ESTRO 2020 Abstract book

S1126 ESTRO 2020

“positive suggestions without stigma or judgement, was very helpful and encouraging”. Conclusion Radiotherapy treatment can have devastating and wide ranging consequences on sexuality often appearing many years following treatment. Our Sexual Care after Radiotherapy service offers an opportunity for support and advice to help improve our patients’ quality of life. PO-1925 “The journey of the superhero MeV”: the CNAO's pediatric project A. Mancin 1 , E. Villani 1 , S. Montana 1 , S. Tampellini 1 , A. Iannalfi 1 , F. Valvo 1 , L. Gandola 2 1 CNAO National Center for Oncological Hadrontherapy, Radiotherapy, Pavia, Italy ; 2 Istituto Nazionale dei Tumori, Radiotherapy, Milano, Italy Purpose or Objective Radiotherapy treatment for children encloses extremely critical issues because great importance of the patient as a growing organism must be given, and consequently it’s crucial to ensure maximum precision on dose deposition to spare normal immature tissues. For this reason proton therapy should be preferred as Since September 2017 we treated with protons 10 pediatric patients in our institution. Because this treatment foresees patient positioning with fixing devices that might be challenging for children, the project “The journey of the superhero MeV” was planned. A team of experts in oncology specifically addressed this issue with the aim of improving the compliance of the children and support their families reducing fear and stress during the treatment. A dedicated questionnaire was administered to the parents at the end of the treatment to evaluate the impact of this approach on the children and their families. Results • In this project we identified and adapted specific areas to accommodate pediatric patients during their stays. Both the waiting room and the therapy rooms have been rethought with the intent of creating a more serene environment for the children, who typically approach these kind of situations with a high level of fear and discomfort. Furthermore in the view of guiding the pediatric patients through the various procedures of the treatment, the booklet "The journey of MeV superhero" was conceived. The booklet tells the course that children and parents will face during their therapy through a fairy tales. In this way the children will be prepared to the delicate process of hadrontherapy with the right dose of determination and courage. radiotherapy treatment. Material and Methods

Conclusion In the patient cohort of the current study there is an increased uncertainty of the heart position during treatment for patients treated in DIBH compared to FB. The impact of this on delivered dose to the heart needs further investigation. Conflicts of interest: Gitte Fredberg Persson and Claus Behrens have received research grants from Varian Medical Systems.

Poster: RTT track: Patient care, side effects and communication

PO-1924 Radiotherapy late effects: sexual care after radiotherapy - a rtt led sexual care clinic H. Nisbet 1 , L. Caulfield 1 , S. Matthews 1 1 Oxford University Hospitals NHS Foundation Trust, Radiotherapy Department, Oxford, United Kingdom Purpose or Objective By 2034, 3 in 4 patients in England diagnosed with cancer will survive at least 10 years and may live with the late, adverse effects of treatment. People living with and beyond cancer should be fully supported and long-term consequences of treatment managed 1 . High levels of unmet needs related to sexuality have been found at baseline and follow-up in patients who have had radiotherapy 2 . Sexuality is a basic part of a person’s identity and is closely linked with emotional and physical wellbeing. A cancer diagnosis and treatment can affect sexual self-concept as well as sexual functioning 3 . Numerous women suffer for decades from the consequences of cervical cancer without accessing treatment that might improve their quality of life 4 . In a 2006 survey of prostate cancer patients, 43% of respondents said that their sex life had suffered as a result of diagnosis and treatment 5 . Material and Methods A Sexual Care after Radiotherapy service has been developed at our centre to provide education, information and help for patients, GPs and primary health-care teams about the sexual effects of radiotherapy treatment and how to access support. The service offers a self-referral pathway for patients and supports them holistically after radiotherapy treatment to provide advice, treatment and signposting for the management of sexual effects. The clinic is run by Radiation Therapists trained in psychosexual support using the Ex-PLISSIT model 6 to guide interventions at different levels. This allows patients to voice concerns and discuss effects of treatment upon sexuality. Information at level 1 offers leaflets and sign- posting to resources/services; and at level 2 provides specific suggestions and interventions. Results To date seven patients have self-referred to the service. A friends and family questionnaire was completed by all patients attending. All of the patients said they would be “extremely likely” to recommend the service. Comments included “very informative and helpful discussion” and

The story is divided in two parts: the first is settled in the space and tells all the steps the patient will encounter; the second part presents, thought different "characters", all the personnel that the child will meet. The children will finally by entertained with the preparation of their own colored thermoplastic masks depicting various cartoon characters.The analysis of the survey proved that this approach was beneficial for the children and their parents to face the whole therapeutic process with more serenity. In addition, the movements during the treatment were reduced as well as fear, mistrust and anxiety were significantly decreased.

Conclusion A trained personnel, dedicated spaces equipped with last generation instruments and dedicated services are all the