ESTRO 2023 - Abstract Book

S868

Digital Posters

ESTRO 2023

In 2017 due to a 6% increase of re-planning treatments, PR was divided into two rounds: First evaluation by RO of treatment indications, contours and prescriptions. Second by MP evaluation of planning and dose distribution. The cases presented for PR increased over the years: 41.1% the first year and up to 96.2% in 2021. The mean number of RO attending the PR was 4 out of 11 on the first period and 8 out of 15 on the second.

Conclusion The number of cases that needed modification increased in the second period due to different criteria of the two teams. The integration of PR meetings led to create clinical protocols and improve the adherence to them, better feedback between physicians and the creation of new workflows.

PO-1084 Psychological impact of working in a radiotherapy department: A single Tunisian center experience

E. Boudhina 1 , S. Mohamed 2 , S. Tbessi 2 , F. Bouguerra 2 , H. Hadj Abdallah 2 , A. Felfoul 1 , R. Zanzouri 2 , H. Chahdoura 2 , S. Ben Dhia 2 , N. Bouzid 2 , S. Belaajouza 2 , S. Tebra 2

1 Farhat Hached , Radiotherapy, Sousse, Tunisia; 2 Farhat Hached, Radiotherapy, Sousse, Tunisia

Purpose or Objective To evaluate the Psychology of Medical and Paramedical Stuff in a Radiation Therapy department in Tunisia, towards working conditions. Materials and Methods A cross-sectional anonymous survey conducted on 36 of the medical and paramedical stuff in the department of radiation oncology of Farhat Hached Hospital of Sousse, using Maslach Burn Out Inventory (MBI) and a personalized psycho-somatic evaluation questionnaire regarding working conditions. Results In Tunisia, there are 12 Radiation Therapy Centers (5 Public and 7 Private). Our department is considered among the first radiation oncology departments in Tunisia, it includes internal and external consultation departments, a staff room, a simulation scanner and only one treatment machine (Linear Accelerator LINAC). There are 5 radiation oncologists, 6 residents (internship), 4 physicists, 10 radiation therapists, 1 dietician, 1 supervisor, 3 secretaries, 6 nurses, 3 cleaning ladies, working 6 days out of 7, and 6 hours per day, except for on-call duty. Around 40 Patients are treated per day, and 600 per year. The questionnaire could not be completed by everyone because 3 were on leave. Secretaries and Physicists had the most regret about their career choice (100% and 50%, respectively). Anxiety, lack of motivation and team coordination are the main difficulties faced. Sleeping disorders related to work issues were found in half cases. Most of the stuff (70%) took a leave of absence due to work-related mental fatigue. Thirty four percent used psychological help and 17% underwent psychiatric treatment. More than 90% claim being underpaid, 41.7% were not satisfied with working conditions, while no one agrees with patients’ treatment management. Fortunately, most of the stuff were optimistic towards actual changing conditions for the best of the whole team. All the medical and paramedical staff agree on the need to establish a new psychological unit in the department. To evaluate the burnout level, we used the BMI score. For the occupational exhaustion, an average of 20 was noted (moderate), 9.57 for the depersonalisation (moderate) and 30.28 for personal exhaustion (moderate). Conclusion Working in a radiotherapy department in a developing country can be highly stressful and demanding, especially with lack of resources which represent a huge issue for all the staff whatever their position. That’s why we should focus our attention on the Medical and Paramedical Stuff Psychology and make some changes.

PO-1085 Sleep disorders in cancer patients: A missing symptom

N. Fourati 1 , N. Attia 2 , B. Ben Ali 1 , F. Dhouib 1 , W. Siala 1 , W. Mnejja 1 , J. Daoud 1

1 Habib Bourguiba Hospital Faculty of Medicine University of Sfax, Radiotherapy Department, Sfax, Tunisia; 2 Habib Bourguiba Hospital Faculty of Medicine University of Sfax, Radiotherapy Department , Sfax, Tunisia Purpose or Objective Sleep disorders can reach up to 50% of patients. However, they are often not evaluated in clinical routine. This study aims to explore sleep disorders in patients undergoing radiotherapy. Materials and Methods Thirty patients with various types of cancers were interviewed with Pittsburgh Sleep Quality Index (PSQI) scale and the National Comprehensive Cancer Network Distress Thermometer during the radiotherapy treatment course. The median age