RCR Bladder Cancer Radiotherapy Audit 2016 Dr Sarah

RCR Bladder Cancer Radiotherapy Audit 2016 Dr Sarah Treece Peterborough City Hospital

Audit Questions � Written by: ◦ Sarah Treece ◦ Mohini Varughese � Formatted by: ◦ Karl Drinkwater � Similar cancer to previous RCR Audits e. g. lung

Audit Format � Piloted in several RT departments � Electronic submission � Drop down boxes/ tick boxes to minimise free text � Data input does not need to be done by clinical staff

Audit Format � 60 -70 questions � Time required per patient = 20 -25 min if radically treated � 10 min if palliative treatment � Some information only required for first patient submitted by a centre

Data for collection – all patients � DOB, male/ female � WHO Performance status � Pathology ◦ ◦ Cell subtype Grade TNM staging Dates of TURBT and histology report

Data for collection – radical patients � Staging modalities ◦ Pelvic staging ◦ CT chest and upper tract imaging ◦ Use of PET � MDTs ◦ Local and specialist network � Was a cystectomy offered?

Data for collection – radical patients � Neo-adjuvant chemotherapy ◦ Doses and drugs used ◦ Number of cycles ◦ Date of first cycle ◦ Reasons for not giving

Data for collection - radiotherapy � Fractionation used � Referral date for RT � Dates of RT � Total days � If prolonged, compensation used (if any)

Data for collection - radiotherapy � Use of radiosensitiser ◦ Doses and drugs used ◦ Reasons for not giving

Data for collection - radiotherapy � Target definition � Margins used � Set up error � Technique � OARs and constraints used

Data for collection - radiotherapy � Immobilisation used � Compensation for bladder filling � Verification � Toxicity recording � Treated in a trial?

Data for collection � F/U plans ◦ Frequency ◦ Imaging ◦ Urology/ oncology/ both

Any comments?

Thank you � To ◦ ◦ ◦ those who piloted the audit Dr Ian Fraser, Royal Devon and Exeter Hospital Dr Rob Huddart, Royal Marsden Dr Abigail Hollingdale, Peterborough City Hospital Dr Jonathan Mc. Aleese, Belfast City Hospital Prof Heather Payne, UCL � And to Karl Drinkwater formatting the questions