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Evaluation of time, attendance of medical staff and resources for radiotherapy in pediatric and adolescent patients

The DEGRO-QUIRO trial

Evaluation der Raumbelegungs- sowie der Arbeitszeit für das medizinische Personal bei der Strahlentherapie von Kindern und Jugendlichen

Der DEGRO-QUIRO-Trial

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Abstract

Background

The German Society of Radiation Oncology (DEGRO) initiated a multicenter trial to develop and evaluate adequate modules to assert core procedures in radiotherapy. The aim of this prospective evaluation was to methodical assess the required resources for radiotherapy in pediatric and adolescent patients.

Material and methods

At three radiotherapy centers of excellence (University Hospitals of Heidelberg and Münster, the Medical School of Hannover), the manpower and time required for radiotherapy in pediatric and adolescent patients was prospectively documented consistently over a 2-year period. The data were collected using specifically developed standard forms and were evaluated using specific process analysis tools.

Results

A total number of 1914 data sets were documented and carefully analyzed. The personnel time requirements for all occupational groups were calculated as total time needed for a specific procedure and mean time per person. Regarding radiotherapy in general anesthesia, the required manpower was higher. The personnel time requirements in these cases were also longer, mainly due to longer room occupancy. Overall, the required resources were remarkably similar between the three different departments and may, therefore, be considered as representative.

Conclusion

For the first time, the personnel time requirements of a radiotherapy department for the maintenance, protection, and optimization of operational readiness for radiotherapy in pediatric and adolescent patients with and without general anesthesia were determined methodically.

Zusammenfassung

Hintergrund

Die deutsche Gesellschaft für Radioonkologie (DEGRO) initiierte eine Multizenterstudie zur Entwicklung und Anwendung geeigneter Module zur Erhebung und Analyse von Kernprozessen bei der Radiotherapie von Kindern und Jugendlichen. Ziel dieser prospektiven Erhebung war es, die erforderlichen Ressourcen bei der Radiotherapie im Kindesalter systematisch zu evaluieren.

Material und Methoden

An drei strahlentherapeutischen Kompetenzzentren (Universitätskliniken Heidelberg und Münster, Medizinische Hochschule Hannover) wurde der Personal- und Zeitaufwand für die Durchführung der Radiotherapie bei Kindern und Jugendlichen über einen Zeitraum von 2 Jahren prospektiv lückenlos erhoben. Die Daten wurden mit Hilfe hierfür entwickelter Formularsätze erfasst und mittels spezieller Prozessanalysetools statistisch ausgewertet.

Ergebnisse

Insgesamt wurden 1914 Datensätze erhoben und sorgfältig analysiert. Die Personalbindungszeit für eine spezifische Prozedur wurde für jede Berufsgruppe sowohl als Gesamtzeit, als auch als mittlere Zeit pro Person berechnet. Bezüglich der Strahlenbehandlung von Kindern in Narkose war der Personalbedarf größer. Die Personalbindungszeit war ebenfalls länger, insbesondere aufgrund der längeren Raumbelegungszeit. Insgesamt waren die erforderlichen Ressourcen erstaunlich vergleichbar und können somit als repräsentativ angenommen werden.

Schlussfolgerung

Mit Hilfe der erhobenen Daten wurde erstmals der Personalbedarf einer strahlentherapeutischen Abteilung zur Aufrechterhaltung, Absicherung und Optimierung der Betriebsbereitschaft zur strahlentherapeutischen Behandlung von Kindern und Jugendlichen mit und ohne Narkose systematisch ermittelt.

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Conflict of interest

A. Zabel-du Bois, S. Milker-Zabel, F. Bruns, H. Christiansen, I. Ernst, N. Willich, W. Popp, J. Debus, H. Sack state that there are no conflicts of interest.

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Correspondence to Angelika Zabel-du Bois.

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Zabel-du Bois, A., Milker-Zabel, S., Bruns, F. et al. Evaluation of time, attendance of medical staff and resources for radiotherapy in pediatric and adolescent patients. Strahlenther Onkol 190, 582–590 (2014). https://doi.org/10.1007/s00066-014-0619-z

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  • DOI: https://doi.org/10.1007/s00066-014-0619-z

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