Pan-Canadian consensus recommendations for proton beam therapy access in Canada.
Radiother Oncol
; 176: 228-233, 2022 11.
Article
em En
| MEDLINE
| ID: mdl-36228758
ABSTRACT
PURPOSE:
Proton Beam Therapy (PBT)is a treatment option for select cancer patients. It is currently not available in Canada. Assessment and referral processes for out-of-country treatment for eligible patients vary by jurisdiction, leading to variability in access to this treatment for Canadian cancer patients. The purpose of this initiative was to develop a framework document to inform consistent and equitable PBT access for appropriate patients through the creation of pan-Canadian PBT access consensus recommendations. MATERIALS ANDMETHODS:
A modified Delphiprocess was used to develop pan-Canadian recommendations with input from 22 PBT clinical and administrative experts across all provinces, external peer-review by provincial cancer and system partners, and feedback from a targeted community consultation. This was conducted by electronic survey and live discussion. Consensus threshold was set at 70% agreement.RESULTS:
Fourconsensus rounds resulted in a final set of 27 recommendations divided into three categories patient eligibility (n = 9); program level (n = 10); and system level (n = 8). Patient eligibility included anatomic site (n = 4), patient characteristics (n = 3), clinical efficacy (n = 2). Program level included regulatory and staff requirements (n = 5), equipment and technologies (n = 4), quality assurance (n = 1). System level included referral process (n = 5), costing, budget impact and quality adjusted life years (n = 2), eligible patient estimates (n = 1). Recommendations were released nationally in June 2021 and distributed to all 43 cancer programs in Canada.CONCLUSION:
A pan-Canadian consensus-building approach was successful in creating an evidence-based, peer-reviewed suite of recommendations thatsupportapplication of consistent clinical criteria to inform treatment options, facility set-up and access to high quality proton therapy.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
/
Tipos_de_cancer
/
Outros_tipos
Base de dados:
MEDLINE
Assunto principal:
Terapia com Prótons
/
Neoplasias
Tipo de estudo:
Guideline
/
Health_economic_evaluation
/
Prognostic_studies
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Radiother Oncol
Ano de publicação:
2022
Tipo de documento:
Article