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The organization of care in pediatric radiotherapy across SIOP Europe affiliated centers : a multicenter survey in the framework of the ‘Joint Action on Rare Cancers’ project

Geert O. Janssens, Beate Timmermann, Anne Laprie, Henry Mandeville, Laetitia Padovani, Cyrus Chargari, Pamela Kearns, Olga Kozhaeva, Leila Kameric, Anita Kienesberger, et al.
(2024) RADIOTHERAPY AND ONCOLOGY. 191.
Author
Organization
Abstract
Background/purpose To reduce inequalities among SIOPE-affiliated countries, standard and optional levels to deliver 'Good Clinical Practice' compliant treatment in pediatric radiation oncology have been published. The aim of this project was to map the availability of pediatric radiotherapy resources across SIOPE-affiliated radiotherapy departments. Materials/methods An online survey with 34 questions was distributed to 246 radiotherapy departments across 35 SIOPE-affiliated countries. In addition to demographic data, 15 general items related to the organization of the radiotherapy process, and 10 radiotherapy-specific items were defined. For each of the 25 items, sum scores were calculated per center and country. Mann-Whitney U tests were used to analyze associations. Results Between March-June 2019, 121 departments (49 %) out of 31 countries (89 %) completed the survey. At center level, involvement of core disciplines in tumor boards (28 %), and integration of dedicated pediatric radiation therapy technologists (24 %) are limited, while rare & complex brachytherapy procedures are performed in many centers (23 %). For general and radiotherapy-specific items respectively, a relevant variation of sum scores was observed across countries (Delta(general): <= 10 points; Delta(RT_specific): <= 5 points) and among centers within a country (Delta(general): <= 9 points; Delta(RT_specific): <= 6 points). Sum scores for general and radiotherapy-specific items were higher in countries with a high-income (p < 0.01) and higher health development index (p < 0.01). A larger annual number of irradiated pediatric patients was associated with higher sum scores for general items (p < 0.01).
Keywords
Pediatric, Radiotherapy, SIOP Europe, JARC, Rare cancers, Organization, EASTERN-EUROPE, SURVIVAL, SOUTHERN, ONCOLOGY, INEQUALITIES, CHILDREN, TUMOR

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MLA
Janssens, Geert O., et al. “The Organization of Care in Pediatric Radiotherapy across SIOP Europe Affiliated Centers : A Multicenter Survey in the Framework of the ‘Joint Action on Rare Cancers’ Project.” RADIOTHERAPY AND ONCOLOGY, vol. 191, 2024, doi:10.1016/j.radonc.2023.110075.
APA
Janssens, G. O., Timmermann, B., Laprie, A., Mandeville, H., Padovani, L., Chargari, C., … Vassal, G. (2024). The organization of care in pediatric radiotherapy across SIOP Europe affiliated centers : a multicenter survey in the framework of the “Joint Action on Rare Cancers” project. RADIOTHERAPY AND ONCOLOGY, 191. https://doi.org/10.1016/j.radonc.2023.110075
Chicago author-date
Janssens, Geert O., Beate Timmermann, Anne Laprie, Henry Mandeville, Laetitia Padovani, Cyrus Chargari, Pamela Kearns, et al. 2024. “The Organization of Care in Pediatric Radiotherapy across SIOP Europe Affiliated Centers : A Multicenter Survey in the Framework of the ‘Joint Action on Rare Cancers’ Project.” RADIOTHERAPY AND ONCOLOGY 191. https://doi.org/10.1016/j.radonc.2023.110075.
Chicago author-date (all authors)
Janssens, Geert O., Beate Timmermann, Anne Laprie, Henry Mandeville, Laetitia Padovani, Cyrus Chargari, Pamela Kearns, Olga Kozhaeva, Leila Kameric, Anita Kienesberger, Peter S.N. van Rossum, Tom Boterberg, Yolande Lievens, and Gilles Vassal. 2024. “The Organization of Care in Pediatric Radiotherapy across SIOP Europe Affiliated Centers : A Multicenter Survey in the Framework of the ‘Joint Action on Rare Cancers’ Project.” RADIOTHERAPY AND ONCOLOGY 191. doi:10.1016/j.radonc.2023.110075.
Vancouver
1.
Janssens GO, Timmermann B, Laprie A, Mandeville H, Padovani L, Chargari C, et al. The organization of care in pediatric radiotherapy across SIOP Europe affiliated centers : a multicenter survey in the framework of the “Joint Action on Rare Cancers” project. RADIOTHERAPY AND ONCOLOGY. 2024;191.
IEEE
[1]
G. O. Janssens et al., “The organization of care in pediatric radiotherapy across SIOP Europe affiliated centers : a multicenter survey in the framework of the ‘Joint Action on Rare Cancers’ project,” RADIOTHERAPY AND ONCOLOGY, vol. 191, 2024.
@article{01J0XVXZHQNTKPPYBZFMN5JGQ8,
  abstract     = {{Background/purpose To reduce inequalities among SIOPE-affiliated countries, standard and optional levels to deliver 'Good Clinical Practice' compliant treatment in pediatric radiation oncology have been published. The aim of this project was to map the availability of pediatric radiotherapy resources across SIOPE-affiliated radiotherapy departments. Materials/methods An online survey with 34 questions was distributed to 246 radiotherapy departments across 35 SIOPE-affiliated countries. In addition to demographic data, 15 general items related to the organization of the radiotherapy process, and 10 radiotherapy-specific items were defined. For each of the 25 items, sum scores were calculated per center and country. Mann-Whitney U tests were used to analyze associations. Results Between March-June 2019, 121 departments (49 %) out of 31 countries (89 %) completed the survey. At center level, involvement of core disciplines in tumor boards (28 %), and integration of dedicated pediatric radiation therapy technologists (24 %) are limited, while rare & complex brachytherapy procedures are performed in many centers (23 %). For general and radiotherapy-specific items respectively, a relevant variation of sum scores was observed across countries (Delta(general): <= 10 points; Delta(RT_specific): <= 5 points) and among centers within a country (Delta(general): <= 9 points; Delta(RT_specific): <= 6 points). Sum scores for general and radiotherapy-specific items were higher in countries with a high-income (p < 0.01) and higher health development index (p < 0.01). A larger annual number of irradiated pediatric patients was associated with higher sum scores for general items (p < 0.01).}},
  articleno    = {{110075}},
  author       = {{Janssens, Geert O. and Timmermann, Beate and Laprie, Anne and Mandeville, Henry and Padovani, Laetitia and Chargari, Cyrus and Kearns, Pamela and Kozhaeva, Olga and Kameric, Leila and Kienesberger, Anita and van Rossum, Peter S.N. and Boterberg, Tom and Lievens, Yolande and Vassal, Gilles}},
  issn         = {{0167-8140}},
  journal      = {{RADIOTHERAPY AND ONCOLOGY}},
  keywords     = {{Pediatric,Radiotherapy,SIOP Europe,JARC,Rare cancers,Organization,EASTERN-EUROPE,SURVIVAL,SOUTHERN,ONCOLOGY,INEQUALITIES,CHILDREN,TUMOR}},
  language     = {{eng}},
  pages        = {{7}},
  title        = {{The organization of care in pediatric radiotherapy across SIOP Europe affiliated centers : a multicenter survey in the framework of the ‘Joint Action on Rare Cancers’ project}},
  url          = {{http://doi.org/10.1016/j.radonc.2023.110075}},
  volume       = {{191}},
  year         = {{2024}},
}
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