ESTRO 2025 - Abstract Book

S2260

Interdisciplinary – Health economics & health services research

ESTRO 2025

different tiers of cities in the incorporation of respiratory motion management underscores the strides taken in delivering quality and evidence-driven care in radiation oncology.

Keywords: respiratory motion management, global oncology

236

Digital Poster Overcoming limitations during real life implementation of ePROM based symptom monitoring program for gynecologic radiotherapy. Enar Recalde Vizcay 1 , Soraya Micó 1 , Blanca Peregrin 1 , Susana Magriña 1 , Noelia Docampo 1 , Marcos Alarcon 1 , Gema Galan 2 , Bascuñana Laura 1 , Xavier Maldonado 1 , Gimenez Emmanuel 3 , Yolima Cossio 3 , Verges Ramona 1 1 Radiation Oncology, Vall d'Hebron University Hospital, Barcelona, Spain. 2 TI, Vall d'Hebron Research Institute, Barcelona, Spain. 3 Transversal Services - Information System, Vall d'Hebron University Hospital, Barcelona, Spain Purpose/Objective: We aimed to review and analyze the problems we found during a one-year implementation of an ePRO (electronical Patient Reported Outcomes)-based symptom monitoring programe, for evaluating the feasibility of real-life implementation of these systems outside de Clinical Trial scenarios. Material/Methods: Single-center, prospective, four phase sequential cohort research design, for developing a radiotherapy symptom monitoring programme based on ePROs, during 01/2023-05/2024. Included women >18y, with confirmed anatomopathological diagnosis of local or locally advanced gynecological tumor, scheduled to receive radical or adjuvant pelvic RT. Patients should have CIP* number, mobile phone and be able to read in Catalan or Spanish. Assistance was permitted if they reported technological barrier (TB). Per protocol analysis. Results: Study phases: 1. Standard of care evaluation, 2. Developmental (creation of material and resources), 3. Feasibility (Five patients included 10/2023.11/2023, 82% questionnaire completion) and 4. Intervention (Six patients 02.2024 03.2024, 92% questionnaire completion). Participation results in figure 1. Selected PROs: PRO-CTCAE (27-23 item) + FACT-G7 (7 item) + bleeding question. Basal, weekly during RT, 1m and 3m after RT. See references about validated forms. Main overcome problems: item selection (monitoring requires more items than main validated forms), price and permission for validated PROs, language (and need for translation and validation), alerts (management, protected time for response, inclusion in actual workflow), technological barrier and registration process (IT support), automatization and lack of time-flexibility (variable time from 1st visit to simulation-CT and RT start), delay on PRO response (patients), inflexibility for workflow change and no consisten administrative staff (holidays and replacements). Developmental multidisciplinary team included Radiation Oncologists (RO), Radiation Oncology Nurses (RON), PROM expert, IT expert.