ESTRO 38 Abstract book

S1214 ESTRO 38

Results 10 patient files per doctor were randomly selected; there are 13 doctors in the department, so a total of 130 records were observed. By analyzing the results obtained, it is noted that the files are quite complete, for example the pathology is clearly identified (100%), there is a trace of the first consultation (95%), the dose prescription is specified (99%). On the other hand, it is observed that in some cases important data for quality management care are missing, such as irradiation technique or tumor laterality are partially completed (65%), no systematic geriatric evaluation in patients over 75 (35%), no traceability of general consent (29%) and information given to the patient (39%). Various improvement actions were put in place following this analyze: setting up informed consent, check list to ensure that important issues are completed, use of a standard scale of pain identical to the one of the hospital. A half- yearly follow-up of these actions and a punctual audit during the year to verify the relevance of these actions will be realized. Conclusion This RT patient chart review allows us to identify what is being done correctly and what needs improvement. Data contained within these files are extremely valuable for improving radiotherapy department efficiency and ensuring quality and safety of treatments. It is important that these files contain all the information necessary for good management. Conducting internal audits such as medical records observation in the RT department is an effective tool for quality management in patient care. EP-2202 Iatrogenic sexual dysfunction following BRT. supportive therapy for better perception life quality F. Piro 1 , D. Cosentino 1 , A. Martilotta 1 , A. Massenzo 1 , U. Piro 1 , G. Tocci 1 , L. Marafioti 1 1 Ospedale Mariano Santo, Radiotherapy Center, Cosenza, Italy Purpose or Objective BRT treatments can cause permanent sexual dysfunction due to shortening and vaginal shrinkage induced by fibrosis and post-treatment stenosis as a permanent toxic effect. We evaluated the introduction of supportive therapy (SuBRT) vs control group (CBRT). Material and Methods From January 2010 to September 2017, 207 patients histologically proven endometrial carcinoma treated with BRT exclusively, with or without supportive therapy during treatment. BRT treatment involved a total dose of 30 Gy with a daily fraction of 6 Gy. Supportive therapy: daily endovaginal lavender with clorexidina and 12 hours after endovaginal ovules of hyaluronic acid low weight. We have formulated a psychological check-list for short interview to assess quality of life and impact on sexual activity after BRT, respecting privacy. We defined following areas: 1) social relationships and personal emotions, 2) intimacy of

Conclusion Health literacy is related to self-efficacy in cancer patients. Education level positively impacts health literacy levels, highlighting the importance of tailoring patient information to patient education levels, in order to promote self-care and disease management. EP-2201 Auditing patient’s radiotherapy medical file for improvement S. Cucchiaro 1 , M. Delgaudine 2 , P. Coucke 1 1 C.H.U. Sart Tilman, Radiotherapy Department, Liège, Belgium; 2 C.H.U. - Sart Tilman, STA Quality Department, Liège, Belgium Purpose or Objective The patient's Radiation Therapy (RT) medical file is the place of collection and conservation of medical and paramedical information, recorded for any patient. The patient's record ensures the traceability of all actions performed. It is an important tool of communication, coordination and information between the multidisciplinary RT team. It makes it possible to follow and understand the patient's RT journey. This file must be complete and contain the information essential for the quality of the treatment. The purpose of this study is to draw up an objective inventory of the RT medical record and to propose improvement actions so that it is best documented as possible. Material and Methods The methodology used is an internal audit of medical files. A grid was developed based on criteria used in the Quality Assurance Team for Radiation Oncology (QUATRO) reference, criteria recommended by Joint Commission International accreditation, and RT department-specific criteria derived from adverse event reporting for incomplete or erroneous patient records. This grid (Figure 1) includes 19 observation items and one box for comments. The filling is simple and is carried out by “yes-no-partially-not applicable”. The analysis of files was carried out retrospectively by selecting patients treated by radiotherapy in the service between January and June 2018.