학술논문

An evaluation of the use and efficacy of behavioural therapy when treating paediatric patients with radiation therapy
Document Type
Report
Source
Journal of Medical Radiation Sciences. December 2023, Vol. 70 Issue 4, p436, 443 p.
Subject
Australia
Language
English
Abstract
Introduction Radiation therapy (RT) has long been an important treatment approach for paediatric oncology patients. To ensure optimal RT outcomes, minimal to no motion during treatment is crucial and therefore, [...]
: Introduction: The paediatric radiation therapy group (PRTG) provided a multidisciplinary network to support patients accessing radiation therapy (RT). This study aims to evaluate the use and efficacy of behaviour therapy practices used by the PRTG. Methods: A retrospective cross‐sectional review of general anaesthetic (GA) utilisation for paediatric patients was completed between 1 January 2010 and 30 June 2014. The PRTG incorporated behavioural therapy techniques into all appointments but offered additional play appointments to children unable to comply with the requirements of RT. This aimed to increase their compliance and minimise GA use. Results: Two‐hundred and seventy‐four patients had 5402 occasions of service, of which 1361 were delivered under GA (25.2%). Two‐hundred and fifty‐seven patients met the eligibility criteria. Patients under 8 years who required GA for their entire treatment reduced for each year of increase in age (odds ratio 0.37, 95% confidence interval 0.27–0.51, P < 0.001). Participants 3 years and younger were shown not as likely to change their GA requirements with the use of play appointments. Seventy‐eight per cent (83/106) of 3–8‐year‐olds used no GA or ceased GA during treatment. Conclusions: Most paediatric patients