board (2.5-100%); time elapsed between initial visit to the radiation oncology department and treatment initiation (42-102.5 days); number of treatment interruptions ≥ 1 day (7.5-97.5%). The most common deviation from standard clinical practice was inconsistent data registration, mainly failure to report data related to diagnosis, treatment, and/or adverse events. This clinical audit detected substantial inter-centre variability in adherence to standard clinical practice, most notably inconsistent record keeping. These findings confirm the value of performing clinical audits to detect deviations from standard clinical practices and procedures. |
Note: | Reproducció del document publicat a: https://doi.org/10.1038/s41598-021-91723-0 |
It is part of: | Scientific Reports, 2021, vol. 11, num. 12323 |
URI: | http://hdl.handle.net/2445/183543 |
Related resource: | https://doi.org/10.1038/s41598-021-91723-0 |
ISSN: | 2045-2322 |
Appears in Collections: | Articles publicats en revistes (Ciències Clíniques) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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