Reirradiation practices of Radiation Therapists (RePoRT) study

Area of Science:

• Oncology
• Radiation Therapy
• Medical Physics

Background:

• Reirradiation for recurrent or metastatic tumors is complex, requiring multidisciplinary collaboration.
• The specific role and practices of Radiation Therapists (RTTs) in reirradiation are not well-documented.

Purpose of the Study:

• To characterize the patterns-of-practice for RTTs in cancer reirradiation.
• To understand the knowledge and skills RTTs apply in reirradiation care.
• To identify enablers and barriers to RTT involvement in reirradiation.

Main Methods:

• A cross-sectional survey of RTTs across Canada was conducted over 3 months.
• A 48-item questionnaire assessed frequency of activities, competency self-ratings, and enablers/barriers.
• Data were analyzed using descriptive statistics and thematic analysis.

Main Results:

• 214 RTTs reported significant involvement in all reirradiation steps, from imaging to supportive care.
• Lower competency and knowledge gaps were noted in advanced reirradiation dosimetry techniques.
• Access to prior records, standardized workflows, and multidisciplinary communication were key reported elements.

Conclusions:

• RTTs are integral to the reirradiation care pathway.
• Focused education and training for RTTs on reirradiation are recommended.
• Optimizing team workflows can enhance the safety and efficiency of reirradiation care.