Le masque de contention en radiothérapie : une source d’anxiété pour le patient ?

Ariño, Carlos Morillas; Stadelmaier, Nena; Dupin, Charles; Kantor, G.; Figueiredo, B. Henriques de

doi:10.1016/j.canrad.2014.09.007

Cited by 14 publications

(3 citation statements)

References 8 publications

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“…In contrast with Arino et al (2014) findings, most participants did not perceive the mask positively, conveying thoughts and feelings towards the mask across the emotional spectrum from negative to ambivalent or positive. Participant perceptions of the mask during treatment appeared to be related to how well they coped with the mask, suggesting that positively framing the mask may reduce anxiety.…”

Section: Discussioncontrasting

confidence: 99%

“…However, the few studies that have explored patient experiences of the immobilisation mask have produced mixed results. A French study found that most participants did not experience mask-related anxiety and viewed the mask positively, as a 'protector' (Arino, Stadelmaier, Dupin, Kantor, & de Figueiredo, 2014). By contrast, other qualitative studies reported negative patient experiences and representations of the mask such as physical discomfort, claustrophobia and anxiety, difficulty coping and hating the mask (Goldsworthy, Tuke, & Latour, 2016;Molassiotis & Rogers, 2012).…”

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Exploring head and neck cancer patients’ experiences with radiation therapy immobilisation masks: A qualitative study

et al. 2019

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Objective Head and neck cancer (HNC) patients commonly undergo radiation therapy requiring immobilisation by a mask. Some find the mask distressing, and this can disrupt treatment sessions. This study aimed to explore the patient experience of immobilisation masks in the Australian and New Zealand (ANZ) context, to guide possible intervention. Methods Semi‐structured interviews were conducted with HNC patients who had completed radiation therapy, recruited via hospitals and social media. Interviews continued until data saturation; then, three further interviews were conducted for member‐checking purposes. Qualitative methodology with thematic analysis was used to identify themes in the data. Results Twenty HNC survivors participated in interviews, and seven themes were identified: information received by participants, potential predictors of mask anxiety, participant reactions to the mask, trajectories of mask anxiety, supportive behaviour and communication of health professionals, coping with the mask, and thoughts and feelings about the mask. Conclusions Participant experiences of the immobilisation mask were diverse. The findings fit with Lazarus and Folkman's (Stress, appraisal, and coping. New York, NY: Springer Pub. Co) transactional model of stress and coping, as participants appeared to make cognitive appraisals of the mask and their coping abilities throughout treatment, resulting in varied levels of mask‐related distress. Complex intervention is recommended to reduce mask anxiety in HNC patients across ANZ.

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confidence: 99%

Exploring head and neck cancer patients’ experiences with radiation therapy immobilisation masks: A qualitative study

et al. 2019

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“…[5][6][7][8] Possible complications include small risks of bleeding, numbness, persistent pain, pressure headaches, infection, and slippage. [6][7][8][9][10] The care of framed patients requires dedicated nursing and physician support and often extended periods of time in the department, especially after conscious sedation. 8,[10][11] Frame use also places time constraints on the clinical team to complete imaging, planning and delivery in the same day.…”

Section: Introductionmentioning

confidence: 99%

Tolerability and Stability of Mask Fixation in Gamma Knife Stereotactic Radiosurgery: Predictors of Treatment Interruptions

Yang¹,

Bowden

Patel

et al. 2022

MRAJ

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Background. Frameless fixation with a thermoplastic mask is an alternative to traditional frame-based immobilization for Gamma-Knife stereotactic radiosurgery (SRS) or fractionated stereotactic radiotherapy (FSRT). However, interruptions during beam-on time can significantly prolong treatment delivery, impacting patient experience and unit workflow. Aim. We investigated clinical and technical predictors of treatment interruptions, and the phases of treatment during which interruptions are most likely to occur. Methods. Patients undergoing frameless Gamma Knife SRS or FSRT in 2020 were retrospectively reviewed. Clinical parameters were extracted from electronic medical records. Dosimetric and treatment interruption data were obtained from Gamma Knife treatment reports. Univariate and multivariate analyses analyzed technical and clinical predictors of treatment interruptions. Results. Our cohort included 84 patients receiving 141 fractions encompassing 255 lesions. 49/84 (58.3%) were female, 79/84 (94.0%) had brain metastases, 49/84 (58.3%) were taking dexamethasone and 30/84 (35.7%) used analgesics. 89/106 (84.0%) courses were single fractions. Mean planned beam-on time was 37.1 minutes (range 7.1-118.8 min) versus a total bed time of 64.9 minutes (range 15-252min) per fraction. 64.5% (91/141) of fractions were interrupted at least once; 12/141 fractions were paused 20 times or more, with a maximum 54 pauses. The mean number of pauses per quartile decreased the further the patient proceeded in beam-on time, and patients receiving first lifetime cranial radiation paused more often than during subsequent fractions. At least one pause occurred in 100% of fractions with a planned beam-on time exceeding 60 minutes. Planned beam-on time, number of gating events and high-definition motion management alarms significantly correlated with total number of pauses on multivariate analysis (all p<0.0001); these three factors, along with prep time and number of operator-initiated pauses, predicted total time on the Gamma Knife couch (all p<0.0001). Clinical factors, medication use, and prior SRS/FSRT were not predictive of pauses. Conclusions. Planned beam-on time, number of gating events and high-definition motion management alarms significantly predicted likelihood of interruptions during frameless Gamma Knife SRS/FSRT. These factors should be considered in selection of immobilization method, especially if exceeding 60 minutes.

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Exploring the prevalence and experience of mask anxiety for the person with head and neck cancer undergoing radiotherapy

Nixon

Cartmill

Turner

et al. 2018

J of Medical Radiation Sci

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IntroductionWhile use of a thermoplastic mask during radiotherapy (RT) treatment for head and neck cancer (HNC) is an essential component of safe patient care, there is little understanding of the extent to which this evokes anxiety (i.e. “mask anxiety”) for the person undergoing treatment.MethodsA mixed method, convergent design was used to examine the prevalence and experience of mask anxiety using two clinical cohorts. In phase one, a cohort of 100 patients undergoing RT for HNC were assessed for self‐perceived mask anxiety using a modified distress thermometer screening tool. In phase two, a separate cohort of 20 patients who identified as having mask anxiety participated in individual interpretative descriptive interviews to explore the nature of their experience.ResultsIn phase one, 26% of participants self‐identified as being anxious about the use of a thermoplastic mask. In phase two thematic analysis of the interviews revealed two over‐arching themes relating to the person's experience of mask anxiety: contributors to the mask anxiety (vulnerability, response to experience and expectations); and how the person was going to manage the mask anxiety during treatment (strategies and mindset).ConclusionsMask anxiety impacted a quarter of participants undergoing radiotherapy for HNC. In line with the themes elicited from the participants, implementation of routine screening to ensure early identification, and patient education to assist preparation for wearing the mask during RT are strategies that could improve current management of mask anxiety.

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Le masque de contention en radiothérapie : une source d’anxiété pour le patient ?

Cited by 14 publications

References 8 publications

Exploring head and neck cancer patients’ experiences with radiation therapy immobilisation masks: A qualitative study

Exploring head and neck cancer patients’ experiences with radiation therapy immobilisation masks: A qualitative study

Tolerability and Stability of Mask Fixation in Gamma Knife Stereotactic Radiosurgery: Predictors of Treatment Interruptions

Exploring the prevalence and experience of mask anxiety for the person with head and neck cancer undergoing radiotherapy

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