ESTRO meets Asia 2024 - Abstract Book

S362

RTT – Patient care, preparation, immobilisation and IGRT verification protocols

ESTRO meets Asia 2024

1 Nursing, Chung Shan Medical University Hospital, Taichung, Taiwan. 2 Radiation Oncology, Chung Shan Medical University Hospital, Taichung, Taiwan. 3 School of Medicine, Chung Shan Medical University, Taichung, Taiwan

Purpose/Objective:

The landscape of cancer treatment has evolved, witnessing substantial advancements that contribute to enhanced post-treatment survival rates. Despite these positive trends, a subset of cancer patients encounters difficulties completing the treatment process, with limited attention given to understanding the impact of radiotherapy on their quality of life. This study aims to bridge this gap by thoroughly examining the factors contributing to treatment discontinuation and proposing strategies to improve patient adherence.

Material/Methods:

Over the period from January 2019 to September 2023, a comprehensive investigation was conducted at a central Taiwan medical center involving 846 patients from the Radiation Oncology Department who did not complete the full course of radiotherapy. Utilizing a mixed-methods approach, the study gathered data through patient and family narratives, extensive medical record reviews, and detailed follow-up telephone interviews to provide a nuanced understanding of the challenges faced by these patients.

Results:

The analysis revealed that 52% of patients discontinued radiotherapy due to the side effects and complications associated with the treatment. Patient-related factors, accounting for 18.9%, contributed significantly to discontinuation. Disease progression leading to changes in treatment plans constituted 8.4%, non-cancer-related complications were responsible for 6.3%, and cancer-related complications (including changes in plans, mold factors, and equipment changes) were identified in 8.5% of cases. Other factors collectively contributed to 8.4%.

Conclusion:

The study underscores the need for healthcare professionals to extend their focus beyond the clinical aspects of radiotherapy. Addressing the side effects and complications leading to treatment discontinuation is crucial. Early and comprehensive patient education is recommended, considering the significant hope some patients place in alternative therapies. The findings highlight the vital role of family cooperation in patients' treatment journey. Early implementation of personalized nursing health education and measures can significantly contribute to alleviating side effects and improving overall patient experience. Multidisciplinary care, inclusive of continuous nutrition monitoring by dietitians and home follow-up by case managers, proves instrumental in achieving better control and survival rates for cancer patients undergoing continuous radiotherapy. In conclusion, a detailed analysis of the reasons for treatment discontinuation offers valuable insights to help patients navigate their treatment journey more smoothly. Further research and interventions should be explored to address specific patient needs and improve overall treatment adherence. The proposed adjustments in patient education methods aim to empower patients, enhance their self-care awareness, and contribute to a more successful and satisfying treatment experience.

Keywords: Radiotherapy Discontinuation, Analysis of Factors