Abstract
Simple SummaryWhat is the influence of a one-on-one procedure announcement delivered by a radiation therapist before radiation therapy? In this trial randomizing 126 patients, no significant differences in mean trait or state anxiety scores measured before CT scan simulation, during the first and second sessions, or at the completion of radiotherapy were noted. Patients who benefited from the procedure announcement were significantly better informed of the treatment positioning and in vivo dosimetry. For patients, this specific procedure was not able to decrease their level of anxiety.Background: Anxiety impacts patient outcomes and quality of life in response to cancer diagnosis. A prospective phase 3 trial randomizing 126 patients was conducted to determine whether a specific one-on-one procedure announcement provided by a radiation therapist before CT scan simulation decreases anxiety for patients with breast cancer requiring radiotherapy. Material and Methods: Anxiety was measured using the STAI form, and the QLQ-C30 and BR-23 questionnaires were used to evaluate quality of life. Results: Mean trait or state anxiety scores before CT scan simulation, before the first and second sessions, and at the end of radiation treatment were not significantly different. We observed a decrease in the level of anxiety with time; however, no significant difference in mean state anxiety scores at any of the time intervals was detected. Factors, such as anxiety trait score, professional and marital status, age, and use of alternative therapy, did not significantly influence the evolution of anxiety status over time or the mean value. Anxiety was significantly influenced by the level of fatigue. Patients who benefited from the radiation therapists’ advice felt significantly better informed. Conclusions: The one-on-one program announcement occurring before CT scan simulation led to patients being more informed and greater satisfaction but did not decrease anxiety.
Highlights
The procedure announcement is one of the quality measures of the French Cancer Plan 2003–2007 and is required for the authorization given to health care institutions to treat cancer patients [1]
The evolution of radiotherapy has been so important in recent years that it is often difficult for oncology nurses, such as for non-radiation oncologist physicians, to provide specific, complete, and updated information
We propose to evaluate the impact of such a procedure announcement on anxiety through a prospective randomized monocentric trial comparing two groups of patients who would receive or not receive a specific procedure announcement provided by a radiation therapist before radiation treatment for breast cancer
Summary
The procedure announcement is one of the quality measures of the French Cancer Plan 2003–2007 and is required for the authorization given to health care institutions to treat cancer patients [1]. Information delivered by a radiation therapist may improve the quality of information before radiation treatment [2] This information session would offer the opportunity to reformulate some information provided by the radiation oncologist at the first visit, such as length of treatment, location of the dosimetric CT scan, dosimetry, and control during radiotherapy sessions. These professionals can complement some more practical information or advice. A prospective phase 3 trial randomizing 126 patients was conducted to determine whether a specific one-on-one procedure announcement provided by a radiation therapist before CT scan simulation decreases anxiety for patients with breast cancer requiring radiotherapy. Conclusions: The one-on-one program announcement occurring before CT scan simulation led to patients being more informed and greater satisfaction but did not decrease anxiety
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