Results of the IROCA international clinical audit in prostate cancer radiotherapy at six comprehensive cancer centres

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-sel...

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Detalles Bibliográficos
Autores: 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
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/183543
Acceso en línea:https://hdl.handle.net/2445/183543
Access Level:acceso abierto
Palabra clave:Càncer de pròstata
Radioteràpia
Auditoria
Avaluació de l'assistència mèdica
Prostate cancer
Radiotherapy
Auditing
Medical care evaluation
Descripción
Sumario: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.

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