ESTRO 2025 - Abstract Book

S144

Invited Speaker

ESTRO 2025

Successful integration of systemic therapy with established radiation protocols (and vice versa) can be challenging due to multiple factors. Additive and supra-additive toxicities can limit the utility of integration of these two treatment approaches not only in concurrent delivery as recall phenomena can occur with some of the newer approaches to treatment including immunotherapy. Scheduling and other logistical issues can also be limiting but can be overcome with strong interdisciplinary communication and support systems. Previously conducted and ongoing clinical trials should provide a basis for understanding the advantages and limitations of integrated systemic and radiotherapy approaches in the modern era.

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Speaker Abstracts Transforming radiotherapy by patient-centric care organisation Israël Fortin Radiation oncology, Hôpital Maisonneuve-Rosemont, Université de Montréal, Montréal, Canada

Abstract:

Introduction

The traditional model of physician-led care in oncology is evolving toward a patient-centered approach that emphasizes shared decision-making and collaboration. In radiation oncology, where treatments are complex and multidisciplinary, patient partnership plays a crucial role in enhancing communication, adherence, and overall care quality. By integrating patients as active members of the healthcare team, radiation oncology can improve treatment experiences, clinical outcomes, and research advancements.

Patient Partnership in Clinical Practice

Patient partnership involves recognizing patients as equal contributors to their care, rather than passive recipients. This approach relies on recognition of experiential knowledge of patient partners, mutual respect, and active patient engagement. In radiation oncology, successful implementation requires leadership support, communication strategies, and formal mechanisms such as patient advisory councils. Beyond share decision-making, patient partners play an essential role in navigating the care pathway, helping other patients understand the different stages of treatment and access available resources. Their experiential knowledge allows them to provide therapeutic education, offering firsthand insights into treatment impacts on personal, family, and social life. Additionally, they contribute to emotional support by detecting distress and referring patients to appropriate resources when needed. From a healthcare team perspective, patient partners bridge communication gaps between patients and professionals. Their involvement helps translate medical information into accessible language while ensuring that patient concerns are communicated effectively to clinicians. Moreover, they complement existing services by reinforcing the importance of patient-centered decision-making and enhancing the quality of care through shared lived experiences. Patient-centered communication improves satisfaction and adherence, as patients who feel heard are more likely to engage actively in their treatment. Furthermore, integrating patient partners in multidisciplinary teams supports continuous quality improvement, as they provide valuable feedback on care delivery and contribute to the refinement of oncology programs.

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