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Catheter Removal after Interstitial Brachytherapy for Breast Cancer: Feasibility Study for Task Delegation

M. Pignier, L. Rene, J. Carenco, M. Dubosc, M. Moreau, Y. Rizzi, M. Gauthier, S. Secchi-Cippoloni, J.M. Hannoun-Levi

Technical Innovations & Patient Support in Radiation Oncology(2024)

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Abstract
Purpose This study aims to assess the impact of delegating brachytherapy device removal to radiation therapists (RTTs) in the treatment of breast cancer, in terms of safety and efficacy of treatment. Material and Methods A retrospective, observational study was conducted to analyze breast cancer brachytherapy patients. Standardized protocols were drawn up and the RTTs were gradually trained to remove brachytherapy devices under medical supervision. Results 423 patients were included in the study over a period of 15 years. The move to involve RTTs in device removal did not lead to a significant increase in complications. Efficient management of complications was observed, with a stable rate of complications whatever the indication for treatment. Conclusion Delegating removal of brachytherapy devices to RTTs is a move towards the optimization of breast cancer care. This inter-professional approach guarantees diligent, safe care for patients while offering RTTs new opportunities for career development.
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Key words
Breast cancer,Brachytherapy,Task delegation,Radiation therapist,Device removal,Complications
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