170 / 1578
/
Staffing and Credentialing
Mandatory Recommended Optional
Participation in dedicated SBRT teaching course (e.g.
ESTRO SBRT course
)
1
7
0
Particpation in
Vendor
-organized dedicated SBRT
training
2
6
0
Supervision
of first SBRT treatments by
SBRT-experienced colleague
2
5
1
Hands-on training
at SBRT-experienced
center
3
5
0
External audit
of SBRT practice
once
after
implementation
0
4
4
External audits
of SBRT practice in
regular
intervalls after SBRT implementation
0
4
4
•
Recommended: investment in training and
teaching instead of technology
07.09.17
ESTRO SBRT COURSE 2017
9
/
Patient selection for SBRT
Relevant!
• Minimum ECOG status
2 - 3
• Minimum expected life expectancy (years)
1
Not relevant!
• Upper patient age limit for SBRT (years)
8
• Maximum Charlston Co-morbidity score
6
• Maximum COPD GOLD stage
6
• Minimum FEF1 (%) eligibility
6
• Minimum DLCO (%) eligibility
6
• Minimum FeFV (%) eligibility
4
•
SBRT should be offered to all patients with
sufficient PS and OS expectancy
07.09.17
ESTRO SBRT COURSE 2017
10