The development and implementation of a radiation therapy bariatric protocol.

Area of Science:

• Oncology
• Medical Physics
• Radiotherapy

Background:

• Increasing obesity rates in Australia impact cancer patient populations.
• Standard radiation therapy (RT) equipment and protocols may not accommodate patients with high body mass index (BMI).
• Patient safety and dignity are paramount during cancer treatment.

Observation:

• Existing RT equipment is often unsuitable for patients with obesity.
• The unique RT environment presents challenges not found in general hospital settings.
• A structured approach is needed to manage patients with high BMI throughout their RT journey.

Findings:

• A novel RT bariatric protocol was developed and implemented.
• The protocol maps patient pathways from simulation to treatment, considering specific needs.
• Decision-making support is provided to RT teams for resource utilization and safe treatment delivery.

Implications:

• The protocol enhances safety and efficiency for both patients with obesity and RT staff.
• It addresses equipment limitations and RT-specific environmental factors.
• This approach ensures equitable access to radiation therapy for all cancer patients, regardless of weight.