Research shows how hurricanes hinder radiotherapy outcomes
advertisement
Posição atual:
>
> This Story


Início de uma sessão ou Registo to rate this News Story
Forward Printable StoryPrint Comment
advertisement

 

advertisement

 

Rad Oncology Homepage

MD Anderson to expand proton therapy center with $159 million project Increases accessibility to higher number of patients

Radiotherapy beats anti-hormonal therapy for some breast cancer patients, says study Avoiding side effects such as hot flashes, weight gain and bone fracture

New technique may concentrate radiotherapy dose for minimal tissue damage Utilizes very high energy electrons (VHEEs)

MedAustron delivers first bout of carbon ion therapy on patient Sixth center in the world to offer treatment

Elekta to distribute C-RAD SIGRT technology in North America and Mexico Advances stereotactic radiosurgery and stereotactic body radiotherapy

CMS proposes alternative payment model for radiation oncology Uses prospective, episode-based payments; ensures value-based care

FDA gives RaySearch green light for RayStation 8B platform First treatment planning system to offer machine learning applications

MedAustron to add health IT to proton and carbon ion treatment facilities Orders more than $13 million worth of RaySearch systems

'Nudge' in EHRs cuts imaging in half for palliative radiotherapy, says study Reduces duration of radiotherapy sessions

Mayo Clinic Florida campus to get $233 million proton facility The 140,000-square-foot facility will house a two-gantry proton system

Disruptions in radiotherapy during
hurricanes decreases overall survival
for cancer patients, says a
new study

Research shows how hurricanes hinder radiotherapy outcomes

por John R. Fischer , Staff Reporter
Radiotherapy patients who suffer disruptions in treatment from hurricanes are less likely to survive, overall, compared to ones treated under regular circumstances.

That is the claim made in a new report by the American Cancer Society, with longer disaster declarations correlated to decreasing survival rates. To alleviate the situation, the researchers behind the study recommend a number of tactics, including transfers of treatment and the elimination of patient out-of-network insurance charges during disasters.

Story Continues Below Advertisement

THE (LEADER) IN MEDICAL IMAGING TECHNOLOGY SINCE 1982. SALES-SERVICE-REPAIR

Special-Pricing Available on Medical Displays, Patient Monitors, Recorders, Printers, Media, Ultrasound Machines, and Cameras.This includes Top Brands such as SONY, BARCO, NDS, NEC, LG, EDAN, EIZO, ELO, FSN, PANASONIC, MITSUBISHI, OLYMPUS, & WIDE.



“The healthcare community can play a crucial role in expanding disaster preparedness efforts to ensure the safety of cancer patients and to provide continuity of care,” chief author Leticia Nogueira, principal scientist of health services research for the ACS, told HCB News. “Although this was not the focus of our study, subject matter experts at FEMA and the CDC might be able to provide specific guidance relevant to members of the healthcare community.”

Hurricanes are prone to wreak havoc on oncology care, with radiotherapy particularly vulnerable due to its reliance on electrical power and the daily presence of specialized teams and patients for treatment delivery.

To assess the full impact on treatment, Nogueira and her team compared the outcomes of patients who underwent radiotherapy between 2004 and 2014 for nonoperative locally advanced non-small cell lung cancer. Patients with NSCLC are particularly at risk when treatment is disrupted, with delays as little as two days impacting survival.

Researchers matched 1,734 patients who experienced a hurricane disaster during treatment with an equal number who did not but had similar characteristics. Those affected by such disasters had a mean survival time of 29 months and a five-year survival estimate of 14.5 percent, with 1,408 deaths occurring. Those unaffected had a mean survival rate of 31 months and a five-year survival estimate of 15.4 percent, with 1,331 deaths. Radiation treatment for exposed patients was longer, with an average duration of 66.9 days, compared to 46.2 days for unexposed ones.

Adjusted relative risk for death increased depending on the length of disaster declaration, rising by 27 percent in events that lasted 27 days. Association became non-significant after 30 or more days, though only 19 declarations out of the 101 disasters included in the study lasted that long.

While supported by a large national sample with detailed sociodemographic, clinical, and treatment information, as well as adequate follow-up periods, the study does not take into consideration all factors. Among them are smoking history, performance status, treatment toxicity, reasons for or exact dates of treatment breaks, and other hurricane-related variables such as mental health status, physical functioning and displacement.

“We are currently evaluating the impacts of other natural disasters on cancer, and plan to continue evaluating the impact of hurricanes on other types of cancer and treatment modalities,” said Nogueira.

The study relied on information from within the National Cancer Database, a hospital-based database that captures approximately 70 percent of newly diagnosed cancers in the U.S.

The findings were published in the journal, JAMA.

Rad Oncology Homepage


You Must Be Logged In To Post A Comment