An evaluation of radiation therapy patient body mass index trends and potential impact on departmental resource planning
Abstract Introduction Radiation therapy (RT) offers a less invasive management option for bariatric cancer patients. As the proportion of Australians categorised overweight or obese approaches 70%, it is not well understood how this growth will impact RT departments. The aim of this study was to eva...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-06-01
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| Series: | Journal of Medical Radiation Sciences |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/jmrs.652 |
| _version_ | 1797806181617500160 |
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| author | Branagh Laing Peter Caldwell Debra Vincent Gregory Rattray |
| author_facet | Branagh Laing Peter Caldwell Debra Vincent Gregory Rattray |
| author_sort | Branagh Laing |
| collection | DOAJ |
| description | Abstract Introduction Radiation therapy (RT) offers a less invasive management option for bariatric cancer patients. As the proportion of Australians categorised overweight or obese approaches 70%, it is not well understood how this growth will impact RT departments. The aim of this study was to evaluate the current and potential future body mass index (BMI) of RT patients at one centre, with the purpose of identifying variables that may impact resource planning decisions. Methods De‐identified demographic data including gender, age, diagnosis code, activity code and BMI were obtained from MOSAIQ® oncology information system for 5548 courses of RT commenced between 2017 and 2020, and retrospectively analysed. Descriptive statistics were used to summarise the data. Simple and multiple linear regression was used to analyse for statistically significant relationships between variables. Results Of all patient courses, 64% were overweight or obese. Average BMI increased over time by 0.3 kg/m2 per year. Courses related to the young and elderly had a lower average BMI. Breast, brain/skull, and pelvis/prostate treatment sites had a significant association with a higher average BMI. Thorax treatment sites had a lower average BMI, but this average is increasing at the fastest rate of all treatment sites. Prone breast courses had an average BMI 5.58 kg/m2 higher than IMRT/VMAT courses. Conclusion Results demonstrate that patient BMI is increasing. Resources related to breast courses (breast board, prone board) and thorax courses (lung board) may experience increased strain in the future. Modifications to department workflow and scheduling are likely required. Further research into staffing implications is recommended. |
| first_indexed | 2024-03-13T06:03:24Z |
| format | Article |
| id | doaj.art-a4f3c3a0da074e299f21fc257ca881ce |
| institution | Directory Open Access Journal |
| issn | 2051-3895 2051-3909 |
| language | English |
| last_indexed | 2024-03-13T06:03:24Z |
| publishDate | 2023-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Medical Radiation Sciences |
| spelling | doaj.art-a4f3c3a0da074e299f21fc257ca881ce2023-06-12T08:46:58ZengWileyJournal of Medical Radiation Sciences2051-38952051-39092023-06-0170214515310.1002/jmrs.652An evaluation of radiation therapy patient body mass index trends and potential impact on departmental resource planningBranagh Laing0Peter Caldwell1Debra Vincent2Gregory Rattray3School of Clinical Sciences Queensland University of Technology Brisbane Queensland AustraliaSchool of Clinical Sciences Queensland University of Technology Brisbane Queensland AustraliaCancer Care Services, Department of Radiation Oncology Royal Brisbane & Women's Hospital Butterfield Street Herston Queensland AustraliaCancer Care Services, Department of Radiation Oncology Royal Brisbane & Women's Hospital Butterfield Street Herston Queensland AustraliaAbstract Introduction Radiation therapy (RT) offers a less invasive management option for bariatric cancer patients. As the proportion of Australians categorised overweight or obese approaches 70%, it is not well understood how this growth will impact RT departments. The aim of this study was to evaluate the current and potential future body mass index (BMI) of RT patients at one centre, with the purpose of identifying variables that may impact resource planning decisions. Methods De‐identified demographic data including gender, age, diagnosis code, activity code and BMI were obtained from MOSAIQ® oncology information system for 5548 courses of RT commenced between 2017 and 2020, and retrospectively analysed. Descriptive statistics were used to summarise the data. Simple and multiple linear regression was used to analyse for statistically significant relationships between variables. Results Of all patient courses, 64% were overweight or obese. Average BMI increased over time by 0.3 kg/m2 per year. Courses related to the young and elderly had a lower average BMI. Breast, brain/skull, and pelvis/prostate treatment sites had a significant association with a higher average BMI. Thorax treatment sites had a lower average BMI, but this average is increasing at the fastest rate of all treatment sites. Prone breast courses had an average BMI 5.58 kg/m2 higher than IMRT/VMAT courses. Conclusion Results demonstrate that patient BMI is increasing. Resources related to breast courses (breast board, prone board) and thorax courses (lung board) may experience increased strain in the future. Modifications to department workflow and scheduling are likely required. Further research into staffing implications is recommended.https://doi.org/10.1002/jmrs.652BMIbody mass indexequipmentimmobilisationobesityradiation therapy |
| spellingShingle | Branagh Laing Peter Caldwell Debra Vincent Gregory Rattray An evaluation of radiation therapy patient body mass index trends and potential impact on departmental resource planning Journal of Medical Radiation Sciences BMI body mass index equipment immobilisation obesity radiation therapy |
| title | An evaluation of radiation therapy patient body mass index trends and potential impact on departmental resource planning |
| title_full | An evaluation of radiation therapy patient body mass index trends and potential impact on departmental resource planning |
| title_fullStr | An evaluation of radiation therapy patient body mass index trends and potential impact on departmental resource planning |
| title_full_unstemmed | An evaluation of radiation therapy patient body mass index trends and potential impact on departmental resource planning |
| title_short | An evaluation of radiation therapy patient body mass index trends and potential impact on departmental resource planning |
| title_sort | evaluation of radiation therapy patient body mass index trends and potential impact on departmental resource planning |
| topic | BMI body mass index equipment immobilisation obesity radiation therapy |
| url | https://doi.org/10.1002/jmrs.652 |
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