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The relation between patient discomfort and uncompensated forces of a patient support device for breast and regional lymph node radiotherapy

Bert Boute, Liv Veldeman (UGent) , Bruno Speleers (UGent) , Annick Van Greveling (UGent) , Tom Van Hoof (UGent) , Joris Van de Velde (UGent) , Tom Vercauteren (UGent) , Wilfried De Neve (UGent) and Jan Detand (UGent)
(2018) APPLIED ERGONOMICS. 72. p.48-57
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Abstract
Although many authors stated that a user-centred design approach in medical device development has added values, the most common research approach within healthcare is evidence-based medicine, which tend to focus on functional data rather than patient wellbeing and comfort. End user comfort is well addressed in literature for commercial products such as seats and hand tools but no data was found for medical devices. A commercial patient support device for breast radiotherapy was analysed and a relation was found between discomfort and uncompensated internal body forces. Derived from CT-images, simplified patient free-body diagrams were analysed and pain and comfort evaluated. Subsequently, a new patient position was established and prototypes were developed. Patient comfort- and prototype optimization was done through iterative prototyping. With this approach, we were able to compensate all internal body forces and establish a force neutral patient free-body diagram. This resulted in comfortable patient positioning and favourable medical results.
Keywords
Comfort evaluation, Free-body diagram, Prone breast radiotherapy, IDENTIFYING FACTORS, RADIATION-THERAPY, PRONE, IRRADIATION, COMFORT, DESIGN, IMMOBILIZATION, REQUIREMENTS, MEDICINE, IMPROVES

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MLA
Boute, Bert, Liv Veldeman, Bruno Speleers, et al. “The Relation Between Patient Discomfort and Uncompensated Forces of a Patient Support Device for Breast and Regional Lymph Node Radiotherapy.” APPLIED ERGONOMICS 72 (2018): 48–57. Print.
APA
Boute, Bert, Veldeman, L., Speleers, B., Van Greveling, A., Van Hoof, T., Van de Velde, J., Vercauteren, T., et al. (2018). The relation between patient discomfort and uncompensated forces of a patient support device for breast and regional lymph node radiotherapy. APPLIED ERGONOMICS, 72, 48–57.
Chicago author-date
Boute, Bert, Liv Veldeman, Bruno Speleers, Annick Van Greveling, Tom Van Hoof, Joris Van de Velde, Tom Vercauteren, Wilfried De Neve, and Jan Detand. 2018. “The Relation Between Patient Discomfort and Uncompensated Forces of a Patient Support Device for Breast and Regional Lymph Node Radiotherapy.” Applied Ergonomics 72: 48–57.
Chicago author-date (all authors)
Boute, Bert, Liv Veldeman, Bruno Speleers, Annick Van Greveling, Tom Van Hoof, Joris Van de Velde, Tom Vercauteren, Wilfried De Neve, and Jan Detand. 2018. “The Relation Between Patient Discomfort and Uncompensated Forces of a Patient Support Device for Breast and Regional Lymph Node Radiotherapy.” Applied Ergonomics 72: 48–57.
Vancouver
1.
Boute B, Veldeman L, Speleers B, Van Greveling A, Van Hoof T, Van de Velde J, et al. The relation between patient discomfort and uncompensated forces of a patient support device for breast and regional lymph node radiotherapy. APPLIED ERGONOMICS. 2018;72:48–57.
IEEE
[1]
B. Boute et al., “The relation between patient discomfort and uncompensated forces of a patient support device for breast and regional lymph node radiotherapy,” APPLIED ERGONOMICS, vol. 72, pp. 48–57, 2018.
@article{8561540,
  abstract     = {{Although many authors stated that a user-centred design approach in medical device development has added values, the most common research approach within healthcare is evidence-based medicine, which tend to focus on functional data rather than patient wellbeing and comfort. End user comfort is well addressed in literature for commercial products such as seats and hand tools but no data was found for medical devices. 
A commercial patient support device for breast radiotherapy was analysed and a relation was found between discomfort and uncompensated internal body forces. Derived from CT-images, simplified patient free-body diagrams were analysed and pain and comfort evaluated. Subsequently, a new patient position was established and prototypes were developed. Patient comfort- and prototype optimization was done through iterative prototyping. With this approach, we were able to compensate all internal body forces and establish a force neutral patient free-body diagram. This resulted in comfortable patient positioning and favourable medical results.}},
  author       = {{Boute, Bert and Veldeman, Liv and Speleers, Bruno and Van Greveling, Annick and Van Hoof, Tom and Van de Velde, Joris and Vercauteren, Tom and De Neve, Wilfried and Detand, Jan}},
  issn         = {{0003-6870}},
  journal      = {{APPLIED ERGONOMICS}},
  keywords     = {{Comfort evaluation,Free-body diagram,Prone breast radiotherapy,IDENTIFYING FACTORS,RADIATION-THERAPY,PRONE,IRRADIATION,COMFORT,DESIGN,IMMOBILIZATION,REQUIREMENTS,MEDICINE,IMPROVES}},
  language     = {{eng}},
  pages        = {{48--57}},
  title        = {{The relation between patient discomfort and uncompensated forces of a patient support device for breast and regional lymph node radiotherapy}},
  url          = {{http://dx.doi.org/10.1016/j.apergo.2018.05.002}},
  volume       = {{72}},
  year         = {{2018}},
}
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