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New Patient-Centered Tool Devised to Record Side Effects of Radiotherapy

By MedImaging International staff writers
Posted on 21 Jan 2015

Researchers have investigated a patient-centered approach to evaluating the side effects of radiotherapy and have shown that it may be able to optimize the detection and management of treatment-related toxicity.

For lung tumors that cannot be removed with surgery, radiotherapy is the best treatment option. However, it is associated with a range of side effects, including fatigue and inflammation of the esophagus and lungs. Current tools to record treatment-related toxicities rely on an evaluation by healthcare professionals. Now, a British team has investigated the use of patient-reported outcomes to improve the recording of side effects for lung cancer patients.

Dr. Corinne Faivre-Finn, a researcher in the University of Manchester’s Institute of Cancer Sciences (UK), and a consultant based at the Christie NHS [National Health Service] Foundation Trust, who led the research, said, “Such patient-reported outcome tools have been mainly evaluated for use with chemotherapy treatments. We wanted to assess their feasibility and relevance in lung cancer patients undergoing radiotherapy.”

The group looked at the agreement between side effects as reported by physicians and the patients themselves. They also evaluated the relationship between reported toxicities and quality-of-life measures, relating to aspects such as tiredness, anxiety, and shortness of breath. Patients were asked to fill in questionnaires covering both side effects and quality of life at three time points: before treatment, at the end of radiotherapy and at later follow up. The consultants answered questions at identical time points covering the same typical radiotherapy-related toxicities for each patient.

The study revealed that there was strongest agreement between the patient’s scoring of side effects and measures relating to their quality of life. Toxicities as recorded by the clinicians appeared to underestimate their severity. “This was the first study in Europe to explore such a patient-centered approach to recording side effects. Incorporating this method into cancer care could allow us to detect and manage serious effects earlier. It could also improve patient-doctor relationships and help doctors better understand the full impact of treatment on patients,” added Dr. Faivre-Finn.

This tool has been integrated into a European project called REQUITE, led by The Christie, which has a goal to validate predictive models and biomarkers of radiotherapy toxicity to reduce side-effects and improve quality of life in cancer survivors.

The study’s findings were published August 5, 2014, in the journal Radiotherapy and Oncology.

Related Links:
University of Manchester’s Institute of Cancer Sciences

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71 (!!!!! 7953.8822174072): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294756828 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 7930.0403594971): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (56.028366088867): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294756828 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (40.054321289062): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294756828 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (34.809112548828): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (73.909759521484): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (58.889389038086): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756828 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756828 AND published='1' LIMIT 1

105 (50.783157348633): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756828 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756828 AND published='1' LIMIT 1

106 (553.84635925293): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294756828 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (473.97613525391): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294756828 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (349.04479980469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756828 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756828 AND published='1' LIMIT 1

109 (149.01161193848): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756828 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756828 AND published='1' LIMIT 1

110 (!!!!! 1378.059387207): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294756828 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (600.81481933594): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294756828 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (582.93342590332): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (422.95455932617): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (100.85105895996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756828 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756828 AND published='1' LIMIT 1

115 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756828 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756828 AND published='1' LIMIT 1

116 (144.00482177734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756828 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756828 AND published='1' LIMIT 1

117 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756828 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756828 AND published='1' LIMIT 1

118 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756828 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756828 AND published='1' LIMIT 1

119 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756828 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756828 AND published='1' LIMIT 1

120 (271.08192443848): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 74095.010757446): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

122 (119.20928955078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756828 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756828 AND published='1' LIMIT 1

123 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756828 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756828 AND published='1' LIMIT 1

124 (!!!!! 7645.845413208): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294756828 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294756828 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 888800.14419556): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (!!!!! 1078460.931778): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (266.07513427734): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

128 (628.94821166992): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (200.03318786621): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

130 (128.03077697754): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (105.14259338379): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

132 (89.883804321289): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (892.16232299805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756828 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (913.85841369629): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756828 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (465.86990356445): SELECT name FROM jos_deeppockets WHERE id=211

136 (51.021575927734): SELECT name FROM jos_deeppockets WHERE id=211

137 (865.93627929688): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (637.05444335938): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (573.15826416016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756828 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756828 AND published='1' LIMIT 1

140 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756828 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756828 AND published='1' LIMIT 1

141 (!!!!! 27489.900588989): TRUNCATE TABLE jos_trademed_module

142 (!!!!! 2580.8811187744): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294756828 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (87.02278137207): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294756828 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (!!!!! 3622.0550537109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756828 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (755.78689575195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756828 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (398.15902709961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756828 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756828 AND published='1' LIMIT 1

147 (!!!!! 3215.0745391846): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756828 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756828 AND published='1' LIMIT 1

148 (!!!!! 3520.0119018555): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

149 (!!!!! 1583.0993652344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756828 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756828 AND published='1' LIMIT 1

150 (90.122222900391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756828 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756828 AND published='1' LIMIT 1

151 (!!!!! 2364.1586303711): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294756828 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294756828 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (607.01370239258): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

153 (51.021575927734): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

154 (!!!!! 3281.831741333): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (!!!!! 2656.9366455078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756828 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756828 AND published='1' LIMIT 1

156 (937.93869018555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756828 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756828 AND published='1' LIMIT 1

157 (!!!!! 1687.0498657227): select jos_twitters.link from jos_twitters where cat=10

158 (205.99365234375): select jos_facebook.link from jos_facebook where cat=10

159 (396.9669342041): select jos_google_plus.link from jos_google_plus where cat=10

160 (81.062316894531): select jos_linkedin.link from jos_linkedin where cat=10

161 (851.86958312988): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 20340.919494629): insert into jos_banners_delta values (14615,'2025-05-01 18:02:02','3.133.100.106','view'),(14202,'2025-05-01 18:02:02','3.133.100.106','view'),(14203,'2025-05-01 18:02:02','3.133.100.106','view')

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