Disparities in Radiation Therapy: Practice Patterns Analysis of Deep Inspiratory Breath Hold Use in Non-English Speakers

Shukla, Utkarsh; Sueyoshi, Mark; Diamond, Brett H.; Chowdhury, Imran H.; Stambaugh, Cassandra; Wazer, David E.; Chowdhary, Mudit; Huber, Kathryn E.

doi:10.1016/j.ijrobp.2021.12.171

Cited by 6 publications

(2 citation statements)

References 15 publications

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“…There are no objective parameters by which we can predict which patients will show better BH performance. Patients who understand and cooperate with the directions are ideal candidates (9)(10). If the patient does not cooperate reasonably with the BH technique, the treatment will be prolonged or may not even be possible.…”

Section: Discussionmentioning

confidence: 99%

Feasibility and Tolerability of Surface Guided Radiotherapy in Breath-Hold Liver Stereotactic Body Radiotherapy

Turna

Kucukmorkoc

Rzazade

et al. 2023

Preprint

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Background: Intra-fractional motion is one of the main challenges in SBRT. Breath-hold (BH) technique minimizes the tumor motion. However, reproducibility and consistency are critically important. Surface tracking systems integrated into treatment enable motion tracking with three-dimensional camera technology. Surface guidance was integrated with Varian EDGE and used at multiple treatment sites since 2018 in our department. After four years of experience, in this study, we aim to publish patient-reported outcomes (PROMs), feasibility, and tolerability of surface guidance (SGRT) with breath-hold SBRT in a specific subgroup: liver metastases. Methods: Patients with liver metastasis treated with breath-hold and SGRT were evaluated prospectively. Two-step, seven-question surveys were applied after CT simulation and treatment. Treatment duration and BH number were recorded. In addition, factors that can affect the SGRT and treatment time were evaluated. Results: Between April 2021- May 2022, 41 patients were treated in 171 fractions. According to the PROMs, previous training was beneficial, and holding breath is tolerable. Patients have a little stress about taking an active role in the treatment. Karnosky performance status (KPS), age, lung volume, or any condition affecting lung capacity, previous BH history, and being a native speaker are not correlated with treatment time and BH with SGRT tolerability. Only female patients have better BH performance with SGRT treatments than male patients (p: 0,02). Conclusion: SGRT applications in BH are tolerable and feasible in liver SBRT treatments. There is no specific subgroup that cannot be tolerated with this method.

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Section: Discussionmentioning

confidence: 99%

Feasibility and Tolerability of Surface Guided Radiotherapy in Breath-Hold Liver Stereotactic Body Radiotherapy

Turna

Kucukmorkoc

Rzazade

et al. 2023

Preprint

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“…Patient engagement holds paramount importance within this treatment paradigm, as achieving reproducibility and consistency is pivotal in BH treatments [8] . Objective criteria for predicting superior BH performance among patients remain elusive patients who understand and cooperate with the directions are ideal candidates [9] , [10] . Failure to cooperate adequately with the BH technique may lead to treatment prolongation or, in some cases, render it infeasible.…”

Section: Discussionmentioning

confidence: 99%

Feasibility and tolerability of breath-hold in liver stereotactic body radiotherapy with surface guided radiotherapy

Turna,

Küçükmorkoç,

Rzazade

et al. 2023

Technical Innovations & Patient Support in Radiation Oncolo

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Eliciting the views of left breast cancer patients' receiving deep inspiration breath hold radiation therapy to inform the design of multimedia education and improve patient‐centred care for prospective patients

Dower,

Halkett,

Dhillon

et al. 2024

J of Medical Radiation Sci

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IntroductionThe currently accepted best practice radiation treatment for left breast cancer patients is Deep Inspiration Breath Hold (DIBH) where patients hold a deep breath to reduce late cardiac and pulmonary effects from treatment. DIBH can be challenging and induce or exacerbate anxiety in patients due to the perceived pressure to reduce radiation treatment side effects. This study explored the experiences of patients treated with Deep Inspiration Breath Hold Radiation Therapy (DIBH‐RT) to improve patient‐centred care and inform the design of multimedia educational tools for future patients undergoing DIBH.MethodsThis descriptive qualitative study was underpinned by a social constructivist approach to create new educational and patient care approaches based on previous patients' experiences. Semi‐structured interviews were conducted with patients who had completed DIBH‐RT for breast cancer. Data was analysed with reflexive thematical analysis.ResultsTwenty‐two patients were interviewed with five key themes identified: (1) informational needs, (2) care needs, (3) autonomy, (4) DIBH performance influencers and (5) other centredness. Recommendations were derived from these themes to improve future treatments of DIBH patients. These recommendations revolved around improvements to education, patient‐centred care and strategies to improve self‐efficacy with breath holding.ConclusionPatients offer a wealth of knowledge regarding their lived experiences with treatment which can enhance future patients' experiences if incorporated into their education and care. Eliciting patients' views of their DIBH‐RT treatment highlighted the need to improve patient self‐efficacy with DIBH through familiarity with their planned treatment from new multimedia education, and foster patient care to enhance their experience.

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Disparities in Radiation Therapy: Practice Patterns Analysis of Deep Inspiratory Breath Hold Use in Non-English Speakers

Cited by 6 publications

References 15 publications

Feasibility and Tolerability of Surface Guided Radiotherapy in Breath-Hold Liver Stereotactic Body Radiotherapy

Feasibility and Tolerability of Surface Guided Radiotherapy in Breath-Hold Liver Stereotactic Body Radiotherapy

Feasibility and tolerability of breath-hold in liver stereotactic body radiotherapy with surface guided radiotherapy

Eliciting the views of left breast cancer patients' receiving deep inspiration breath hold radiation therapy to inform the design of multimedia education and improve patient‐centred care for prospective patients

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