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Evaluation of skin ...
Evaluation of skin reactions during proton beam radiotherapy : patient-reported versus clinician-reporte
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- Möllerberg, Marie-Louise (författare)
- Research Institute of Sweden (RISE),RI.SE (Research Institute of Sweden), Lund, Sweden
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- Langegård, Ulrica (författare)
- Göteborgs universitet,Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
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- Johansson, Birgitta (författare)
- Uppsala universitet,Experimental Oncology, Department of Immunology, Genetics and Pathology, Uppsala University, Uppsala University Hospital, Sweden
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- Ohlsson-Nevo, Emma (författare)
- Örebro universitet
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- Fransson, Per (författare)
- Umeå universitet,Department of Nursing, Umeå University, and Department of Cancercentrum, Norrlands University Hospital, Umeå, Sweden
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- Ahlberg, Karin (författare)
- Göteborgs universitet,Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
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- Witt-Nyström, Petra (författare)
- Denmark,Danish Centre for Particle Therapy, Aarhus, Aarhus, Denmark
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- Sjövall, Katarina, Universitetslektor i omvårdnad inriktning medicinsk vetenskap (författare)
- Högskolan Kristianstad,Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap,Faculty of Health Sciences, Kristianstad University, Kristianstad, Sweden
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- Ohlsson Nevo, Emma, 1960- (författare)
- Örebro universitet,Institutionen för hälsovetenskaper,Region Örebro län,University Healthcare Research Centre
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Research Institute of Sweden (RISE) RISE (Research Institute of Sweden), Lund, Sweden (creator_code:org_t)
- Elsevier, 2021
- 2021
- Engelska.
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Ingår i: Technical innovations & patient support in radiation oncology. - : Elsevier. - 2405-6324. ; 19, s. 11-17
- Relaterad länk:
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https://doi.org/10.1...
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https://www.scienced...
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http://hkr.diva-port... (primary) (Raw object)
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http://www.tipsro.sc...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background: Skin reaction is a common side-effect of radiotherapy and often only assessed as clinician-reported outcome (CRO). The aim was to examine and compare patient-reported outcome (PRO) of skin reactions with CRO for signs of acute skin reactions for patients with primary brain tumour receiving proton beam radiotherapy (PBT). A further aim was to explore patients' experiences of the skin reactions.Methods: Acute skin reactions were assessed one week after start of treatment, mid-treatment and end of treatment among 253 patients with primary brain tumour who underwent PBT. PRO skin reactions were assessed with the RSAS and CRO according to the RTOG scale. Fleiss' kappa was performed to measure the inter-rater agreement of the assessments of skin reactions.Results: The results showed a discrepancy between PRO and CRO acute skin reactions. Radiation dose was associated with increased skin reactions, but no correlations were seen for age, gender, education, occupation, other treatment or smoking. There was a poor agreement between patients and clinicians (κ = -0.016) one week after the start of PBT, poor (κ = -0.045) to (κ = 0.396) moderate agreement at mid treatment and poor (κ = -0.010) to (κ = 0.296) moderate agreement at end of treatment. Generally, patients' symptom distress toward skin reactions was low at all time points.Conclusion: The poor agreement between PRO and CRO shows that the patient needs to be involved in assessments of skin reactions for a more complete understanding of skin reactions due to PBT. This may also improve patient experience regarding involvement in their own care.
Ämnesord
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskaper (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dermatology and Venereal Diseases (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Dermatologi och venereologi (hsv//swe)
Nyckelord
- Clinician-reported
- Patient-reported outcome
- Primary brain tumour
- Proton therapy
- Radiotherapy
- Skin reaction
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)