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The Royal College of Radiologists National Vulvar Cancer Audit
P Baird1, K Drinkwater2, J Forrest3
1Belfast Health and Social Care Trust, Belfast, UK.
Clinical Oncology (Royal College of Radiologists (Great Britain))
|April 24, 2024
Summary
This audit reveals UK vulvar cancer treatment practices, showing widespread use of intensity-modulated radiotherapy (IMRT) but inconsistent adherence to dose fractionation and treatment protocols. Patient outcomes and toxicity were monitored.
Area of Science:
- Oncology
- Radiotherapy
- Clinical Audit
Background:
- Vulvar cancer treatment requires adherence to specific radiotherapy standards.
- UK practice variations may impact patient outcomes and toxicity.
Purpose of the Study:
- To audit UK vulvar cancer radiotherapy practices against national/international standards.
- To assess patient outcomes and treatment toxicity.
Main Methods:
- Web-based questionnaire to UK radiotherapy centres.
- Prospective data collection on patient demographics, tumour characteristics, radiotherapy details, and follow-up.
- Comparison against Royal College of Radiologists (RCR) guidance and literature.
Main Results:
- 63% of UK centres participated, data from 152 patients.
- Intensity-modulated radiotherapy (IMRT) use exceeded target (98%).
- Significant heterogeneity in dose fractionation and inconsistent application of category 1 treatment and gap compensation.
Conclusions:
- UK vulvar cancer practice shows high IMRT adoption but variable adherence to established protocols.
- Treatment toxicity was generally moderate.
- Further standardization of radiotherapy planning and delivery is warranted.
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