ESTRO 2024 - Abstract Book

S5796

RTT - Education, training, advanced practice and role developments

ESTRO 2024

2. Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77 101. https://doi.org/10.1191/1478088706qp063oa

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Digital Poster

Specialist neuro RTT enhances neuro-oncology care in PBT, collaborating with MDT for better outcomes

Karthica Santhagunanathan 1 , David Capsey 2 , Laura Fitzpatrick 3 , Adam Mitchell 2 , Rita Simoes 1 , Amanda Webster 1

1 University College London Hospital, Radiotherapy and Proton Beam Therapy, London, United Kingdom. 2 University College London Hospital, Proton Beam Therapy, London, United Kingdom. 3 University College London Hospital, Nutrition and Dietetics, London, United Kingdom

Purpose/Objective:

Delivering high-quality care is essential for managing patients’ side-effects in radiotherapy and adjuvant treatments. Management of care is complex and requires a highly skilled multidisciplinary team (MDT) to work collaboratively 1 . The vital role of the specialist neuro RTT lies in coordinating the patient pathway and referring them to the broader MDT. With the establishment of a proton beam therapy (PBT) department, early integration of allied health professional (AHP) support was ensured in the neuro-oncology pathway. This service evaluation is aimed at assessing the benefits of specialist RTT, dietetic and occupational therapy (OT) support for patients having craniospinal, chordoma or chondrosarcoma PBT.

Material/Methods:

This is a department-approved retrospective analysis of all adult PBT patients treated with craniospinal irradiation (CSI) or dose-escalated treatment for skull base chordoma (C) or chondrosarcoma (Ch) in a single institute between September 2022 - July 2023. Patients were reviewed during their treatment by dietetic and OT teams following a referral from the specialist neuro RTT. Data points were recorded at weekly on-treatment assessments for the duration of treatment via Epic software. Toxicities were recorded using Common Terminology Criteria for Adverse Events (CTCAE) v5.0 2 with this review focusing on fatigue, weight loss and skin erythema only.

Results:

Data for 28 patients were collected; 19 received CSI, and 9 received dose-escalated PBT. All patients were reviewed weekly by the specialist neuro RTT or a clinician, as well as a dietician, and OT.