ESTRO 2021 Abstract Book

S1196

ESTRO 2021

institute of oncology.

Materials and Methods A descriptive, cross-sectional study conducted in the radiotherapy department of the Salah Azaiz Institute including 40 participants submitted to a satisfaction questionnaire between January 2020 and February 2020. We have included patients aged more than 18 years old, treated for cancer, who have received radiotherapy as part of the health course offered by the doctor. We have excluded mentally-retarded patients or the ones having a psychiatric affection, patients treated by palliative radiotherapy, and non-consented patients. The questionnaire was composed of three parts: the first one included patients’ socio-demographic and medico-administrative data. The second part contained several items exploring satisfaction The third part was a section devoted to comments, observations and suggestions from patients. Results The average age was 54 years. The surveyed population consisted of 26 women (65%) and 14 women (35%). Sixteen patients were illiterate (40%) while only 10% had a higher education. Thirty-one patients were married (77,5%). The majority of patients (62.5%) had health insurance and were from urban areas. 70% of patients declared being very satisfied or satisfied with reception at the radiotherapy department.More than half of cancer patients surveyed were very satisfied or satisfied with the availability of medical personnel (52.5%) paramedic (62.5%). Information and communication were not judged as satisfactory in the majority of situations.Radiotherapy’s side effects were not explained to 72,5% of patients.They also did not get information on the radiotherapy treatment sessions 70% of patients deplored the absence of psychological support . More than half of patients (55%) declared having suffered from pain associated with their pathology. Conclusion The evaluation of patient satisfaction aims to identify the areas of care to be improved as a priority in an institution. These aspects of quality assurance have started to emerge in the Ministry of Health of Tunisia.In our institutes accreditation and evaluation procedures are underway. For future directions, surveys may be distributed at regular intervals as a method of measuring levels of patients’ satisfaction on an ongoing basis. PO-1458 The effect of socioeconomic disparities on endometrial cancer survival in Germany A. Bedir 1 , S.F. Abera 1 , D. Medenwald 1 , D. Vordermark 1 1 University Hospital Halle (Saale), Department of Radiation Oncology, Health Services Research Group,, Halle (Saale), Germany Purpose or Objective Despite recent advancements in cancer diagnosis and treatment in Germany, a marked difference in cancer survival based on socioeconomic factors persists. Area-based socioeconomic deprivation has been recently recognized as an important indicator of health and a potential predictor of survival. We aimed in this study to measure the effect of socioeconomic inequality on endometrial cancer survival. Materials and Methods Population-based data on patients diagnosed with endometrial cancer between 2004–2014 was obtained from the German Centre for Cancer Registry Data. Socioeconomic inequality was defined by the German Index of Socioeconomic Deprivation. We investigated the association of deprivation and overall survival through relative survival analysis and cox proportional regression models. Results The observed 5-year overall survival (OS) time for the most affluent patients (first quintile) was 77.4%. The OS decreased as the level of deprivation increased (76.5%, 72.9%, 73.8%, 68.0%, for patients in the second, third, fourth, and fifth quintile (most deprived patients) respectively). The 5-year age-standardized survival (net survival) showed the first quintile to have the highest relative survival (86.4%) while the fifth quintile still appeared to have the lowest relative survival of 80.2%. Our Cox regression models showed the fifth quintile to have the highest hazard of overall mortality when compared to the most affluent patients (Hazard Ratio[HR] 1.25, 95% confidence interval (CI): 1.03-1.50). This disparity in survival was more pronounced among Stage I patients (44.3% of total cases) [HR: 1.42, 95% CI: 1.01–2.00]. Conclusion Our results indicate differences in endometrial cancer survival according to socioeconomic deprivation in Germany, especially among patients diagnosed at stage I. Considering data limitations, future studies with access to inidividual level patient information should be conducted to examine the underlying reasons for the observed disparity in cancer survival. C. Casà 1 , G. Macchia 2 , V. Lancellotta 1 , B. Fionda 1 , E. Placidi 1 , P. Cornacchione 1 , A. Nicolì 1 , A. Salvati 3 , S. Bracci 1 , M. Ferioli 4 , V. Frascino 1 , G.C. Mattiucci 5 , S. Cilla 2 , G. Kovacs 6 , M.A. Gambacorta 1 , L. Tagliaferri 1 1 Fondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Rome, Italy; 2 Gemelli Molise Hospital – Università Cattolica del Sacro Cuore, Radiation Oncology Unit, Campobasso, Italy; 3 Fondazione Policlinico Universitario A. Gemelli IRCCS, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Rome, Italy; 4 IRCCS Azienda Ospedaliero-Universitaria di Bologna - Alma Mater Studiorum University of Bologna, Radiation Oncology, Department of Experimental, Diagnostic and Specialty Medicine – DIMES, Bologna, Italy; 5 Mater Olbia Hospital, Radiation Oncology, Olbia, Italy; 6 Università Cattolica del Sacro Cuore, Educational Program Director Gemelli-INTERACTS, Rome, Italy Purpose or Objective As a system for guaranteeing a high-quality and resource-saving pathway for patients undergoing fractionated endovaginal interventional radiotherapy (brachytherapy, IRT), we introduced the prospective QUALIFIER PO-1459 QUALIFIER:multiprofessionality quality assurance program for endovaginal interventional radiotherapy