[Epinal radiotherapy accident: passed, present, future]. / L'accident d'Epinal: passé, présent, avenir.
Cancer Radiother
; 11(6-7): 309-12, 2007 Nov.
Article
em Fr
| MEDLINE
| ID: mdl-17962063
ABSTRACT
The accident of radiation oncology at the Public General Hospital in Epinal, Vosges, is the highest in France. It is classified level 6 on a 10 degrees scale of the ASN/SFRO (Autorité de sûreté nucléaire/Société française de radiothérapie oncologique). It is linked to errors in the process of treatment, and a mistake in the use of dynamic wedges, with an overdosage of 20%. The clinical consequences are severe, for the patients treated for a prostate cancer and exposed to this overdosage, between May 2005 and August 2006. Sequelae were classified grade 2 to 5 on the CTCAE 3.0 scale. A second cohort of 397 was identified, which received an overdose of 10% linked to the daily use of portal imaging, which explained a higher risk of gr 2-3 rectitis. The treatments were interrupted in this hospital for several months, to organize a new management of the department, based on quality and safety. The preventive actions to avoid such an accident necessitate to evaluate standard and innovative treatments, to develop an internal and external quality control program.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias da Próstata
/
Lesões por Radiação
/
Serviço Hospitalar de Radiologia
/
Radioterapia (Especialidade)
/
Radioterapia Conformacional
Tipo de estudo:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
/
Male
País/Região como assunto:
Europa
Idioma:
Fr
Revista:
Cancer Radiother
Assunto da revista:
NEOPLASIAS
/
RADIOTERAPIA
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
França