A randomized trial comparing bladder volume consistency during fractionated prostate radiation therapy

Mullaney, L.; O'Shea, E.; Dunne, Mary; Finn, Marie; Thirion, P.; Cleary, Lesley Ann; McGarry, M.; O’Neill, Linda; Armstrong, John G.

doi:10.1016/j.prro.2013.11.006

Cited by 36 publications

(52 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It could be suggested that an improvement in patient comfort is overlooked owing to the net effect of accuracy. [4][5][6] Unfortunately, patient comfort in radiotherapy is not well described. [7][8][9] Patient comfort is an elementary human need but Pineau 10 suggests that, in a modern society where physiological needs of food, water and shelter have been met, the context of comfort is more complex and concerns the style of the environment (psycho-social) in which a person has to adapt.…”

Section: Introductionmentioning

confidence: 99%

A focus group consultation round exploring patient experiences of comfort during radiotherapy for head and neck cancer

2016

View full text Add to dashboard Cite

Purpose: The aim of this study was to consult patients about their experiences of comfort while wearing a thermoplastic mask during head and neck radiotherapy before designing a study to develop a comfort scale for radiotherapy.Methods: A qualitative method using a focus group of patients receiving radiotherapy for head and neck cancer was deployed. Five patients were invited and agreed to participate. Semi-structured questions guided the focus group interview. Thematic analysis was used to identify themes.Findings: Three patients participated in the focus group. Three main themes were identified: Physical comfort, Mental perception, Passivity. Physical comfort derived from feelings of pressure, unpleasantness, and generally being uncomfortable. Mental perception derived from how the physical comfort was perceived and derived from feelings of shock, anxiety, indifference and sensory systems. Passivity arose from feelings such as the 'doctor knows best', 'putting up with it', and 'being taken for a ride'. Conclusion:The insight of patient's comfort and experiences are valuable for clinicians to provide patientcentred care. Findings of this study implicate further investigation of how the themes of patient comfort can be measured in radiotherapy to improve the patient experience.

show abstract

Section: Introductionmentioning

confidence: 99%

A focus group consultation round exploring patient experiences of comfort during radiotherapy for head and neck cancer

2016

View full text Add to dashboard Cite

show abstract

“…The patient characteristics are presented in Table 1. The baseline data for the patients in each treatment group were comparable except 14 (14) 8 (8) for the risk score which was graded as high-risk in 40% of the non-IGRT patients and 61% of the IGRT patients (p < 0.05). Antihormonal therapy was applied in 74% (non-IGRT) and 75% (IGRT) of the high-risk patients.…”

Section: Resultsmentioning

confidence: 94%

“…21 Therefore, many efforts are made to spare the organs at risk by using internal and external immobilization devices. 7,8,17,22 The application of an endorectal balloon with 40-ml air filling spares the rectal and anal wall during 3D-CRT 7,22,23 leading to reduced acute and late gastrointestinal toxicity rates. According to these data, our patients followed a validated bladder and rectal filling protocol.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Reducing radiation-associated toxicity using online image guidance (IGRT) in prostate cancer patients undergoing dose-escalated radiation therapy

Becker-Schiebe

Abaci

Ahmad

et al. 2016

Reports of Practical Oncology & Radiotherapy

View full text Add to dashboard Cite

show abstract

“…This study changed our practice in other ways. Along with supporting evidence from Mullaney et al, at CT simulation, patients are now asked to arrive 45 min early where they are instructed to empty their bladder and bowel, then drink 600 mL of water. The BS is then used to assess their bladder volume after 45 min and the criterion of reaching ≥150 mL is used.…”

Section: Discussionmentioning

confidence: 99%

Use of a prospective cohort study in the development of a bladder scanning protocol to assist in bladder filling consistency for prostate cancer patients receiving radiation therapy

Cramp

Connors

Wood

et al. 2016

J of Medical Radiation Sci

View full text Add to dashboard Cite

IntroductionEvidence of variations in bladder filling effecting prostate stability and therefore treatment and side‐effects is well established with intensity modulated radiation therapy (IMRT). This study aimed to increase bladder volume reproducibility for prostate radiation therapy by implementing a bladder scanning (BS) protocol that could assist patients' bladder filling at computed tomography (CT) simulation and treatment.MethodsBased on a retrospective review of 524 prostate cancer patients, a bladder volume of 250–350 mL was adopted as ‘ideal’ for achieving planning dose constraints. A prospective cohort study was conducted to assess the clinical utility of measuring patients' bladder volumes at CT simulation using an ultrasound bladder scanner (Verathon 9400 BladderScan®). A revised bladder preparation protocol was utilised by a bladder scan group (BS) and a non‐BS group followed the standard departmental bladder preparation protocol. Time and volume data for the BS group (n = 17) were compared with the non‐BS group (n = 17).ResultsThe BS cohort had a CT bladder volume range of 221–588 mL; mean 379 mL, SD 125 mL. The non‐BS group had a larger range: 184–757 mL; mean 373 mL, SD 160 mL (P = 0.9171). There was a positive correlation between CT volume and BS volume in the BS group (r = 0.797; P = 0.0002) although BS volumes were smaller: range 160–420 mL; mean 251 mL; SD 91 mL; P < 0.0001). The maximum bladder volume receiving 50 Gy (V50) from the BS group was 46.4%, mean 24.5%. The maximum bladder V50 from the non‐BS group was 50.9%, mean 27.3% (P = 0.5178). Treatment data from weekly cone beam CT scans were also compared over 6 weeks. They were assessed as being a pass if bladder and bowel requirements were acceptable. The BS group proceeded to treatment on the basis of a pass 92.7% of the time, whereas the pass rate for non‐BS group was 75%; difference 17.7% (P < 0.0001).ConclusionThe BS is a useful tool for achieving consistent, appropriately sized bladder volumes in prostate cancer patients.

show abstract

A randomized trial comparing bladder volume consistency during fractionated prostate radiation therapy

Cited by 36 publications

References 26 publications

A focus group consultation round exploring patient experiences of comfort during radiotherapy for head and neck cancer

A focus group consultation round exploring patient experiences of comfort during radiotherapy for head and neck cancer

Reducing radiation-associated toxicity using online image guidance (IGRT) in prostate cancer patients undergoing dose-escalated radiation therapy

Use of a prospective cohort study in the development of a bladder scanning protocol to assist in bladder filling consistency for prostate cancer patients receiving radiation therapy

Contact Info

Product

Resources

About